How to apply for Hospital financial assistance (Sevier Valley Hospital, Intermountain Health) — Sevier in Utah
Intermountain Health
Who it's for
Sevier Valley Hospital in Richfield is part of Intermountain Health, which offers financial assistance to eligible patients who need medical care at its hospitals and clinics. Eligibility is based on family size and gross yearly household income, for incomes up to 500% of the federal poverty guidelines. People with higher incomes can be reviewed for medical hardship. Emergency care is never denied to people who have no insurance or cannot pay. Download the application from Intermountain's website or apply in person at the hospital. Call a financial counselor at 866-415-6556. For payment plans, call 866-665-2636.
Charity care is income-based and set by the hospital's financial assistance policy; the hospital makes the final award decision.
People who qualify for one senior program often qualify for others. See everything you may qualify for — free, no SSN, about five minutes.
Discover my benefitsWhat you'll need
- Completed financial assistance application with the documents it lists (details are in the form)
Where to apply
Apply online: official application
By phone: 1-866-415-6556 (payment plans 1-866-665-2636)
What to say when you call
"Hello, I'm calling to ask about Hospital financial assistance (Sevier Valley Hospital, Intermountain Health) — Sevier. I'd like to know whether I may qualify, what documents I need, and whether I can apply online, by mail, by phone, or in person. I understand I may need completed financial assistance application with the documents it lists (details are in the form) — is anything else required? What is the best next step?"
Tip: have a pen ready, ask for the person's name, and write down any case or reference number they give you.
Renewals
annual (reapply per policy)
Related programs
Other help that people in the same situation often look at.
- HealthcareCommunity Health Center Sliding Fee DiscountHealth Resources and Services Administration (HRSA), Health Center Program (delivered by local community health centers)
- HealthcareState Health Insurance Assistance Program (SHIP)Administration for Community Living (delivered locally by state SHIP offices)
- Medicare SavingsMedicare Savings Programs in Utah (QMB, SLMB, QI): help paying Medicare costsUtah Department of Health and Human Services (DHHS), Medicaid; eligibility decided by the Department of Workforce Services (DWS)
- Health CoverageUtah Medicaid for people who are aged (65+), blind, or disabledUtah Department of Health and Human Services (DHHS), Medicaid; eligibility decided by the Department of Workforce Services (DWS)
Not sure if you qualify? Run a free check first.
Discover my benefitsNot legal or financial advice. The agency makes the final eligibility decision.