Payment for Services

 

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St. John Health System is committed to providing the finest, most comprehensive care to more than 100,000 patients each year. St. John utilizes the skills of highly qualified physicians and health care providers along with the latest medical equipment and technology.  In order to continue our tradition of medical excellence and compassionate care, we must be diligent in our efforts to receive payment for services, while remaining sensitive to the needs of those who are unable to pay.

Your Responsibility

As a patient of St. John your responsibility is to cooperate by providing insurance information, including Medicare and Medicaid coverage, at the time of your admission.  We will file your claim with your insurance company or the appropriate Medicare/Medicaid agency.  You are responsible for all co-payments, co-insurance, deductibles, and amounts that are not covered.

Deposits

We will attempt to notify you if a deposit is required for a co-payment, co-insurance, or deductible amount due at the time of scheduling or admission.

Payment Arrangements

We ask that you make payment arrangements in advance of receiving elective or non-emergent services.  Please contact the St. John Central Business Office at 918-744-2900.  The following options are available before services are rendered or if you are unable to pay the balance on your account within 30 days after receiving your bill:

  • Payment by check, cash or major credit card
  • Establishment of an installment payment plan
  • Potential ability to apply for Medicaid benefits (also known as Title 19) by contacting the Oklahoma DHS representative assigned to St. John at 918-744-2679
  • Potential ability to apply for the St. John Financial Assistance Program

 

Summary of St. John Health System Financial Assistance Policy

St. John Health System has a commitment to and respect for each person’s dignity with a special concern for those who struggle with barriers to access healthcare services.  St. John Health System has an equal commitment to manage its healthcare resources as a service to the entire community.  In furtherance of these principles, St. John Health System provides financial assistance for certain individuals who receive emergency or other medically necessary care from St. John Health System.  This summary provides a brief overview of St. John Health System’s Financial Assistance Policy.

You may be eligible for financial assistance with your hospital and/or physician bill. Financial assistance is generally determined by your total household income compared to the Federal Poverty Level (FPL). If your income is less than or equal to 250% of the FPL, you will receive 100% charity care write-off on the portion of the charges for which you are responsible. If your income is above 250% of the Federal Poverty Level but does not exceed 400% of the Federal Poverty Level, you may receive discounted rates on a sliding scale.  Patients who are eligible for financial assistance will not be charged more for eligible care than the amounts generally billed to patients with insurance coverage.   The Financial Assistance Policy applies to emergency and other medically necessary care.  Elective services are not covered by the Financial Assistance Policy.

To apply for financial assistance, you will need to complete a written application and provide supporting documentation, as described in the Financial Assistance Policy and the Financial Assistance Policy application. To obtain an application, receive assistance with the application and/or receive additional information regarding eligibility requirements, please call (918) 744-2451 or visit the Financial Assistance Office Monday through Friday from 8:00 am to 5:00 pm.  The office is located on the 4th floor of the Kravis Building - 1802 E. 19th St, Tulsa, Oklahoma 74104. 

For additional information regarding the St. John Health System Financial Assistance policy, application form, or information in other languages please reference the document links below. 

English

Financial Assistance Policy
Providers Covered by the Financial Assistance Policy
Summary of Financial Assistance Policy
Financial Assistance Application
Amount Generally Billed Calculation
Billing and Collection Policy

Spanish

Financial Assistance Policy
Providers Covered by the Financial Assistance Policy
Summary of Financial Assistance Policy
Financial Assistance Application
Amount Generally Billed Calculation
Billing and Collection Policy

Simplified Chinese

Financial Assistance Policy
Providers Covered by the Financial Assistance Policy
Summary of Financial Assistance Policy
Financial Assistance Application
Amount Generally Billed Calculation
Billing and Collection Policy

Traditional Chinese

Financial Assistance Policy
Providers Covered by the Financial Assistance Policy
Summary of Financial Assistance Policy
Financial Assistance Application
Amount Generally Billed Calculation
Billing and Collection Policy

Vietnamese 

Financial Assistance Policy
Providers Covered by the Financial Assistance Policy
Summary of Financial Assistance Policy
Financial Assistance Application
Amount Generally Billed Calculation
Billing and Collection Policy

Hmong

Financial Assistance Policy
Providers Covered by the Financial Assistance Policy
Summary of Financial Assistance Policy
Financial Assistance Application
Amount Generally Billed Calculation
Billing and Collection Policy