When those who live in our
communities need care,
financial concerns should
not prevent them from
receiving treatment.
Intermountain Health is
committed to providing
medically necessary care
by offering financial
assistance to individuals
that qualify.
Intermountain Health offers financial assistance for patients who receive medical care
provided in Intermountain clinics and hospitals. The program is for most medical care
that a medical provider decides is needed. Intermountain’s Financial Assistance Program
only applies to bills with Intermountain Health hospital, clinics, and some healthcare
providers employed by Intermountain. Those in need of emergency care will never be
denied treatment or care if they do not have insurance or are unable to pay.
- Financial Assistance is determined on income and household size.
- People eligible for financial assistance will not be charged more for emergency
or other medically necessary care than the amounts generally billed to insured
people.
Amounts Generally Billed (AGB) – The amounts generally billed for emergency or other
medically necessary care to individuals who have insurance covering such care. Information
regarding AGB percentages and calculations may be obtained in writing and free of charge
by sending a request to Peaks_Financialassistanceapps@imail.org or by writing to Financial
Assistance, 500 Eldorado Blvd. Suite 4300, Broomfield, CO 80021. AGB is calculated using
the “Look Back method” in accordance with 501R federal regulations.
Intermountain Health complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin,
age, disability, or sex. Call 866-877-4325 for more information.
How do I apply?
Application forms and information are listed below in several languages. If you receive (or plan to receive) medical care in an Intermountain hospital or Intermountain clinic and are interested in payment options, call 866-665-2636. To apply for financial assistance in person, visit your local hospital or clinic where you receive services.