Patient Resources

Financial Assistance

Gunnison Valley Hospital has financial assistance available to qualifying applicants. We also offer assistance with applications for public assistance programs.

Gunnison Valley Hospital is in full compliance with Senate Bill 12-134 by offering financial assistance to those patients whose income is at or below 250% of the Federal Poverty Level.

Please call 970-642-4810 to reach our Financial Counselor.


ESPAÑOL:

Si habla usted en Español, por favor, llamanos a 970-642-4810.

VER PÁGINA ASSSISTANCE FINANCIERA EN ESPAÑOL - HAGA CLIC AQUÍ


Colorado Indigent Care Program (CICP)

The CICP is available to Colorado residents and those who establish lawful presence in the United States. The Program is funded by Colorado taxpayers and Gunnison Valley Hospital.

Patients must apply for the Program, supply all required documentation, and sign applications no later than 90 days from the date of service.

Required documentation includes:

  • Documentation supporting Colorado residency and lawful presence in the United States for all members of the household
  • Copies of all income sources
  • Self-employed business ledger or profit and loss statement
  • Copies of personal and business checking and savings bank accounts
  • Verification of vehicle registration and outstanding loans
  • Assets that can be converted to cash without penalty
  • Copies of medical bills incurred during the past year
  • Medicaid and/or CHP+ denial letter for every family member who may be eligible

Co-payments range from $0 to $630 depending on the approved rating level assigned.

Gunnison Valley Hospital Financial Assistance Program (FAP)

The FAP has no residency requirements. The Program is solely funded by Gunnison Valley Hospital.

Patients are encouraged to apply for the Program, supply all required documentation, and sign applications within 90 days from the date of service.

Required documentation includes:

  • Documentation of identification for all members of the household
  • Copies of all income sources
  • Self-employed business ledger or profit and loss statement
  • Copies of personal and business checking and savings bank accounts
  • Verification of vehicle registration and outstanding loans
  • Assets that can be converted to cash without penalty
  • Copies of medical bills incurred during the past year
  • Medicaid and/or CHP+ denial letter for every family member who may be eligible

Co-payments range from $10 to $40 or 5% to 25% (whichever is higher according to the account balance) depending on the approved rating level assigned.

CICP and FAP Household Size and Income Maximum*

Family Size 1 2 3 4 5 6 7 8
Income Maximum $29,425 $39,825 $50,225 $60,625 $71,025 $81,425 $91,825 $102,225


*Add $4,160 for each additional family member