Financial Assistance Plain Language Summary

Sheppard Pratt Health System is dedicated to providing patients with the highest quality of care and service. To assist our patients, and to comply with Federal and Maryland State laws, Sheppard Pratt offers the following information about its Financial Assistance Policy (or FAP).

Eligibility for Financial Assistance

Under the Sheppard Pratt FAP, certain uninsured and underinsured patients may be eligible to receive financial assistance for the cost of emergency and medically necessary hospital services. Patients eligible for financial assistance under the FAP will not be charged more for emergency or medically necessary care than the amount generally billed to insured patients. Eligibility is based on gross family income and family size of the patient and/or responsible person. Annual income criteria used will be 250% of the current federal poverty guidelines as established yearly in the Federal Register. Assets and liabilities will also be considered. Financial assistance may be awarded up to 100% of medical charges. 

Applying for Financial Assistance

Patients seeking financial assistance must complete an application form and provide the supporting documentation requested in the FAP and the application form. A free copy of the FAP and the application form is available from any of the following:

Website: www.sheppardpratt.org/patient-care-and-services/resources/financial-support/

In Person: Any of our Patient registration locations/offices; or

The Conference Center at Sheppard Pratt
6501 N. Charles Street
Baltimore, MD  21204

In Writing:        

Sheppard Pratt Health System
Attn: Financial Assistance
P.O. Box 6815
Baltimore, MD  21285-6815

Phone: (410)938-3370, or toll free at (800)264-0949; Monday-Friday, 8:00 a.m. to 3:00 p.m.

To schedule an appointment for help with an application form, a patient may contact a Sheppard Pratt representative at the phone number listed above or visit The Conference Center at Sheppard Pratt. Translations of the FAP, the application form, and this plain language summary are available in the following languages upon request: Chinese, French, Korean, Russian, Spanish, Tagalog, Urdu, and Vietnamese. For other languages, translation assistance may be available upon request.

Patient Rights

Those patients that meet the financial assistance policy criteria described above may receive assistance from the hospital in paying their bill. If you believe you have been wrongly referred to a collection agency, you have the right to contact the Sheppard Pratt business office at 410-938-3370 or toll free at 1-800-264-0949.

You may be eligible for Maryland Medical Assistance. Medical Assistance is a program funded jointly by the State and Federal governments and it pays up to the full cost of health coverage for low-income individuals who meet certain criteria. In some cases, you may have to apply and be denied for this coverage prior to being eligible for Sheppard Pratt financial assistance.

For more information regarding the application process for Maryland Medical Assistance, please call your local Department of Social Services by phone 1-800-332-6347 or via the internet (www.dhr.state.md.us). 

Patient Obligations

For those patients with the ability to pay, it is their obligation to pay in a timely manner. Sheppard Pratt makes every effort to see that patient accounts are properly billed, and in-patients may expect to receive a uniform summary statement within 30 days of discharge. It is the patient’s responsibility to provide correct insurance information.

If you do not have health coverage, we expect you to pay the bill in a timely manner. If you believe that you may be eligible under the Sheppard Pratt FAP, or if you cannot afford to pay the bill in full, you should contact us as noted above.

If you fail to meet the financial obligations of your bill, you may be referred to a collection agency. It is the obligation of the patient to assure the hospital obtains accurate and complete information. If your financial position changes, you have an obligation to contact Sheppard Pratt to provide updated information.

Physicians who care for patients at Sheppard Pratt during an inpatient stay bill separately and their charges are not included on your hospital billing statement.

Download our Financial Assistance Plain Language Summary in Spanish.

Download our Financial Assistance Plain Language Summary in French.

Download our Financial Assistance Plain Language Summary in Mandarin.

Download our Financial Assistance Plain Language Summary in Vietnamese.

Download our Financial Assistance Plain Language Summary in Korean.

Download our Financial Assistance Plain Language Summary in Russian.

Download our Financial Assistance Plain Language Summary in Urdu.

Download our Financial Assistance Plain Language Summary in Tagalog.

Download our Financial Assistance Policy in English.

Download our Financial Assistance Policy in Spanish.

Download our Financial Assistance Policy in French.

Download our Financial Assistance Policy in Mandarin.

Download our Financial Assistance Policy in Vietnamese.

Download our Fnancial Assistance Policy in Korean.

Download our Financial Assistance Policy in Russian.

Download our Financial Assistance Policy in Urdu.

Download our Financial Assistance Policy in Tagalog.

Download our Financial Assistance Application in English and Spanish

Download our Billing and Collections Policy in English.

Download our Billing and Collections Policy in Spanish.

Download our Billing and Collections Policy in French.

Download our Billing and Collections Policy in Mandarin.

Download our Billing and Collections Policy in Vietnamese.

Download our Billing and Collections Policy in Korean.

Download our Billing and Collections Policy in Russian.

Download our Billing and Collections Policy in Urdu.

Download our Billing and Collections Policy in Tagalog.