Financial Assistance

Terrebonne General provides financial assistance for:

• Emergency and medically necessary care,
• To patients who are Louisiana residents,
• And who are unable to pay.

Financial assistance applies to your portion of the bill only, for example, your deductible or co-payment.

To Contact:

• By calling the Patient Responsibility Department’s Financial Counselor at (985) 873-3799
• Copies of these documents can be mailed free of charge
• If information or assistance with the FAP application process is needed, please contact a Financial Counselor at (985) 873-3799 or visit a Financial Counselor located in the Patient Access area of the hospital.
• At any of our hospital’s admission (Patient Access), emergency department and financial services areas.

To Apply:

Please complete the Financial Assistance Application completely and provide all required documentation and submit the following either by mail or in person to:

Terrebonne General Health System

Department: Patient Responsibility

Attention: Financial Counselor

8166 Main Street

Houma, LA 70360

Eligibility

Financial assistance is based on your family income and the current Federal Poverty Level.

The current Federal Poverty Level can be found at https://www.healthcare.gov/glossary/federal-poverty-level-FPL/.

Financial Assistance is offered as follows:

• If your family income is 150% or less of the Federal Poverty Level, you may receive a 100% discount.
• If your family income is more than 150% but less than 300% of the Federal Poverty Level, you may be eligible to receive discounted rates based on a sliding scale (Sliding scale detailed can be found in the Financial Assistance Policy under Attachment A).
• If your family income is more than 300% of the Federal Poverty Level, you may be eligible to receive discounted rates based on a case-by-case basis based on your specific circumstances, such as catastrophic illness or medical indigence, at the discretion of Terrebonne General.

Patient Billing Rights

Patients who receive financial assistance may not be charged more for the same services generally billed to insured patients.

More Information

Terrebonne General Financial Assistance Policy

• English
• Spanish
• French
• Vietnamese

Financial Assistance Information (Summary of Policy)

• English
• Spanish
• French
• Vietnamese

Billing and Collection Process

When you provide the name, address and policy number of your insurance company when you register, Terrebonne General will file your primary insurance claim for you. We recommend tracking the following for services rendered: charges, co-pays, deductible, co-insurance, insurance payments, Explanation of Benefits (EOB) and your Terrebonne General statement. Organizing this information will be helpful in case you need to discuss your statement.

In the weeks following your visit to Terrebonne General, the billing process occurs as follows:

• Terrebonne General will submit claims to your primary insurance company.
• You should receive an Explanation of Benefits (EOB) from your insurance company four to six weeks after the first claim is filed. The EOB will indicate services billed, amount paid and payee.
• If you do not hear from your insurance company within four to six weeks of your visit, you should follow up with them.
• If payment is mailed to Terrebonne General, the payment may be reflected on your next monthly statement. Statements are mailed monthly to you.
• Additional charges and payments to your original statement will appear on your monthly statement as they are posted to your account.
• You should retain your statements to help you track charges, payments, adjustments and your balance.

View the Patient Billing and Collection Process Policy