Patient Assistance Guidelines
St. Peter's Hospital
Patient Assistance Eligibility Guidelines
Effective May 1, 2007
|
|
Monthly Income
|
Monthly Income
|
Monthly Income
|
Monthly Income
|
Monthly Income
|
|
Family Size at
|
up to 125%
|
from 125% to 150%
|
from 150% to 175%
|
from 175% to 200%
|
Over 200%
|
|
1
|
1,064
|
1,276
|
1,489
|
1,702
|
1,703
|
|
2
|
1,426
|
1,711
|
1,996
|
2,282
|
2,283
|
|
3
|
1,789
|
2,146
|
2,504
|
2,862
|
2,863
|
|
4
|
2,151
|
3,581
|
3,011
|
3,442
|
3,443
|
|
5
|
2,514
|
3,016
|
3,519
|
4,022
|
4,023
|
|
6
|
2,876
|
3,451
|
4,026
|
4,602
|
4,603
|
|
7
|
3,239
|
3,886
|
4,534
|
5,182
|
5,183
|
|
8
|
3,601
|
4,321
|
5,041
|
5,762
|
5,763
|
|
over 8 add for each:
|
363
|
435
|
508
|
580
|
581
|
|
Amount of Assistance
|
100%
|
75%
|
50%
|
25%
|
0%
|
|
Annual Income
|
Annual Income
|
Annual Income
|
Annual Income
|
Annual Income
|
|
|
Family Size at
|
up to 125%
|
from 125% to 150%
|
from 150% to 175%
|
from 175% to 200%
|
Over 200%
|
|
1
|
12,763
|
15,315
|
17,868
|
20,420
|
20,421
|
|
2
|
17,113
|
20,535
|
23,958
|
27,380
|
27,381
|
|
3
|
21,463
|
25,755
|
30,048
|
34,340
|
34,341
|
|
4
|
25,813
|
30,975
|
36,138
|
41,300
|
41,301
|
|
5
|
30,163
|
36,195
|
42,228
|
48,260
|
48,261
|
|
6
|
34,513
|
41,415
|
48,318
|
55,220
|
55,221
|
|
7
|
38,863
|
46,635
|
54,408
|
62,180
|
62,181
|
|
8
|
43,213
|
51,855
|
60,498
|
69,140
|
69,141
|
|
over 8 add for each:
|
4,350
|
5,220
|
6,090
|
6,960
|
6,961
|
|
Amount of Assistance
|
100%
|
75%
|
50%
|
25%
|
0%
|
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Copyright 2006 St. Peter's Hospital, all rights reserved -- 2475 Broadway, Helena MT 59601 -- Phone (406) 442-2480
Patients | Visitors | Physicians | Employees
Copyright 2006 St. Peter's Hospital, all rights reserved -- 2475 Broadway, Helena MT 59601 -- Phone (406) 442-2480
