Essential Living Expenses definition

Essential Living Expenses means expenses for any of the following: rent or house payment and maintenance; food and household supplies; utilities and telephone; clothing; medical and dental payments; insurance; school or child care; child or spousal support; transportation and auto expenses, including insurance, gas and repairs; installment payments; laundry and cleaning; and other extraordinary expenses.

Essential Living Expenses means, for purposes of this subdivision, expenses for any of the following: rent or house payment and maintenance, food and household supplies, utilities and telephone, clothing, medical and dental payments, insurance, school or child care, child or spousal support, transportation and auto expenses, including insurance, gas, and repairs. Installment payments, laundry and cleaning, and other extraordinary expenses. Emergency Department physicians and their assignees may rely upon the hospital’s determination of income and expenses in establishing a reasonable payment plan. Evaluation Process:Patients or guarantors may apply for financial assistance under this Policy by any of the following means: (1) advising PH&S’s patient financial services staff at or prior to the time of discharge that assistance is requested, and submitting an application form and any documentation if requested by PH&S; (2) downloading an application form from PH&S’ website, at www.providence.org, and submitting the form together with any required documentation; (3) requesting an application form by telephone, by calling: 1-866-747-2455, and submitting the form; or (4) any other methods specified in PH&S’s Billing and Collections Policy. PH&S will display signage and information about its financial assistance policy at appropriate access areas. Including but not limited to the emergency department and admission areas. A person seeking charity care will be given a preliminary screening and if this screening does not disqualify him/her for charity care, an application will be provided with instructions on how to apply. As part of this screening process PH&S will review whether the guarantor has exhausted or is not eligible for any third-party payment sources. Where the guarantor’s identification as an indigent person is obvious to PH&S a prima-facie determination of eligibility may be made and in these cases PH&S may not require an application or supporting documentation.

Essential Living Expenses means, for purposes of this subdivision,

Examples of Essential Living Expenses in a sentence

• The following expenses are considered Essential Living Expenses: rent or house payment and maintenance, food, household supplies, laundry and cleaning, utilities and telephone, clothing, medical and dental payments, insurance, school or child care, child or spousal support, transportation and auto expenses, including insurance, gas, repairs and installment payments, and other extraordinary expenses.

• Dignity Health and the patient shall negotiate the terms of the payment plan, and take into consideration the Patient’s Family Income and Essential Living Expenses.

• Reasonable Payment PlanA Reasonable Payment Plan is an extended payment plan in which the monthly payments are not more than 10% of a Patient Family Income for a month net of deductions therefrom for Essential Living Expenses (as defined above).

• The Hospital and the patient shall negotiate the terms of such extended payment plan, and shall take into consideration the patient’s family income and Essential Living Expenses.

• Reasonable Payment Plan is an extended payment plan in which the monthly payments are not more than 10% of a patient’s Family Income for a month, after excluding deductions for Essential Living Expenses.

• Essential Living Expenses are expenses for any of the following: rent or house payment and maintenance, food and household supplies, utilities and telephone, clothing, medical and dental payments, insurance, school or child care, child or spousal support, transportation and auto expenses, including insurance, gas and repairs, installment payments, laundry and cleaning, and other extraordinary expenses.

• VHH and the patient shall negotiate the terms of the payment plan and VHH shall take into consideration the patient’s family income and Essential Living Expenses.

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• KMC and the patient shall negotiate the terms of the payment plan and KMC shall take into consideration the patient’s family income and Essential Living Expenses.

• Monthly payments under this formula will not exceed 10% of the patient’s family income for a month, excluding deductions for Essential Living Expenses.

More Definitions of Essential Living Expenses

Essential Living Expenses means expenses for any of the following: rent or house payment and maintenance, food and household supplies, utilities and telephone, clothing, medical and dental payments, insurance, school or child care, child or spousal support, transportation and auto expenses, including insurance, gas and repairs, installment payments, laundry and cleaning and other extraordinary expenses. B. SELF-PAY POLICY All Self-Pay Patients who have ability to pay and whose income exceeds 400% FPL will receive the standard Self-Pay Discount. All Self-Pay Patients whose documented income falls below the 400% FPL threshold will be considered for Charity Care. All Self-Pay Patients will be screened for linkage to and provided with an application (or instructions on how to obtain an application) for any appropriate form of assistance, including but not limited to California Health Benefit Exchange, Medi-Cal, Healthy Families, San Bernardino Medically Indigent Adult program, Section 1011 or, any 3rd party liability insurance (Automobile Insurance, Workers’ Compensation, Home Owners Insurance, etc.). Any such linkage that is not pursued by the patient or if the patient is denied eligibility for failure to comply may result in the patient not being eligible for RCH’s Charity Care / Self-Pay Discount programs. RCH reserves the right to review these instances on a case by case basis. A pending application for another health coverage program shall not preclude eligibility for RHC’s Charity Care or Self-Pay Discount programs.C. STANDARD SELF-PAY DISCOUNT For qualifying Self-Pay Patients who receive medical procedures (excluding implants and high cost drugs, which are billed at cost plus 5%) a 76% discount will be applied to charges at the time of final billing. Additional Self-Pay Discounts offered by RCH may be provided based on financial ability, mental capability, physical ability, or other related reasons. An additional prompt-pay discount of 10% may also be provided if full payment is made promptly. Any Self- Pay Discounts that exceed the standard Self-Pay Discount and prompt-pay discount must be approved by the Business Services management team. D. CHARITY CARE / PROP 99 RCH is committed to providing appropriate medical care to patients in its service area to ensure that a patient in need of non-elective care will not be refused treatment because of his or her inability to pay. Therefore, it is the policy of RCH to provide charity care for those who demonstrate an inability to pay.

Essential Living Expenses means expenses incurred by the patient for any of the following: rent or house payments (including maintenance expenses), food and household supplies, utilities and phone, clothing, medical and dental payments, insurance, school and child care, child and spousal support, transportation and automobile expenses (including insurance, fuel and repairs), installment payments, laundry and cleaning expenses, and other extraordinary expenses. Hospital staff shall request the patient to provide details supporting the essential living expenses that should be considered in determining a reasonable payment plan for the patient.

Essential Living Expenses means expenses for any of the following: rent or house

Essential Living Expenses means expenses for any of the following: rent or house payment and maintenance; food and household supplies; utilities and telephone; clothing; medical and

Essential Living Expenses means, for purposes of this subdivision, expenses for any of the following: rent or house payment and maintenance, food and household supplies, utilities and telephone, clothing, medical and dental payments, insurance, school or child care, child or spousal support, transportation and auto expenses, including insurance, gas, and repairs. Installment payments, laundry and cleaning, and other extraordinary expenses. Emergency Department physicians and their assignees may rely upon the hospital’s determination of income and expenses in establishing a reasonable payment plan. Evaluation Process:PH&S will display signage and information about its charity care policy at appropriate access areas. A person seeking charity care will be given a preliminary screening and if this screening does not disqualify him/her for charity care, an application will be provided with instructions on how to apply. As part of this screening process PH&S will review whether the guarantor has exhausted or is not eligible for any third-party payment sources. Where the guarantor’s identification as an indigent person is obvious to PH&S a prima-facie determination of eligibility may be made and in these cases PH&S may not require an application or supporting documentation. A guarantor who may be eligible to apply for charity care after the initial screening will be given fourteen (14) days to provide sufficient documentation to PH&S to support a charity determination. Based upon documentation provided with the charity application, PH&S will determine if additional information is required, or whether a charity determination can be made. The failure of a guarantor to reasonably complete appropriate application procedures shall be sufficient grounds for PH&S to initiate collection efforts. An initial determination of sponsorship status and potential eligibility for charity care will be completed as closely as possible to the date of service. PH&S will notify the guarantor of a final determination within ten (10) business days of receiving the necessary documentation. The guarantor may appeal the determination of ineligibility for charity care by providing relevant additional documentation to PH&S within thirty (30) days of receipt of the notice of denial. All appeals will be reviewed and if the determination on appeal affirms the denial, written notification will be sent to the guarantor and the Department of Health in accordance with state law. The final appeal process will conclude within...

Essential Living Expenses means expenses incurred by the patient for any of the following: