Patient Assistance Guidelines
St. Peter's Hospital
Patient Assistance Eligibility Guidelines
Effective February 1. 2009
|
|
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
|
1,128
|
1,354
|
1,579
|
1,805
|
1,806
|
|
2
|
1,518
|
1,821
|
2,125
|
2,428
|
2,429
|
|
3
|
1,907
|
2,289
|
2,670
|
3,052
|
3,053
|
|
4
|
2,297
|
2,756
|
3,216
|
3,675
|
3,676
|
|
5
|
2,686
|
3,224
|
3,761
|
4,298
|
4,299
|
|
6
|
3,076
|
3,691
|
4,306
|
4,922
|
4,923
|
|
7
|
3,466
|
4,159
|
4,852
|
5,545
|
5,546
|
|
8
|
3,855
|
4,626
|
5,397
|
6,168
|
6,169
|
|
over 8 add for each:
|
390
|
468
|
545
|
623
|
624
|
|
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
|
13,538
|
16,245
|
18,953
|
21,660
|
21,661
|
|
2
|
18,213
|
21,855
|
25,498
|
29,140
|
29,141
|
|
3
|
22,888
|
27,465
|
32,043
|
36,620
|
36,621
|
|
4
|
27,563
|
33,075
|
38,588
|
44,100
|
44,101
|
|
5
|
32,238
|
38,685
|
45,133
|
51,580
|
51,581
|
|
6
|
36,913
|
44,295
|
51,678
|
59,060
|
59,061
|
|
7
|
41,588
|
49,905
|
58,223
|
66,540
|
66,541
|
|
8
|
46,263
|
55,515
|
64,768
|
74,020
|
74,021
|
|
over 8 add for each:
|
4,675
|
5,610
|
6,545
|
7,480
|
7,481
|
|
Amount of Assistance
|
100%
|
75%
|
50%
|
25%
|
0%
|
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Patients | Visitors | Physicians | Employees
Copyright 2006 St. Peter's Hospital, all rights reserved -- 2475 Broadway, Helena MT 59601 -- Phone (406) 442-2480
