Financial Assistance Program (FAP)
Clark Fork Valley Hospital and Family Medicine Network is committed to providing financial assistance to persons who have healthcare needs and are unable to pay for medically necessary care based on their household financial situation.
Persons interested in applying for financial assistance must submit a completed application and required documentation (listed on the application). Applications can be mailed to you free of charge, may be obtained from registration locations, accessed directly from our website, or you can request assistance from one of our financial counselors.
Qualified applicants can receive discounts ranging from 30% to 100% based on ability to pay. If eligibility for financial assistance is determined, these discounts are applied to emergent and medically necessary services provided by Clark Fork Valley Hospital and Family Medicine Network. The program discounts ensure that no patient eligible for financial assistance will be asked to pay more than the hospital’s “Amount Generally Billed” to Medicare and Commercial payers. Services not deemed medically necessary by a medical provider shall not be covered under this financial assistance program.
Services provided by the following independent providers are not included in this financial assistance program:
- Jeffrey LaPorte, MD (Orthopedics)
- Rick Neumeister, MD (Ophthalmology)
- Northwest Imaging (Radiology)
- Vibrant Hearing (Audiology)
- Kristen Yandora, DO (Neurology)
- Sharon Hecker, MD, FACC (Cardiology)
- Ginny Lewis, APRN (Endocrinology)
- Dale Prophet, MD (Pulmonology)
- Laura Salyers, MD (Psychiatry)
- International Heart Institute (Cardiology)
- St. Patrick Hospital (Pathology)
Clark Fork Valley Hospital has an emergency department that provides care for emergency medical conditions (as defined by the Emergency Medical Treatment and Labor Act) without discrimination consistent with available capabilities, without regard to whether or not a patient has the ability to pay or is eligible for financial assistance.
How to Apply
Download a Financial Assistance Application Here
Applications for the CFVH Healthcare Financial Assistance Program (FAP) can also be picked up at Clark Fork Valley Hospital (Centralized Scheduling or Emergency Admission desks) or any of our Family Medicine Network Offices located in Thompson Falls, Plains and Hot Springs.
Completed applications should be turned into one of our CFVH Financial Counselors in person for review and processing.
Contact a Financial Counselor today for assistance with an FAP Application or to explore your eligibility for other private and government coverage programs:
Debbie Buckingham | Ph: (406) 826-4859 | firstname.lastname@example.org
Darlene Malmend | Ph: (406) 826-4962 | email@example.com
Download FAP Summary Brochure Here or Download FAP One Page Summary Here
Download Full CAH Financial Assistance Policy for your review
Download Full CAH Credit and Collections Policy for your review