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,or you can obtain them from registration locations, access them directly from our website or request assistance from one of our financial counselors.
Qualified applicants can receive discounts ranging from 39 percent to 100 percent 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 Medicaid, Medicare and Commercial payers. Services not deemed medically necessary by a medical provider shall not be covered under this FAP.
Hospice Financial Assistance
The Clark Fork Valley Hospital Hospice Program conducts fundraising activities throughout the year and utilizes those funds to assist patients who do not have insurance or other resources to pay for hospice services. Within the hospice program, we are committed to ensuring that every patient who wishes to take advantage of hospice end-of-life care may do so without regard for their ability to pay.
Services provided by the following independent providers are not included in the FAP. Please contact the provider/healthcare facility directly to inquire about available financial assistance.
- Northwest Imaging (Radiology)
- Vibrant Hearing (Audiology)
- Jennifer Hartze, AuD
- Paul Coats, FNP (Neurology)
- International Heart Institute (Cardiology)
- Dr. Nathan Anderson, MD (Cardiology)
- Dr. Jocelyn Spoon, MD (Cardiology)
- Logan Health
- Taylor Lies, PA-C (Cardiology)
- St Patrick Hospital (Pathology Services)
- IRhythm (Cardiopulmonary)
- Dr. Brian Schenavar, DPM (Podiatrist)
- Dr. Laura A Salyers, MD (Psychiatry)
- Pacific Medical (Durable Medical Equipment)
- Aegis Labs (Toxicology)
- Afirma (Thyroid Analysis)
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 at any of our Family Medicine Network Offices located in Thompson Falls, Plains and Hot Springs.
Completed applications should be turned in to one of our CFVH Financial Counselors in person for review and processing.