# Baylor Scott and White All Saints Medical Center

Hospital in Fort Worth, TX. Verified from the hospital's own policy.

Baylor Scott and White All Saints Medical Center likely gives free care to households with a yearly income up to $31,920 for 1 person, $43,280 for 2, $54,640 for 3, $66,000 for 4, $77,360 for 5 or $88,720 for 6. It likely gives a discount to households with a yearly income up to $79,800 for 1 person, $108,200 for 2, $136,600 for 3, $165,000 for 4, $193,400 for 5 or $221,800 for 6.

The hospital makes the final decision.

| Household size | Free care if yearly income is up to | Discount if yearly income is up to |
|---|---|---|
| 1 | $31,920 | $79,800 |
| 2 | $43,280 | $108,200 |
| 3 | $54,640 | $136,600 |
| 4 | $66,000 | $165,000 |
| 5 | $77,360 | $193,400 |
| 6 | $88,720 | $221,800 |

Dollar amounts use the 2026 federal poverty guidelines.

## Discount steps

- 0% to 200% of poverty level, patient pays nothing (100% discount)
- 200.01% to 500% of poverty level, patient pays lesser of the balance or 10% of gross charges (never more than AGB), only if the balance after insurance is at least 5% of yearly income

## How to apply

- Call 1-800-994-0371 and ask for financial assistance.
- [Application form](https://edge.sitecorecloud.io/baylorscott7127-bswhealth416c-prodb8d1-6471/media/Project/BSW/Sites/BSWHealth/Documents/Patient-Tools/patient-registration-and-billing/financial-assistance-application.pdf)
- [Financial Assistance (Hospital Facilities) Policy BSWH.FIN.RC.BA.36.P](https://edge.sitecorecloud.io/baylorscott7127-bswhealth416c-prodb8d1-6471/media/Project/BSW/Sites/BSWHealth/Documents/Patient-Tools/patient-registration-and-billing/financial-assistance-policy.pdf)
- [Plain language summary](https://edge.sitecorecloud.io/baylorscott7127-bswhealth416c-prodb8d1-6471/media/Project/BSW/Sites/BSWHealth/Documents/Patient-Tools/patient-registration-and-billing/plain-language-summary-financial-assistance-policy-bswh.pdf)
- The policy gives 365 days to apply. Ask the billing office which date the count starts from.
- Bring proof of income for everyone in the household (pay stubs, W-2, tax return, bank statements, Social Security or unemployment letters), proof of public benefits such as Medicaid or SNAP, if any (can replace income proof), written explanation if income proof is not available.
- Residency. For non-emergency care, must live in a Baylor Scott & White service area county in Texas (listed in the policy). Emergency care and accepted transfers have no residency rule.
- Very large bills. Income above 200% up to 500% of the poverty level gets help only when Baylor Scott & White bills after insurance are at least 5% of yearly income. A committee can review unusual cases outside these rules.
- Languages. English, Spanish, Russian, Korean, Vietnamese, Arabic, French, Simplified Chinese

## If you have insurance

Insured patients can also apply for help with deductibles and copays.
Keep your insurance. Financial assistance covers bills from this one place only.

## What is covered

Covered. Emergency care and other medically necessary care at the hospital.

Not covered. Doctors and other professionals usually bill separately and are not covered, except a few listed groups (Century Integrated Partners, Century Observation Providers, 24 Hour Physicians). Non-emergency care for people living outside the service area is not covered.

## Notes

Baylor Scott & White uses one Financial Assistance Policy for its hospitals, with a separate contact address and phone for some of them. Incomes at or below 200% of the poverty level may get the whole balance forgiven. Incomes above 200% up to 500% may get help only if the balance owed to Baylor Scott & White after insurance is at least 5% of yearly income. In that case the patient owes the lesser of the balance or 10% of gross charges. People on Medicaid, SNAP, WIC, a county indigent program or similar programs are treated as meeting the income limit without listing income. Baylor Scott & White may also use credit reports to approve help without an application. Patients must first use any insurance, COBRA or public programs they may get. Help can be denied if the patient is seeking money from someone who caused an injury. Uninsured patients who do not qualify may get a 40% uninsured discount, which cannot be combined with financial assistance. Interest-free payment plans are available. Applications can be mailed or started by phone, in person or online. The application asks about savings and other assets, but the policy does not set an asset limit, so asset_test is left unknown. Mail applications to Baylor Scott & White Health, Attn: Financial Assistance Application, 301 N Washington Ave, Dallas, TX 75246.

## Sources

- Free care level https://edge.sitecorecloud.io/baylorscott7127-bswhealth416c-prodb8d1-6471/media/Project/BSW/Sites/BSWHealth/Documents/Patient-Tools/patient-registration-and-billing/financial-assistance-policy.pdf
  > less than or equal to 200% of the Federal Poverty Guidelines ("FPG"). These Financially Indigent patients are eligible for a 100% discount
- Discount level https://edge.sitecorecloud.io/baylorscott7127-bswhealth416c-prodb8d1-6471/media/Project/BSW/Sites/BSWHealth/Documents/Patient-Tools/patient-registration-and-billing/financial-assistance-policy.pdf
  > Yearly Household Income is greater than 200% but less than or equal to 500% of the FPG
- Discount steps https://edge.sitecorecloud.io/baylorscott7127-bswhealth416c-prodb8d1-6471/media/Project/BSW/Sites/BSWHealth/Documents/Patient-Tools/patient-registration-and-billing/financial-assistance-policy.pdf
  > Medically Indigent patients will owe the lesser of the patient’s account balance or 10% of the patient’s gross charges
- Insured patients https://www.bswhealth.com/Patient-Tools/Registration-and-Billing/Financial-Assistance/Documents
  > All patients are eligible to apply for financial assistance, including those with insurance.
- Residency https://edge.sitecorecloud.io/baylorscott7127-bswhealth416c-prodb8d1-6471/media/Project/BSW/Sites/BSWHealth/Documents/Patient-Tools/patient-registration-and-billing/financial-assistance-policy.pdf
  > Financial assistance eligibility for non-emergency, medically necessary care is limited to patients residing in the service area defined in Attachment D
- Very large bills https://edge.sitecorecloud.io/baylorscott7127-bswhealth416c-prodb8d1-6471/media/Project/BSW/Sites/BSWHealth/Documents/Patient-Tools/patient-registration-and-billing/financial-assistance-policy.pdf
  > bills from all BSWH related providers, after payment by all third parties, are equal to or greater than 5% of their Yearly Household Income
- Deadline https://edge.sitecorecloud.io/baylorscott7127-bswhealth416c-prodb8d1-6471/media/Project/BSW/Sites/BSWHealth/Documents/Patient-Tools/patient-registration-and-billing/financial-assistance-policy.pdf
  > through the 365th day after the first billing statement is provided
- What is not covered https://edge.sitecorecloud.io/baylorscott7127-bswhealth416c-prodb8d1-6471/media/Project/BSW/Sites/BSWHealth/Documents/Patient-Tools/patient-registration-and-billing/financial-assistance-policy.pdf
  > the financial assistance offered under this Policy does not apply to services provided by any physicians or other professionals.
- Documents https://edge.sitecorecloud.io/baylorscott7127-bswhealth416c-prodb8d1-6471/media/Project/BSW/Sites/BSWHealth/Documents/Patient-Tools/patient-registration-and-billing/financial-assistance-application.pdf
  > Please provide verification (send only copies, no original documentation) for all sources of household income.
- Languages https://edge.sitecorecloud.io/baylorscott7127-bswhealth416c-prodb8d1-6471/media/Project/BSW/Sites/BSWHealth/Documents/Patient-Tools/patient-registration-and-billing/plain-language-summary-financial-assistance-policy-bswh.pdf
  > English, Spanish and certain other language versions of the FAP application are available upon request.
- Presumptive eligibility https://edge.sitecorecloud.io/baylorscott7127-bswhealth416c-prodb8d1-6471/media/Project/BSW/Sites/BSWHealth/Documents/Patient-Tools/patient-registration-and-billing/financial-assistance-policy.pdf
  > Proof of Participation in any of the above programs indicates that the patient has been deemed Financially Indigent
- Uninsured discount https://www.bswhealth.com/financialassistance
  > The Uninsured Patient Discount is a 40% discount on charges for procedures or services except those specifically excluded
- Financial counseling phone https://edge.sitecorecloud.io/baylorscott7127-bswhealth416c-prodb8d1-6471/media/Project/BSW/Sites/BSWHealth/Documents/Patient-Tools/patient-registration-and-billing/financial-assistance-policy.pdf
  > requesting assistance in person, over the phone 1-800-994-0371, through the mail
- Covered facility https://edge.sitecorecloud.io/baylorscott7127-bswhealth416c-prodb8d1-6471/media/Project/BSW/Sites/BSWHealth/Documents/Patient-Tools/patient-registration-and-billing/financial-assistance-policy.pdf
  > BSWH Facilities and Controlled Affiliates Attachment A ... Baylor Scott & White All Saints Medical Center - Fort Worth

Last checked 2026-11-11.

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