Baylor Scott & White Medical Center at Irving

Nonprofit acute care hospital in Irving, TX.

Verified from the hospital's own policy

Baylor Scott & White Medical Center at Irving 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.

Discount steps

• 0% to 200% of poverty level, you pay nothing (100% discount)
• 200.01% to 500% of poverty level, you pay 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

1. Call 1-800-994-0371 and ask for financial assistance.
2. Application form
3. Financial Assistance (Hospital Facilities) Policy BSWH.FIN.RC.BA.36.P
4. Plain language summary
5. 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.
6. The policy gives 365 days to apply. Ask the billing office which date the count starts from.

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

  less than or equal to 200% of the Federal Poverty Guidelines ("FPG"). These Financially Indigent patients are eligible for a 100% discount

• Discount level

  Yearly Household Income is greater than 200% but less than or equal to 500% of the FPG

• Discount steps

  Medically Indigent patients will owe the lesser of the patient’s account balance or 10% of the patient’s gross charges

• Insured patients

  All patients are eligible to apply for financial assistance, including those with insurance.

• Residency

  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

  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

  through the 365th day after the first billing statement is provided

• What is not covered

  the financial assistance offered under this Policy does not apply to services provided by any physicians or other professionals.

• Documents

  Please provide verification (send only copies, no original documentation) for all sources of household income.

• Languages

  English, Spanish and certain other language versions of the FAP application are available upon request.

• Presumptive eligibility

  Proof of Participation in any of the above programs indicates that the patient has been deemed Financially Indigent

• Uninsured discount

  The Uninsured Patient Discount is a 40% discount on charges for procedures or services except those specifically excluded

• Financial counseling phone

  requesting assistance in person, over the phone 1-800-994-0371, through the mail

• Covered facility

  BSWH Facilities and Controlled Affiliates Attachment A ... Baylor Scott & White Medical Center - Irving

Last checked. 2026-11-11