# CHI Health Nebraska Heart

Hospital in Lincoln, NE. Verified from the hospital's own policy.

CHI Health Nebraska Heart 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 $63,840 for 1 person, $86,560 for 2, $109,280 for 3, $132,000 for 4, $154,720 for 5 or $177,440 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 | $63,840 |
| 2 | $43,280 | $86,560 |
| 3 | $54,640 | $109,280 |
| 4 | $66,000 | $132,000 |
| 5 | $77,360 | $154,720 |
| 6 | $88,720 | $177,440 |

Dollar amounts use the 2026 federal poverty guidelines.

## Discount steps

- 0% to 200% of poverty level, patient pays nothing (up to 100% discount)
- 201% to 400% of poverty level, patient pays no more than the hospital's Amount Generally Billed (AGB); policy says income must be lower than 400%

## How to apply

- Call 866-881-0293 and ask for financial assistance.
- [Application form](https://www.chihealth.com/content/dam/chihealthcom/documents/patients-and-visitors/financial-assistance/fa-app-2026/en_fa_application_epic_cen.pdf)
- [Financial Assistance Policy (CommonSpirit Governance Policy Finance G-003, effective July 1, 2026)](https://www.chihealth.com/content/dam/chihealthcom/documents/patients-and-visitors/financial-assistance/fap-2026/Finance%20G-003%20Financial%20Assistance%20POLICY%20CLEAN_en.pdf)
- [Plain language summary](https://www.chihealth.com/content/dam/chihealthcom/documents/patients-and-visitors/financial-assistance/fy27/pls/en_pls_epic_cen.pdf)
- The policy gives 365 days to apply. Ask the billing office which date the count starts from.
- Bring completed Financial Assistance Application, proof of income (tax return, W-2, 3 months of pay stubs, or a signed letter), bank statements for the last 3 months and other asset information, Medicaid approval or denial, if applied, signed statement explaining how you pay basic living costs, if you have no income.
- Residency. Must live in the hospital's service area, unless the visit is urgent or emergency care. Scheduled care for people outside the area needs the hospital CFO's approval.
- Savings and property. The policy counts savings or property, not only income.
- Languages. English, Spanish, Arabic, German, French, Hindi, Hmong, Japanese, Korean, Portuguese, Russian, Tagalog, Vietnamese, Simplified Chinese, Traditional 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 and medically necessary care at the hospital, including care from doctors and clinicians the hospital employs. Also non-covered medically necessary care, such as days past an insurance length-of-stay limit.

Not covered. Elective and cosmetic care is not covered. Doctors and other providers who are not employed by CHI Health may bill separately and may not follow this policy. Check the hospital's list of providers not covered.

## Notes

Income up to 200% of the poverty level may get the full bill forgiven. Income from 201% up to just under 400% may have the bill cut to the amount insurers generally pay. People with insurance can apply for help with what they still owe. The hospital looks at bank accounts and other assets, but not retirement accounts. You may need to apply for Medicaid first. Approval covers bills from the past 12 months and care for the next 6 months. The hospital decides within 30 days of a complete application, and a denial can be appealed by calling 866-881-0293. Some people get help without applying, for example people on food stamps, WIC or Medicaid, or who are homeless. Mail applications to CommonSpirit Health Financial Assistance, PO Box 5096, Fredericksburg, VA 22403, or fax 1-269-202-5498. Uninsured patients who do not qualify may still get a self-pay discount.

## Sources

- Free care level https://www.chihealth.com/content/dam/chihealthcom/documents/patients-and-visitors/financial-assistance/fap-2026/Finance%20G-003%20Financial%20Assistance%20POLICY%20CLEAN_en.pdf
  > Any patient whose Family Income is at or below 200% of the FPL ... is eligible to receive Financial Assistance up to a 100% discount
- Discount level https://www.chihealth.com/content/dam/chihealthcom/documents/patients-and-visitors/financial-assistance/fap-2026/Finance%20G-003%20Financial%20Assistance%20POLICY%20CLEAN_en.pdf
  > Any patient whose Family Income is at or above 201% but lower than 400% of the FPL
- Discount steps https://www.chihealth.com/content/dam/chihealthcom/documents/patients-and-visitors/financial-assistance/fap-2026/Finance%20G-003%20Financial%20Assistance%20POLICY%20CLEAN_en.pdf
  > reducing his or her account balance for eligible services ... to an amount no more than the Hospital Facility's AGB.
- Insured patients https://www.chihealth.com/content/dam/chihealthcom/documents/patients-and-visitors/financial-assistance/fap-2026/Finance%20G-003%20Financial%20Assistance%20POLICY%20CLEAN_en.pdf
  > Financial Assistance is offered to insured patients to the extent allowed under the patient's insurance carrier contract.
- Asset test https://www.chihealth.com/content/dam/chihealthcom/documents/patients-and-visitors/financial-assistance/fap-2026/Finance%20G-003%20Financial%20Assistance%20POLICY%20CLEAN_en.pdf
  > the patient must provide bank or checking account statements evidencing the patient's available resources
- Residency https://www.chihealth.com/content/dam/chihealthcom/documents/patients-and-visitors/financial-assistance/fap-2026/Finance%20G-003%20Financial%20Assistance%20POLICY%20CLEAN_en.pdf
  > have established residency within the CommonSpirit Entity Service Area as defined by the most recent Hospital Facility CHNA, unless the visit is urgent or emergent
- Deadline https://www.chihealth.com/content/dam/chihealthcom/documents/patients-and-visitors/financial-assistance/fap-2026/Finance%20G-003%20Financial%20Assistance%20POLICY%20CLEAN_en.pdf
  > It expires on the later of (i) 365 days from the patient's discharge from the Hospital Facility or the date of the patient's EMCare
- Documents https://www.chihealth.com/content/dam/chihealthcom/documents/patients-and-visitors/financial-assistance/fa-app-2026/en_fa_application_epic_cen.pdf
  > REMEMBER: You must include proof of income with your application.
- Financial counseling phone https://www.chihealth.com/content/dam/chihealthcom/documents/patients-and-visitors/financial-assistance/fy27/fa-addendum/en_fap_contact_addendum_epic_cen.pdf
  > Call the financial counselor of the Hospital Facility at: 866-881-0293
- Covered facility https://www.chihealth.com/patients-visitors/financial-assistance
  > Providers Covered by our Financial Assistance Policy ... CHI Health Nebraska Heart

Last checked 2026-11-11.

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