# Providence Kodiak Island Medical Ctr

Hospital in Kodiak, AK. Verified from the hospital's own policy.

Providence Kodiak Island Medical Ctr likely gives free care to households with a yearly income up to $59,850 for 1 person, $81,150 for 2, $102,450 for 3, $123,750 for 4, $145,050 for 5 or $166,350 for 6. It likely gives a discount to households with a yearly income up to $69,825 for 1 person, $94,675 for 2, $119,525 for 3, $144,375 for 4, $169,225 for 5 or $194,075 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 | $59,850 | $69,825 |
| 2 | $81,150 | $94,675 |
| 3 | $102,450 | $119,525 |
| 4 | $123,750 | $144,375 |
| 5 | $145,050 | $169,225 |
| 6 | $166,350 | $194,075 |

Dollar amounts use the 2026 federal poverty guidelines.

## Discount steps

- 0% to 300% of poverty level, patient pays nothing (100% write-off)
- 301% to 350% of poverty level, patient pays 13% of original charges (87% discount), never more than AGB

## How to apply

- Call 1-855-229-6466 and ask for financial assistance.
- [Application form](https://www.providence.org/-/media/project/psjh/shared/files/financial-assistance/application/fa-app-eng.pdf)
- [Providence Financial Assistance (Charity Care) Policy, Alaska (PSJH RCM 002 AK)](https://www.providence.org/-/media/project/psjh/shared/files/financial-assistance/policy/ak/fa-policy-english.pdf)
- [Plain language summary](https://www.providence.org/-/media/project/psjh/shared/files/financial-assistance/pls/ak/plain-language-summary-alaska-english.pdf)
- The policy gives 240 days to apply. Ask the billing office which date the count starts from.
- Bring proof of income (W-2, recent pay stubs, last year's tax return, or a signed statement from an employer), a signed statement describing income if there is no proof, bank statements (only asked of Medicare patients who do not also have Medicaid).
- Savings and property. The policy counts savings or property, not only income.
- Very large bills. Income at or below 350% of poverty level and Providence hospital bills in the last 12 months over 20% of yearly family income: one-time 100% write-off of what is owed

## 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, urgent and other medically necessary care at the hospital, including its inpatient and outpatient departments and clinics. Both uninsured and insured patients can apply, and help can go toward deductibles, coinsurance and copays.

Not covered. Cosmetic, experimental or research care and care for convenience are not covered. Doctors and groups that are not Providence employees bill separately and may not accept Providence financial assistance. Ask for the provider list.

## Notes

Help can cover what is left after insurance, like deductibles and copays. Apply within 240 days of the first bill after you leave the hospital, though the hospital may accept later applications. Uninsured patients get a discount even above these income levels. People on Medicaid, SNAP, Denali KidCare, WIC or similar programs may be approved without a full application. Assets are looked at, but the first $100,000 in savings, your home, retirement accounts and one car are not counted. Payment plans have no interest and are capped at 10% of monthly income after living costs. A denial can be appealed within 30 days.

## Sources

- Free care level https://www.providence.org/-/media/project/psjh/shared/files/financial-assistance/policy/ak/fa-policy-english.pdf
  > Annual family income, adjusted for family size, is at or below 300% of the current FPL guidelines,
- Discount level https://www.providence.org/-/media/project/psjh/shared/files/financial-assistance/policy/ak/fa-policy-english.pdf
  > Annual family income, adjusted for family size, is between 301% and 350% of the current FPL guidelines,
- Discount steps https://www.providence.org/-/media/project/psjh/shared/files/financial-assistance/policy/ak/fa-policy-english.pdf
  > The patient is eligible for a discount of 87% from original charges on patient responsibility amounts for Eligible Services,
- Asset test https://www.providence.org/-/media/project/psjh/shared/files/financial-assistance/policy/ak/fa-policy-english.pdf
  > A patient’s income, certain assets, and expenses will be used in assessing the patient’s individual financial situation.
- Very large bills https://www.providence.org/-/media/project/psjh/shared/files/financial-assistance/policy/ak/fa-policy-english.pdf
  > is at or below 350% the FPL AND the patient has incurred total medical expenses at Providence hospitals in the prior 12 months
- Insured patients https://www.providence.org/-/media/project/psjh/shared/files/financial-assistance/policy/ak/fa-policy-english.pdf
  > Financial assistance is available to both uninsured and insured patients if they meet the requirements of this policy.
- Deadline https://www.providence.org/-/media/project/psjh/shared/files/financial-assistance/policy/ak/fa-policy-english.pdf
  > The FAP-Eligible Time Period for (i) hospital services is the 240-day period of time;
- Documents https://www.providence.org/-/media/project/psjh/shared/files/financial-assistance/application/fa-app-eng.pdf
  > REMEMBER: You must include proof of income with your application.
- Financial counseling phone https://www.providence.org/-/media/project/psjh/shared/files/financial-assistance/pls/ak/plain-language-summary-alaska-english.pdf
  > Speak with a Financial Counselor at 1-855-229-6466, Monday–Friday, 7 a.m. to 5:30 p.m.
- What is not covered https://www.providence.org/-/media/project/psjh/shared/files/financial-assistance/pls/ak/plain-language-summary-alaska-english.pdf
  > Services performed by non-Providence employed providers will bill separately and may or may not accept Providence approved Financial Assistance.
- Covered facility https://www.providence.org/-/media/project/psjh/shared/files/financial-assistance/policy/ak/fa-policy-english.pdf
  > Providence Kodiak Island Medical Center

Last checked 2026-11-11.

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