# South Pointe Hospital

Hospital in Warrensville Heights, OH. Verified from the hospital's own policy.

South Pointe Hospital likely gives free care to households with a yearly income up to $39,900 for 1 person, $54,100 for 2, $68,300 for 3, $82,500 for 4, $96,700 for 5 or $110,900 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 | $39,900 | $63,840 |
| 2 | $54,100 | $86,560 |
| 3 | $68,300 | $109,280 |
| 4 | $82,500 | $132,000 |
| 5 | $96,700 | $154,720 |
| 6 | $110,900 | $177,440 |

Dollar amounts use the 2026 federal poverty guidelines.

## Discount steps

- 0% to 250% of poverty level, patient pays nothing (free care)
- 251% to 400% of poverty level, patient pays the amount generally billed to insured patients

## How to apply

- Call 866-621-6385 and ask for financial assistance.
- [Application form](https://my.clevelandclinic.org/-/scassets/files/org/patients-visitors/billing/financial-assistance/1-financial-assistance-program-summary-application.pdf?la=en)
- [Financial Assistance Policy (Cleveland Clinic Health System, Ohio and Nevada, Rev. 1/1/26)](https://my.clevelandclinic.org/-/scassets/files/org/patients-visitors/billing/financial-assistance/7-financial-assistance-program-policy.pdf?la=en)
- [Plain language summary](https://my.clevelandclinic.org/-/scassets/files/org/patients-visitors/billing/financial-assistance/1-financial-assistance-program-summary-application.pdf?la=en)
- The policy gives 240 days to apply. Ask the billing office which date the count starts from.
- Bring family income for the 3 months before the review (third party income checks may be used), names and birth dates of family members in the home.
- Residency. Ohio resident (legal US resident who has lived in Ohio at least 6 months, or plans to stay at least 6 months)
- Very large bills. Insured or uninsured patients whose balance for one episode of care is more than 25% of yearly family income may get help, unless Cleveland Clinic was out of network
- Languages. English, Arabic, Spanish, Russian, Ukrainian, Nepali

## If you have insurance

This policy does not cover bills for patients who have insurance.
Keep your insurance. Financial assistance covers bills from this one place only.

## What is covered

Covered. Emergency care and medically necessary hospital and doctor care at Cleveland Clinic in Ohio. Pregnant patients whose insurance has no maternity benefits may also get help for maternity care.

Not covered. Most transplants, cellular therapies such as CAR-T, supplements and outpatient prescription drugs are not covered. Some dental, cosmetic, bariatric and integrative medicine services are also excluded. Most doctors at Cleveland Clinic regional hospitals are in private practice and send a separate bill that this policy does not cover. They are named on the hospital's provider list.

## State program in Ohio

### Hospital Care Assurance Program (Ohio Revised Code 5168.14 and Ohio Administrative Code 5160-2-17)

Ohio law says hospitals that get state Hospital Care Assurance Program (HCAP) funds must give basic, medically necessary hospital care free of charge to some patients. You may qualify if you live in Ohio, are not on Medicaid, and your household income is at or below the federal poverty level (100%). The law covers general medical and surgical hospitals and children's hospitals. It does not cover transplants. You must fill out and sign an application with proof of income and family size. Many people at this income can also get Medicaid, so the hospital may ask you to apply for it. HCAP covers only the hospital's own bill. Doctors who bill separately are not covered. Many hospitals offer more help than this under their own policy, so ask about both.

Income levels in the program are free up to 100% of poverty level.

Applies to nonfederal Ohio hospitals registered as general medical and surgical or pediatric general hospitals (and Medicare-recognized cancer hospitals) that receive HCAP funds; Ohio residents who are not Medicaid recipients.

How to apply. Ask the hospital's billing or financial assistance office for an HCAP application. Fill it out, sign it, and include proof of your income and family size. Hospitals must post signs about HCAP in admissions, the business office, and the emergency room.

> shall provide, without charge to the individual, basic, medically necessary hospital-level services

Source https://codes.ohio.gov/ohio-revised-code/section-5168.14, checked 2026-11-11

## Notes

This policy helps uninsured patients, and insured patients whose insurance ran out or does not cover the care they need. It does not pay copays or deductibles based on income alone. Ohio's HCAP program may make hospital care free for Ohio residents at or below 100% of the poverty level, with or without insurance. Uninsured patients must take part in a Medicaid screening first. Cleveland Clinic may approve some patients automatically using outside income data. An approval lasts 90 days. Help can also be asked for in cases of extreme hardship, homelessness, or care only Cleveland Clinic can give. Cleveland Clinic says it does not report to credit bureaus or garnish wages. Call Customer Service at 866-621-6385, or the Ohio assistance line at 855-831-1284.

## Sources

- Free care level https://my.clevelandclinic.org/-/scassets/files/org/patients-visitors/billing/financial-assistance/7-financial-assistance-program-policy.pdf?la=en
  > If your Annual Family Income is up to 250% of the FPG, you will receive free care.
- Discount level https://my.clevelandclinic.org/-/scassets/files/org/patients-visitors/billing/financial-assistance/7-financial-assistance-program-policy.pdf?la=en
  > If your Annual Family Income is between 251% and 400% of the FPG, you will receive care discounted from gross charges
- Insured patients https://my.clevelandclinic.org/-/scassets/files/org/patients-visitors/billing/financial-assistance/7-financial-assistance-program-policy.pdf?la=en
  > Patients who are Uninsured Patients and whose Annual Family Income does not exceed 400% of the FPG,
- Residency https://my.clevelandclinic.org/-/scassets/files/org/patients-visitors/billing/financial-assistance/7-financial-assistance-program-policy.pdf?la=en
  > has been a legal resident of the state in which medical services are sought for at least six (6) months
- Very large bills https://my.clevelandclinic.org/-/scassets/files/org/patients-visitors/billing/financial-assistance/7-financial-assistance-program-policy.pdf?la=en
  > a balance due to CCHS on charges incurred for an episode of care that are greater than 25% of the patient’s Annual Family Income.
- Deadline https://my.clevelandclinic.org/-/scassets/files/org/patients-visitors/billing/financial-assistance/7-financial-assistance-program-policy.pdf?la=en
  > a written response to any Financial Assistance Application for assistance under this Policy submitted within 240 days of the first billing statement
- Documents https://my.clevelandclinic.org/-/scassets/files/org/patients-visitors/billing/financial-assistance/7-financial-assistance-program-policy.pdf?la=en
  > will be asked to provide information on Annual Family Income for the three-month period immediately preceding the date of eligibility review.
- Financial counseling phone https://my.clevelandclinic.org/-/scassets/files/org/patients-visitors/billing/financial-assistance/7-financial-assistance-program-policy.pdf?la=en
  > or by calling Customer Service at 866.621.6385.
- Hcap https://my.clevelandclinic.org/-/scassets/files/org/patients-visitors/billing/financial-assistance/1-financial-assistance-program-summary-application.pdf?la=en
  > we offer emergency and other medically necessary services in our hospitals free of charge if you are a resident of Ohio
- Covered facility https://my.clevelandclinic.org/-/scassets/files/org/patients-visitors/billing/financial-assistance/7-financial-assistance-program-policy.pdf?la=en
  > “CCHS” means The Cleveland Clinic Foundation, its family health centers and its hospital affiliates in the Cleveland Clinic health system
- What is not covered https://my.clevelandclinic.org/-/scassets/files/org/patients-visitors/billing/financial-assistance/7-financial-assistance-program-policy.pdf?la=en
  > Most physicians performing services in our regional hospitals are in private practice. Their services are not covered under our FAP.
- Covered facility provider list https://my.clevelandclinic.org/-/scassets/files/org/patients-visitors/billing/financial-assistance/4-doctors-not-covered-by-fap.pdf?la=en
  > SOUTH POINTE HOSPITAL

Last checked 2026-11-11.

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