# Temple Health - Chestnut Hill Hospital

Hospital in Philadelphia, PA. Verified from the hospital's own policy.

Temple Health - Chestnut Hill Hospital likely gives free care to households with a yearly income up to $15,960 for 1 person, $21,640 for 2, $27,320 for 3, $33,000 for 4, $38,680 for 5 or $44,360 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 | $15,960 | $63,840 |
| 2 | $21,640 | $86,560 |
| 3 | $27,320 | $109,280 |
| 4 | $33,000 | $132,000 |
| 5 | $38,680 | $154,720 |
| 6 | $44,360 | $177,440 |

Dollar amounts use the 2026 federal poverty guidelines.

## Discount steps

- 101% to 200% of poverty level, patient pays 75% discount
- 201% to 300% of poverty level, patient pays 50% discount
- 301% to 400% of poverty level, patient pays 25% discount

## How to apply

- Call (215) 707-7608 and ask for financial assistance.
- [Application form](https://www.templehealth.org/sites/default/files/inline-files/chh-charity-care-application.pdf)
- [Emergency Care, Charity Care, Financial Assistance and Uninsured Discount Policy](https://www.templehealth.org/sites/default/files/inline-files/chh-emergency-care-charity-care-and-financial-assistance-uninsured-discount-policy-0124.pdf)
- [Plain language summary](https://www.templehealth.org/sites/default/files/inline-files/chh-charity-care-policy-plain-language-summary.pdf)
- The policy gives 240 days to apply. Ask the billing office which date the count starts from.
- Bring Medical Assistance/Medicaid denial, proof of residence, most recent income tax return, pay stubs for the past 30 days, W-2, Social Security statements, bank statements.
- Residency. Uninsured patients must legally live in Pennsylvania; insured patients must legally live in the U.S.
- Savings and property. The policy counts savings or property, not only income.
- Languages. English

## 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 by any provider at the hospital

Not covered. Cosmetic services

## State program in Pennsylvania

### Pennsylvania Medical Assistance (Medicaid)

State health coverage. Adults 19 to 64 qualify with income at or below 133% of the poverty level. Most hospital financial assistance policies in the Philadelphia area require you to apply for Medical Assistance first. This is insurance, not a hospital discount program, so it sets no hospital charity care threshold.

Applies to people, not hospitals.

How to apply. Apply online through COMPASS or at your County Assistance Office. Hospital financial counselors can help you apply.

> Adults ages 19-64 with incomes at or below 133 percent of the Federal Income Poverty Guidelines (FPIG)

Source https://www.pa.gov/agencies/dhs/resources/medicaid/medicaid-general-eligibility, checked 2026-11-10

### Hospital Uncompensated Care Program (Tobacco Settlement Act, Act 77 of 2001, Chapter 11)

A state program that pays eligible hospitals for part of the uncompensated care they give, including charity care. It pays hospitals, not patients. The law defines charity care by each hospital's own charity care policy and sets no patient income limit. Whether the program is still funded today was not checked.

Applies to eligible hospitals (payments to hospitals).

How to apply. Patients do not apply. Apply to the hospital's own financial assistance program.

> provided free or at a reduced rate to patients who cannot afford to pay but who are not eligible for public programs

Source https://www.palegis.us/statutes/unconsolidated/law-information/view-statute?txtType=PDF&SessYr=2001&SessInd=0&ActNum=0077., checked 2026-11-10

## Notes

Uninsured patients must apply for Medical Assistance or Marketplace coverage first. Insured patients who look eligible for Medicaid must show a denial. The posted income table uses 2025 dollar amounts. Net worth can count; no dollar limit is stated. The Office of Financial Services phone in the policy is the main-campus office at 3401 N. Broad Street.

## Sources

- Free care level https://www.templehealth.org/sites/default/files/2025-02/chh-2025-federal-poverty-level-for-charity-care-financial-assistance.pdf
  > 100% 200% 300% 400% Household Size Free Care 75% Discount 50% Discount 25% Discount
- Discount level https://www.templehealth.org/sites/default/files/2025-02/chh-2025-federal-poverty-level-for-charity-care-financial-assistance.pdf
  > 100% 200% 300% 400% Household Size Free Care 75% Discount 50% Discount 25% Discount
- Discount steps https://www.templehealth.org/sites/default/files/2025-02/chh-2025-federal-poverty-level-for-charity-care-financial-assistance.pdf
  > 100% 200% 300% 400% Household Size Free Care 75% Discount 50% Discount 25% Discount
- Insured patients https://www.templehealth.org/sites/default/files/inline-files/chh-emergency-care-charity-care-and-financial-assistance-uninsured-discount-policy-0124.pdf
  > An Insured Patient may seek assistance for contractual out of pocket liabilities and balances due after insurance payment.
- Asset test https://www.templehealth.org/sites/default/files/inline-files/chh-emergency-care-charity-care-and-financial-assistance-uninsured-discount-policy-0124.pdf
  > A patient’s ability to pay may be based upon insurance status, net worth, income, or other financial resources.
- Residency https://www.templehealth.org/sites/default/files/inline-files/chh-emergency-care-charity-care-and-financial-assistance-uninsured-discount-policy-0124.pdf
  > Legally reside within the Commonwealth of Pennsylvania; and
- Deadline https://www.templehealth.org/sites/default/files/inline-files/chh-emergency-care-charity-care-and-financial-assistance-uninsured-discount-policy-0124.pdf
  > Care and Financial Assistance within 240 days after TUH’s first post-discharge billing statement for the care
- What is covered https://www.templehealth.org/sites/default/files/2025-02/chh-2025-federal-poverty-level-for-charity-care-financial-assistance.pdf
  > Temple Health – Chestnut Hill Hospital 2025 Federal Poverty Levels for Charity Care/Financial Assistance

Last checked 2026-11-10.

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