As a nonprofit, community-owned hospital, we believe it is our responsibility to make our community healthier, regardless of a patient's financial situation. That is why we always provide the appropriate care first, and then assist with any financial challenges that may arise.
When people come to Fairbanks Memorial Hospital for emergency and/or medically necessary services, we provide these services regardless of the patient's ability to pay.
We understand that billing and payment options can be confusing, and we want to help you find the best way to pay for your services.
If you have any questions, feel that you have extenuating circumstances and would like to know more about payment options, please make an appointment with a FMH financial counselor by calling (907) 458-5510.
Financial Assistance Program:
We offer an in-house Financial Assistance Program (FAP) for patients who qualify. Program eligibility is largely based on verified household income and family size. Fairbanks Memorial Hospital fairly and consistently applies its FAP to every eligible patient.
Applications for financial assistance are available at the time of service and throughout the active billing cycle in the Admissions or Patient Financial Services/Business Office, or you may contact your financial counselor to have an application mailed to your home.
We also offer an interest-free internal monthly payment plan. For further information regarding the Monitoring Program, contact the Patient Financial Services/Business Office according to the patient’s last name:
When patients inform us that they can’t afford the cost of care, we work hard to minimize the financial impact. However, if patients choose not to discuss their financial status, set up payment plans, actively pursue state or federal funding, or apply for the program, we respect their decision.
Acceptance into a program is not guaranteed and is largely based on verified annual household income and family size. The income standards used in our programs are in accordance with the expanded federal poverty guidelines established by the Centers for Medicare and Medicaid Services specifically for the state of Alaska. Applications will be reviewed for final determination only after all possible payment resources have been considered.
While we strive to make this process as simple as possible, it is critical that annual income be verified to ensure that the correct amount of assistance is applied. Financial Assistance applications are valid for one year, although each individual medical visit may require reverification of income. Please submit your application and the following supporting documents to the Patient Financial Services/ Business Office:
-Copy of previous year’s official federal income tax return for each adult living in the home.
-Additional income verification, if requested, for each adult living in the home. This may include three months of income information, such as pay stubs or banking statements (checking and/or saving accounts). If you were not required to file federal tax returns, then bank statements and proof of income from other sources (for example, Social Security, worker’s compensation, public assistance, retirement, unemployment benefits, child support) will be required.
FMH is committed to protecting your privacy. Your federal tax return and financial information won’t be released to any third-party agency without your consent in accordance with HIPAA compliance standards.
Helping As Many As We Can
Our financial assistance is not without limitations. We may periodically adjust our assistance scales relative to our health care facility’s financial position. Your signature on the Financial Assistance application certifies that you have provided information that it is true and complete to the best of your knowledge.
We understand that unique circumstances arise in each family’s financial situation. That’s why it’s so important for patients to discuss their financial concerns with a FMH financial counselor. If you have any questions, feel that you have extenuating circumstances or believe that you may qualify for assistance, please make an appointment with a financial counselor.
To speak with your financial counselor regarding assistance or to make an appointment to talk in person, please call according to your last name: