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Porter-Starke Services Financial Assistance Policy

Porter-Starke Services wants care to be affordable and accessible to you. ?Porter-Starke Services will discount your bill if you qualify based on your family size and income or, if you have other financial pressures that make it difficult for you to pay. ?

  • Porter-Starke Services uses the annual Poverty Guidelines set by the Federal government to set discounts for services. ?These guidelines are published in January of each year. ?In February Porter-Starke Services may update our discounts to reflect the new poverty guidelines. ?If you are at or under the Federal Poverty levels you will qualify for a discount.
  • Porter-Starke Services asks you to provide us with your family size and income to make a decision about any discount in our charges that you may be eligible for. ?We use the Declaration of Income to collect this information.
  • The Declaration of Income asks for information about who is dependent on you for financial support in order to determine Family Size.
  • The Declaration of Income also asks you to tell us about any sources of financial support for all individuals that are listed on that form.
  • Income includes wages, tips, Social Security (including SSI and SSDI), retirement income, interest on bank accounts, income from investments including interest, and any other cash resources for the individual and your dependents. ?Dependents are the people listed on this form that are used to determine Family Size.
  • You can fill out a new Declaration of Income anytime. ?If you lose a job, gain a job or your incomes and/or family size changes in any way please ask to complete a new Declaration of Income to see if you qualify for a discount or for a different discount if you already have one. ?Ask anyone at the Front Desk for this form and turn it back into them once completed.?
  • If you aren?t sure how to complete the form, ask the Front Desk Receptionist for help. ?He or she can always put you in touch with someone in Client Financial Services to assist you.
  • What if you don?t qualify but still need help paying for your services here? ?Even if you don?t qualify for a discount based on the Declaration of Income, we may be able to help you if you have other debt that makes it difficult for you to pay for your care. ?Call Client Financial Services at 219.476.4546 to get an application and more information.?
  • If you qualify for a discount Porter-Starke Services cannot charge you more than the ?Amount Generally Billed? to other insurers. ?Porter-Starke Services takes this very seriously and does not charge over what Medicare or Medicaid pay, depending on the service received.
  • Where Else Can you get the Forms or more information? Porter-Starke Services Client Financial Services ??601 Wall Street???Valparaiso, Indiana 46383 ??219.476.4546