Q: Can you take a Hospital to court for not upholding their Financial Assistance Policy?
I have a medical bill with Methodist Health System who is a Tax Exempt health entity. They have a financial assistance policy in place that has in section 4.2 of the policy for medically indigent circumstances. The wording states "Medically Indigent" means a patient with medical or hospital bills from MHS, after payment by all 3rd parties, are equal to or greater than 5% of the patient's yearly income and whose income is between 200-500% poverty level. I was told that my annual income per their calculation is 313% poverty level. I make 78K per year and my medical bill is 25K. They have denied my claim and say that it means that the total must be equal to my yearly income or within 5%. I have all of the documentation from the start of the process to todays conversation with the director of operations. I have the policy printed and screenshots from their website with timestamps because they told me they are going to revise it as a result of my call.
A Texas attorney could advise best, but your question remains open for a month. To answer meaningfully, an attorney would probably need to see the policy and related communications. Additionally. it's possible there could be forum selection clauses that govern resolution of disputes, whether through arbitration, civil court, or other forums. Good luck
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