Financial Assistance
Online Bill Payment
We offer a convenient and secure way to view your statement or make a payments by credit card.
By clicking the button below, you will be redirected from Capital Medical Center’s website to our secure payment processing site.
Bill Payment & Financial Information
We will submit a bill for your care to your health insurance provider on your behalf. Any deductible, co-payment and co-insurance amounts that are indicated by your insurance provider as your responsibility are requested at the time of service.
Remember, you will receive a separate statement from each physician involved in your care. Charges for services provided by your surgeon, consulting physician, anesthesiologist, pathologist, emergency physician or radiologist are not included as part of your hospital bill.
Billing & Financial Assistance
Registration for your outpatient procedure or overnight stay, including surgery or delivery of your baby, can be done when you arrive at the hospital or in advance of your arrival. To assist with the admission process, we will ask you for certain information and documents, such as:
- Social Security Number
- Medicare card, if applicable
- Military ID card, if applicable
- Insurance card(s)
- Insurance claim forms (completed and signed), if applicable
- Physician referral/authorization forms
- Co-pay, deductible or co-insurance
- Copies of your advance care planning, if desired
Financial Assistance
In keeping with our mission and values, Capital is committed to providing emergency care for all people. Capital also has a financial assistance program for medically necessary care for those who do not have the ability to pay, with special attention to those who are poor and vulnerable.
We know that paying for medical care can be difficult. Based upon eligibility, a patient may receive a discount on all or some of the facility charges related to the care received. Payment arrangements may also be made.
Capital Medical Center offers financial assistance to insured and uninsured patients who meet certain criteria. Those patients may be eligible for free or reduced price care.
We request that patients pay out-of-pocket costs, such as deductibles and co-pays, at the time of service. We are happy to work with patients in any way we can to help in understanding charges associated with the care received.
Patients who pay their costs at the time of service are eligible for a prompt pay discount. If you are unable to pay your costs at the time of service, we are glad to consider you for financial assistance or work out a payment plan for you.
UNDER-INSURED INDIVIDUALS
If you are under-insured, you do have some form of insurance coverage for health care services, but your coverage is insufficient for the care you receive. For example, you are having a baby and your health insurance policy that does not cover maternity benefits.
In this situation, you may be eligible for financial assistance from Capital Medical Center.
UNINSURED INDIVIDUALS
If you are uninsured, you do not have health insurance and are not eligible for Medicare, Medicaid or public assistance.
In this situation, you may be eligible for financial assistance from Capital Medical Center.
Plain Language Summary (english)
Plain Language Summary (Spanish)
Plain Language Summary (Vietnamese)
FINANCIAL ASSISTANCE POLICIES
Financial Assistance Policy – Summary
Financial Assistance Policy (Spanish)
Financial Assistance Policy (VietNamese)
APPLYING FOR FINANCIAL ASSISTANCE
You must complete an application to determine your eligibility for receiving financial assistance.
The application requires income verification which includes one (1) document from the following list:
- Copy of your most recent state or federal income tax return
- Copy of your pay statements from your employer covering the last two months
- Written documentation from income sources
- Copies of all bank statements for the last three months
- Current credit report (which we can obtain based on your authorization)
In addition, we will verify that you do not have insurance or your insurance does not cover your stay at our hospital.
Financial Assistance Application (ENglish)
Financial Assistance Application (Spanish)
Financial Assistance Application (Vietnamese)
Financial Assistance Determination
If you receive financial assistance through our Financial Assistance Program, it may cover 100 percent of your care or only a portion of your care. If part of the cost of your care remains your responsibility, we will be glad to work with you to establish a monthly payment.
Need Assistance?
Our patient financial counselor is available to answer your insurance and other financial questions related to the care you received at Capital Medical Center.
For assistance, please call 360-704-4778 between 9 a.m. and 4 p.m., Monday through Friday, excluding holidays. Additional helpful numbers:
- Main Hospital Billing: 1-800-610-3522
- Clinical Billing (Capital Medical Center Specialty Physicians): 1-855-242-6608
- Thurston ER Physician Group: 1-800-893-9698
- HIM Patient Portal: 360-956-1498
Advanced Care Planning
One of the most important conversations you can have with your health care providers and your loved ones is about what kind of care you want if you should become critically ill Or are unable to speak for yourself.
At capital medical center, we want to make sure that our patients are care for in the way they want and ensure that the care you receive is consistent with your goals and values. To achieve this, we participate in a program to facilitate conversations about advanced care planning — honoring choices pacific northwest.
Honoring choices pacific northwest provides guidance and tools to discuss and plan for your future health care decisions so that they may be honored. It is an initiative of the washington state hospital association and washington state medical association.