Financial Assistance

INTEGRIS Health recognizes there are times when patients may have difficulty paying for services received. Financial Assistance may be available to patients who do not qualify for state or federal assistance. In most cases, patients that fall between 0-150% of Federal Poverty Guidelines based on total household income may have a 100% Financial Assistance discount processed (subject to income verification/documentation requirements). In certain cases, other discounts ranging from 62-90% may apply if the patient’s total household income exceeds these thresholds.

Further eligibility and assistance information, a copy of our financial assistance policy, the Financial Assistance application form and a plain language summary of the Financial Assistance policy (English or Spanish) are available by contacting the INTEGRIS Health Customer Service Department at 1-866-504-2186 or 1-405-951-4740.

Financial Assistance Determination Form

 Download Financial Assistance Form

Upon completion of the forms and required documents please mail the information to:

INTEGRIS Health Central Business Office
3100 Quail Springs Parkway, Suite 101
Oklahoma City, OK 73134

If you have additional questions please contact our Customer Service Department, Monday through Friday between the hours of 7:30 a.m. and 5 p.m. Our phone number for the Oklahoma City area is 405-951-4740 and all other areas; toll free 866-504-2186.

© 2017 INTEGRIS Health Pencil
Oklahoma's largest hospital network
3300 N.W. Expressway
Oklahoma City, OK 73112 Phone: (405) 951-2277
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