Visiting Hours: 8am - 8pm
Financial Assistance
Financial Assistance

CHI St. Alexius Health Devils Lake Hospital provides care, without regard to the patient's ability to pay. We serve individuals with limited financial resources and understand that sometimes you may need help. For that reason, we offer all patients the option to apply for financial assistance.

CHI St. Alexius Health Devils Lake:

CHI St. Alexius Health Devils Lake PLS Eng
CHI St. Alexius Health Devils Lake PLS VT
CHI St. Alexius Health Devils Lake PLS DE
CHI St. Alexius Health Devils Lake PLS Spanish
CHI St. Alexius Health Devils Lake PLS ZH-CN

Financial Assistance Application (15a):

No. 15a Financial Assistance Application 6-2016
No. 15a Financial Assistance Application 6-2016 DE
No. 15a Financial Assistance Application 6-2016 ES-US
No. 15a Financial Assistance Application 6-2016 VI
No. 15a Financial Assistance Application 6-2016 ZH-CN

Financial Assistance Policy No. 15:

No. 15 Financial Assistance 12-07-2016 English
No. 15 Financial Assistance 12-07-2016 German
No. 15 Financial Assistance 12-07-2016 ES-US
No. 15 Financial Assistance 12-07-2016 VI
No. 15 Financial Assistance 12-07-2016 ZH-CN

Collections Policy No. 16:

No. 16 Collections 12-07-2016 Eng
No. 16 Collections 12-07-2016 ES-US
No. 16 Collections 12-07-2016 DE
No. 16 Collections 12-07-2016 VI
No. 16 Collections 12-07-2016 ZH-CN

Providers subject to our Financial Assistance Policy

Click here to view additional Patient Financial Information

Catholic Health Initiatives (CHI) understands that paying for emergency and/or medically necessary medical care can be difficult, particularly for patients who lack health insurance. As part of our ongoing commitment to our patients, CHI works hard to help our patients address their financial responsibilities in a way that is fair and sensitive to their circumstances. We have instituted a program designed specifically to help those who find themselves in financial distress.

The Program

The CHI Financial Assistance Policy (available in multiple languages) applies to uninsured/underinsured patients who come to our facilities for treatment. This policy provides financial relief to patients who qualify based on a comparison of their financial resources and/or income to Federal Poverty Guidelines. The program is designed specifically for non-elective care patients whose household financial resources and/or income are at or below 300 percent of the Federal Poverty Level.

To qualify for any assistance, uninsured/underinsured patients will be asked to complete a CHI Financial Assistance Application (available in multiple languages) which includes information relating to household income.

We are committed to working with our patients to establish an appropriate payment plan based on the amount due and the patient's financial status.

If you have questions regarding our policy or applications(s), please contact one of our Patient Advocates at 701-662-9656 or 844-286-5546.

Hours
Monday - Friday 8:00 a.m. to 4:30 p.m.