It is the Financial Assistance Policy of Southwest Diagnostic Imaging Ltd. and its affiliates, EVDI Medical Imaging, Scottsdale Medical Imaging, and Valley Radiologists., to render services at a reduced amount to patients who are not able to pay for services and who are not eligible for outside financial aid or government healthcare programs.
Financial Assistance is the payor of “last resort” for services provided by Southwest Diagnostic Imaging Ltd. and its affiliates, EVDI Medical Imaging, Scottsdale Medical Imaging, and Valley Radiologists. Assistance determination is made based on the patient’s or responsible party’s net income (after medical expenses), number of members in the household, and net worth. To speak to a Financial Counselor please call (602) 521-6203. To download an application form click here.
A consistent sliding discount scale for patient liability will be applied after assessing patient financial need. The monthly income limit for most Arizona programs is 100% of the Federal Poverty Level (FPL). Refer to the Financial Qualification Scale for details and to serve as a guide in offering Financial Assistance:
|Based on 2015 Federal Poverty Guidelines –
HHS Website for obtaining program fiscal year poverty guidelines is located at http://aspe.hhs.gov/poverty/index.shtml
|Family Size||100 % Discount*||80% Discount||60% Discount||40% Discount||20% Discount|
|% of Poverty||100%||125%||150%||175%||200%|
For Family Units with more than 8 members, for each additional member add $4,060.
Patients under 100% FPL may be charged an administrative fee up to $25