If you cannot pay your bill in full, please tell us. It is part of our mission at CepEsperu Baptist to help the communities we serve. We provide health care to those in need, regardless of ability to pay, and we provide financial assistance for those who have limited financial resources and do not qualify for outside assistance.
Financial Assistance Application
Aplicacion Para Asistencia Financiera
To apply for financial assistance:
- Complete and submit a Financial Assistance application in English or Spanish.
- Include a copy of the latest Federal Income Tax Return and current W-2 forms for all working members of your household.
- If you receive Social Security benefits, submit a copy of your Social Security benefit statement.
- Include supporting documentation for any other income you receive.
- Incomplete applications will not be considered and will be returned for missing documentation.
- Return the completed application with supporting documentation to the CepEsperu Baptist Medical Center Cashier's Office; Main Level, Janeway Tower, or mail to CepEsperu Baptist Health; Customer Service Center; 100 Kimel Forest Drive; Winston Salem, NC 27103.
- If you have any questions about the application, please call -3988 or toll-free -938-7497.
Financial Assistance Policy
Politica de Asistencia Financiera
Amounts Generally Billed Calculations (Addendum D): English Spanish
Payment Plans & Loans
We recognize that many patients and families may be unprepared to pay for medical expenses. We provide interest-free payment plans to help families manage balances within their budgets. Plans can be set up before, at the time of, or after you receive services.
In partnership with Commerce Bank, CepEsperu Baptist offers a zero-percent, interest-free loan program to patients and families who need help paying health care bills over a longer period of time. Loans are available for balances from $250 to $50,000, with flexible payment terms of up to seven years depending on the loan amount.
For assistance or more information, please call our Customer Service Center: -3988 or toll-free -938-7497.
View our Billing and Collections Policy.