Our Financial Assistance Program helps make our healthcare services available to everyone in our community. This includes people who don’t have health insurance and can’t pay their hospital bill, as well as patients who do have insurance but are unable to pay the portion of their bill that insurance does not cover.

Our financial counselors can help by answering questions about insurance coverage, identify gaps in coverage and assist patients in finding alternative methods of coverage.

We are also available to refer patients to the appropriate agency when applying for public assistance, set up payment plans, or help patients apply for assistance through the hospital’s Financial Assistance Program.

In some cases, eligible patients may not be required to pay for services; in others, they may be responsible for a portion of their self pay balance.


You may be eligible for our Financial Assistance Program if you meet the following guidelines:

  • You do not qualify for government-sponsored programs such as Medicaid
  • Your family income is at or below 200% of the Federal Poverty Guidelines
  • A reduced level of assistance is also available for applicants whose income is above 200% of the Federal Poverty Guidelines
  • If you have insurance, and you think you may have trouble paying the remaining balance


Below are easy accessible Financial Assistance Information in both English and Spanish.

Financial Assistance Application

Política de Asistencia Financiera – Resumen en términos sencillos (Spanish Version)

If you think you may be eligible for our program, have questions about the eligibility requirements, or need help applying for one of the government sponsored programs such as Medicaid or Healthy Start, please contact one of our financial counselors. They can be reached at 419-330-2669, option 7.