Patient Financial Assistance

See If You Qualify and Apply Online


You may be eligible for financial assistance under the terms and conditions the hospital offers to qualified patients. To see if you qualify, please click on the link above. For more information contact the Hospital's Patient Financial Counselor in person, by phone at 618-357-5906 or by email at

Financial Need Program: Financial assistance is available if you are uninsured and need assistance in paying balances due for Hospital Inpatient and Outpatient services and for Family Medical Center visits. Insured individuals with catastrophic medical and financial situations may also be eligible. Based upon supporting documentation provided and if the patient's household income is below 200% of the Federal Poverty Level, you may be eligible for a full or partial reduction of the balance you owe. Patients who may be eligible for Medicaid coverage may be required to first apply for Medicaid.

Illinois Uninsured Patient Discount Act: An uninsured patient who meets certain income requirements may qualify for an uninsured discount. The patient must be an Illinois resident and not covered under any health insurance policy, including high deductible health plan, work comp, or accident liability insurance. The patient must have a household income at or below 300% of the Federal Poverty Level. The patient must submit a completed application within 90 days from the date of service. If the submitted application is incomplete, the patient has an additional 30 days from the date of request to supply the required documentation. If deadlines are not met, the patient forfeits eligibility for the Uninsured Patient Discount but may still qualify under the Hospital's Financial Need Program if household income is below 200% of the Federal Poverty Level. If the patient qualifies for the Uninsured Patient Discount, the patient's bill will be discounted and the maximum amount owed by the patient will be 135% of the hospital's cost for services.

The Patient Financial Assistance Application is available via the website link below or upon request by contacting the Patient Financial Counselor at 618-357-5906 or

Patient Financial Assistance Application