419-354-8900

Financial Options

We understand that when you need hospital care, worrying about the financial responsibility can add additional stress. If you do not have insurance or your insurance does not cover all of the costs, there may be other options to assist you.

Discounts and Payment Plans: Contact Patient Accounts at 419-354-8972 to discuss options or make arrangements.

Charity Care

Charity Care is provided to patients who are in need of healthcare services but cannot pay for that care and may have a significant financial burden as a result of the amount required to pay.
Partial and/or full charity care is based on the individual’s ability to pay and upon meeting income eligibility criteria as established by the Federal Poverty Income Guidelines.

2017 Poverty Guidelines/ Sliding Scale

 Family Size   HCAP 100%   UNCOMP 100%
1 $12,060 $24,120
2 $16,240 $32,480
3 $20,420 $40,840
4 $24,600 $49,200
5 $28,780 $57,560
6 $32,960 $65,920
7 $37,140 $74,280
8 $41,320 $82,640


(For families/households with more than 8 persons, add $4,180 for each add'l person.)

Click here for a printable charity application form. Please call 419-373-7611 or 419-354-8972 for assistance or questions in completing a charity application form. Income verification is required.

Medicaid Eligibility

Our financial counselor can help you determine whether or not you are eligible and to provide assistance with the application process. Call 419-373-7611 for more information.