Financial Assistance

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Financial Assistance

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We can work with you to secure financial assistance for your care.

Financial Assistance is available for qualified patients. It is important to let us know before you visit if you do not have health insurance or if you are unable to pay for your services in full so that we can help ensure you receive all the financial support for which you are qualified. All applications for financial assistance should be completed as soon as possible.

To apply for financial assistance, please complete a Financial Assistance application and return to us as directed on the form. The Plain Language Summary and the Financial Assistance Policy further explains the process, qualifications, and how to get additional information regarding financial assistance. 

Financial Assistance Application
Financial Assistance Summary
Financial Assistance Policy
Billing and Collection Policy

Memorial Health System offers trained financial counselors who can help determine if you might qualify for an assistance program. Our counselors are available by calling (740) 568-5263 from 8 a.m. to 4 p.m. or by email at financialassistance@mhsystem.org.

Financial assistance programs offered include:

Medicaid provides health coverage to millions of Americans, including children, pregnant women, parents, seniors and individuals with disabilities. Each state sets individual eligibility criteria and requires patients to complete an application form. We will help qualified patients complete our application process at no additional charge.

Hospital Care Assurance Program (HCAP) provides free care to Ohio residents who are not receiving Medicaid benefits and whose income falls at or below the federal poverty guidelines.  This program only covers hospital services that are deemed medically necessary by your physician.   We will help qualified patients complete our application process at no additional charge. Please see the link above for access to the financial assistance application and policy.

Other financial assistance may be available to patients who are not residents of Ohio and/or whose income is above federal poverty guidelines. Please see the link above for access to the financial assistance application and policy.

Memorial Health System not-for-profit facilities have adopted billing and collection policies appropriate to their patients circumstances.  

Memorial Health System’s Accreditations & Awards
Memorial Health System
401 Matthew Street, Marietta, OH 45750
(740) 374-1400
© 2017, Memorial Health System.
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