Financial Assistance

 Hardin County General Hospital and Clinic will assist patients who cannot pay for part or all of the care they receive in a respectful, compassionate manner. We offer a community service of free or discounted care to uninsured or indigent individuals or who are financially unable to pay for medical care excluding: deductibles, insurance co-payments (including Medicare) and Illinois Department of Healthcare and Family Service recipient spend downs. Balances due on accounts that have been billed to insurance or uninsured balances will be collected based on collection procedures as presented in the hospital-wide billing and collection policy (HW139), based on guidelines established by the Illinois Hospital Uninsured Patient Discount Act, Fair Billing Act and Section 501(r)(c) of the Internal Revenue Service code pertaining to hospital FAP. All assistance will be made without discrimination based upon race, color, creed, gender, sexual orientation, national origin or other grounds unrelated to the individual’s need for these services.
HCGH utilizes the Federal Poverty Guidelines (FPL) published annually by the US Department of Health and Human Services to determine eligibility for Financial Assistance or Community Benefits. All patients whose income is less than or equal to 125% of the FPL and have been approved for assistance will receive 100% reduction (free care). Partial financial assistance (discounted care) is provided for the following income levels:
2 X’s FPL- 50% reduction in charges.
3 X’s FPL- 30% reduction or 135% of cost to charge ratio, whichever is more.
4X’s FPL- 10% reduction in charges. Maximum that can be collected is 25% of income. 

 You may request an itemized bill or a copy of the hospital-wide collection policy at any time from the hospital. You may apply for assistance upon arrival in the hospital or within 30 days of receipt of the first bill. A registration clerk will distribute the FAP application in person upon inpatient admission. The FAP application is also available at the front lobby desk of the hospital and clinic, or upon request by phone or mail. You may request to see the Credit Manager for financial assistance during office hours of: 7:00AM until 4:30PM Monday through Friday. In the absence of the Credit manager your request will be referred to the Patient Account Manager or the Director of Fiscal Services. In addition, one can click on the PDF file below to have access to the FAP application and guidelines for calculating the eligibility and amount of free or discounted care based on the federal poverty guidelines published annually. 

 Community service in the form of free or discounted care will be available to persons who are uninsured and/or indigent and have attempted to qualify for Illinois Public Assistance. Financial assistance may be given in the forms of free care, discounted care and/or establishment of a payment plan. The financial assistance program covers charges for all HCGHC bills, including inpatient, outpatient, ER, clinic and doctor fees billed by the hospital. This currently includes physician fees for Dr. Sunga, Dr. Hastie, Dr. Chatto and Dr. Bose (readings only). The hospital FAP does not cover outside bills for radiology and pathology which currently includes Saline Valley of Radiology Partners and Laboratory of America Holdings (LabCorp). 

Contact Information: 

1-618-285-6634 Ext. 301

Hardin County General Hospital

PO Box 2467 6 Ferrell Rd

Rosiclare, IL 62982

 Download Financial Assistance Application below