Benefits · Healthcare

How to apply for Sarah Bush Lincoln Fayette County Hospital (Vandalia) — Financial Assistance (Fayette County)

Sarah Bush Lincoln Health System — Illinois critical-access hospital financial assistance

Who it's for

Fayette County's hospital is Sarah Bush Lincoln Fayette County Hospital in Vandalia — a 25-bed critical-access hospital now affiliated with the Sarah Bush Lincoln Health System, with emergency, inpatient, long-term-care, and outpatient services. Sarah Bush Lincoln offers a Financial Assistance / Charity Care program with discounts on a sliding scale for income-eligible patients. DISTINCTIVE to Illinois: state law (the Hospital Uninsured Patient Discount Act + Fair Patient Billing Act) REQUIRES hospitals to provide financial assistance — uninsured patients at or below 200% (rural/critical-access) or 300% (urban) of the Federal Poverty Level generally receive free care, with capped discounts above that. Most Illinois hospitals have a robust charity-care policy as a result. Apply through Sarah Bush Lincoln Patient Financial Services (618-283-1231) or at https://www.sarahbush.org/.

Fayette = SBL Fayette County Hospital (Vandalia, 25-bed CAH, Sarah Bush Lincoln — sarahbush.org reused). Illinois LAW mandates financial assistance (free care to ~200-300% FPL).

What you'll need

  • Proof of household income
  • Proof of Fayette County / Illinois residency
  • Photo identification
  • Proof of uninsured status or insurance gap
  • Hospital bill or pre-treatment estimate

Where to apply

Apply online: official application

By phone: 618-283-1231

Renewals

per-encounter or annual

Official source →Last verified · June 14, 2026

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Not legal or financial advice. The agency makes the final eligibility decision.