How to apply for Crawford County Memorial Hospital — Financial Assistance (Crawford County)

Who it's for

Crawford County hospital safety net: Crawford = Crawford County Memorial Hospital (independent critical access) — the county anchor; FPG-based charity care. Indiana hospitals do not have a single state-mandated charity-care law (unlike New Jersey); each runs its own Financial Assistance Program, typically a sliding scale to 200-300% of the Federal Poverty Level, and non-profit hospitals must offer one. Apply at the hospital financial counseling office or at https://www.ccmhia.com/patient-visitor-information/financial-assistance.aspx. Phone: 812-338-8000.

What you'll need

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

Where to apply

What to say when you call

“Hello, I'm calling to ask about Crawford County Memorial Hospital — Financial Assistance (Crawford County). I'd like to know whether I may qualify, what documents I need, and whether I can apply online, by mail, by phone, or in person. I understand I may need proof of household income, proof of crawford county / indiana residency, photo identification — is anything else required? What is the best next step?”

Tip: have a pen ready, ask for the person's name, and write down any case or reference number they give you.

Renewals

per-encounter or annual