Benefits · Healthcare
How to apply for Fountain County Regional Hospital Reach (Franciscan Crawfordsville + Lafayette) — Financial Assistance (Fountain County)
Fountain County hospital safety net: Fountain County (Covington / Attica) has no in-county acute hospital — residents are served by Franciscan Health Crawfordsville (Montgomery County) and the Lafayette systems (Tippecanoe County), plus Illinois hospitals across the western border.
Who it's for
Fountain County hospital safety net: Fountain = no in-county acute hospital; served by Franciscan Crawfordsville + Lafayette systems, with Illinois hospitals to the west. 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.franciscanhealth.org/. Phone: 765-362-2800.
Fountain: Fountain = no in-county acute hospital; served by Franciscan Crawfordsville + Lafayette systems, with Illinois hospitals to the west. Each hospital runs its own Financial Assistance Program (no Indiana state-mandated charity-care law).
What you'll need
- Proof of household income
- Proof of Fountain County / Indiana 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: 765-362-2800
Renewals
per-encounter or annual
Not sure if you qualify? Run a free check first.
Find my benefitsNot legal or financial advice. The agency makes the final eligibility decision.