How to apply for Pike County Hospital Reach (Good Samaritan + Memorial Jasper) — Financial Assistance (Pike County)

Who it's for

Pike County hospital safety net: Pike = no in-county acute hospital; served by Good Samaritan (Vincennes) + Memorial Jasper + Deaconess (Evansville). 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.gshvin.org/patients-visitors/insurance-billing-payment/. Phone: 812-885-3325.

What you'll need

• Proof of household income
• Proof of Pike 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 Pike County Hospital Reach (Good Samaritan + Memorial Jasper) — Financial Assistance (Pike 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 pike 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