Benefits · Healthcare

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

Pike County hospital safety net: Pike County (Petersburg) — a rural coal county — has no in-county acute hospital; residents are served by Good Samaritan Hospital (Vincennes, Knox County, to the west), Memorial Hospital Jasper (Dubois County, to the south), and Deaconess (Evansville).

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.

Pike: Pike = no in-county acute hospital; served by Good Samaritan (Vincennes) + Memorial Jasper + Deaconess (Evansville). 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 Pike 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: 812-885-3325

Renewals

per-encounter or annual

Official source →Last verified · June 14, 2026

Not sure if you qualify? Run a free check first.

Find my benefits

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