Benefits · Healthcare

How to apply for ProMedica Financial Assistance — Charles & Virginia Hickman Hospital (Lenawee County)

ProMedica (Charles & Virginia Hickman Hospital, Adrian)

Who it's for

ProMedica Charles & Virginia Hickman Hospital in Adrian offers financial assistance for emergency and medically necessary care. Free care is available for households with income at or below 200% of the federal poverty level, with sliding-scale discounts for incomes between 200% and 400%. Call patient billing at 1-844-373-0871 to apply.

Free care for household income at or below 200% of the federal poverty level; sliding-scale discounts for income between 200% and 400% FPL. The hospital makes the final determination. Not legal or financial advice.

What you'll need

  • Financial assistance application
  • Proof of household income
  • Proof of Michigan residency

Where to apply

Apply online: official application

By phone: 1-844-373-0871

What to say when you call

“Hello, I'm calling to ask about ProMedica Financial Assistance — Charles & Virginia Hickman Hospital (Lenawee 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 financial assistance application, proof of household income, proof of michigan residencyis 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 application

Official source →Last verified · June 28, 2026

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