How to apply for Adams County Regional Medical Center (Seaman, INDEPENDENT) — Financial Assistance (Adams County)

Who it's for

Adams County hospital safety net: Adams = Adams County Regional Medical Center (Seaman, INDEPENDENT) — the county anchor. Ohio's Hospital Care Assurance Program (HCAP) requires hospitals receiving HCAP funds (essentially all Ohio acute-care hospitals) to provide basic, medically necessary hospital-level services free of charge to Ohio residents at or below 100% FPL; each hospital's own Financial Assistance Program (typically sliding to 200-400% FPL) layers above HCAP. Apply at the hospital financial counseling office or at https://www.acrmc.com/. Phone: 937-386-3400.

What you'll need

• Proof of household income
• Proof of Adams County / Ohio 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 Adams County Regional Medical Center (Seaman, INDEPENDENT) — Financial Assistance (Adams 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 adams county / ohio 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