Benefits · Healthcare
How to apply for Mercy Health Urbana Hospital — Financial Assistance (Champaign County)
Champaign County hospital safety net: Mercy Health Urbana Hospital (Urbana — Bon Secours Mercy, a 25-bed critical access not-for-profit). Memorial Health (Marysville) also operates Memorial Urbana Medical Center outpatient services in Champaign County.
Who it's for
Champaign County hospital safety net: Champaign = Mercy Health Urbana (25-bed critical access, Bon Secours Mercy), with Memorial Health Marysville outpatient reach. 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.mercy.com/patient-resources/billing-insurance/financial-assistance. Phone: 937-653-5231.
Champaign: Champaign = Mercy Health Urbana (25-bed critical access, Bon Secours Mercy), with Memorial Health Marysville outpatient reach. Ohio HCAP guarantees free basic hospital-level care at or below 100% FPL; each hospital's own FAP slides above that.
What you'll need
- Proof of household income
- Proof of Champaign County / Ohio 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: 937-653-5231
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.