Benefits · Healthcare
How to apply for OhioHealth Mansfield Hospital + Avita Health System — Financial Assistance (Richland County)
Richland County hospital safety net: OhioHealth Mansfield Hospital (Mansfield — OhioHealth's north-central anchor) and Avita Health System (Ontario — INDEPENDENT regional system, also operates hospitals in Bucyrus and Galion in Crawford County). Distinctive — a two-system Mansfield market (OhioHealth vs the local independent Avita).
Who it's for
Richland County hospital safety net: Richland = OhioHealth Mansfield Hospital + Avita Health System (Ontario, INDEPENDENT regional) — the two-system Mansfield market. 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.ohiohealth.com/billing-insurance/pay-your-bill/financial-assistance. Phone: 614-566-1505.
Richland: Richland = OhioHealth Mansfield Hospital + Avita Health System (Ontario, INDEPENDENT regional) — the two-system Mansfield market. 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 Richland 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: 614-566-1505
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.