How to apply for Deaconess Memorial Medical Center (Jasper, formerly Memorial Hospital and Health Care Center) — Financial Assistance (Dubois County) in Indiana

Who it's for

Dubois County hospital safety net: Dubois = Deaconess Memorial Medical Center (Jasper; formerly Memorial Hospital and Health Care Center, renamed after joining Deaconess Health System) — the county anchor. Indiana has no single state-mandated charity-care law; the hospital follows the Deaconess Financial Assistance Policy: free care for patients with family income at or below 200% of the Federal Poverty Level, discounted care from 200% up to 350% FPL, and case-by-case help above that (catastrophic illness or medical indigence). Apply through the Deaconess Financial Assistance team (800-467-6802, option 5) or online at https://www.deaconess.com/pay-my-bill/financial-assistance.

What you'll need

• Proof of household income
• Proof of Dubois County / Indiana 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 Deaconess Memorial Medical Center (Jasper, formerly Memorial Hospital and Health Care Center) — Financial Assistance (Dubois 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 Dubois County / Indiana 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