Fairfield Medical Center: Financial Assistance & Charity Care

Can't afford a bill from Fairfield Medical Center? You may not have to pay all of it. Nonprofit hospitals must offer financial assistance — here are this hospital's actual income limits and how to apply, taken from its own published policy.

Quick facts

200%of the federal poverty level — the free-care income limit

Free care: Free care (full write-off) if your household income is at or below 200% of the federal poverty level — under 100% through Ohio's Hospital Care Assurance Program, 101-200% as charity care.

Discounted care: A 60% write-off of your bill (you pay 40%) if your household income is between 201% and 400% of the federal poverty level.

How to apply: Fairfield Medical Center: Financial assistance

Phone: 855-275-7408 — Adena Health customer service (financial assistance line).

How to apply

  1. Check the income limits above — Fairfield Medical Center follows the Adena Health system financial assistance program.
  2. Fill out the financial assistance application (available on the financial assistance page or printed on the back of your billing statement).
  3. Gather three months of income verification and a bank statement covering your dates of service.
  4. Submit the completed application — call 855-275-7408 to apply or with questions (it can take 60-90 days for a decision).

Good to know

See what Fairfield Medical Center charges

Check if you qualify at other hospitals

Sources