EAST OHIO

REGIONAL HOSPITAL


FINANCIAL ASSISTANCE, POLICY, AND FORMS

FINANCIAL ASSISTANCE, POLICY, AND FORMS

Please let us know before your visit if you do not have health insurance or if you cannot pay for your services or medication. Our trained financial counselors will work to help you get financial support. Just call (740) 633-1100 from 7:30 a.m. and 4 p.m. weekdays.

If you do not have insurance or are under-insured, here are some resources for you:
- Medicaid provides health coverage to millions of Americans. Visit the Medicaid website to see if you are eligible or to apply for benefits.
- If you lose job-based insurance, COBRA provides continuation coverage.
- On the Affordable Care Act Marketplace, you can browse, compare and purchase health insurance.
- To be screened for additional financial assistance programs offered at East Ohio Regional Hospital, call Billing at (740) 633-1100.

Other Resources:
- Reach our financial counselor by calling (740) 633-4778.
- Price lists and estimates for the cost of services are available here.

To apply for financial assistance, please complete a Financial Assistance application and return to us as directed on the form. Additional details below:

Financial Assistance Application
Financial Assistance Policy
No Income Affidavit