Union Hospital offers financial assistance based on ability to pay

The Union Hospital Financial Assistance Program

We are committed to providing high-quality, affordable healthcare services to all members of our community. You may be eligible for full or partial financial aid with your bill, including payment for co-pays, co-insurance, and deductibles. Read below to learn how you may qualify.

Discounts Offered

10% Discount for Insured Patients

After insurance pays the hospital, insured patients may take a 10% discount when the entire remaining balance is paid within 30 days of the statement date.

Financial Assistance for Uninsured Patients

Uninsured patients who do not qualify for free or discounted care care, for example due to their household income, will receive a discount of 49% on gross charges for medically necessary services to ensure they do not pay more for care than insured individuals. These patients are expected to pay their remaining balance for care, and may work with financial counselors to set up a payment plan based on their financial situation.

Uninsured patients who are believed to have the financial ability to purchase health insurance may be encouraged to do so in order to ensure healthcare accessibility and overall well-being.

Important Documents

Union Hospital Financial Assistance Policy

Financial Assistance Policy – Plain Language

Physicians Covered Under Financial Assistance Policy

Hospital Care Assurance Program Application

Sliding Fee Scale

Patients without insurance who do not meet criteria for free care may be eligible for a sliding fee discount of their hospital charges. A Hospital Care Assurance Program (HCAP) application and attached documentation will be evaluated for the sliding fee discount. Uninsured self-pay discount may be applied in addition to a sliding fee.

Interest-Free Payment Arrangements

Patients with no insurance or large balances after insurance has paid may be eligible for payment arrangements. Payments may extend up to one year and there is a minimum payment required. Larger balances will be handled on a per-case basis.

Hospital Care Assurance Program

The State of Ohio provides free care services for medically necessary hospital services for patients who:

  • Meet the residence requirement
  • Are not on a Medicaid program
  • Have gross personal or gross family income at or below Federal Poverty Guidelines

Who is Eligible?

You may be eligible if you have a difficulty paying for health care services and do not qualify for Medicaid or other government programs. Our billing office can help determine if you qualify.

Do You Qualify For Free Service?

If your family size is: 1 2 3 4 5 6 7 8
To qualify for 100% financial assistance your household income must be less than: $11,880 $16,020 $20,160 $24,300 $28,440 $32,580 $36,730 $40,890
For families with more than 8 members, add $4,160 for each additional person.
Family
Size
Household Income Less Than
(For 100% Assistance)
1 $11,770
2 $15,930
3 $20,090
4 $24,250
5 $28,410
6 $32,570
7 $36,730
8 $40,890
For families with more than 8 members, add $4,160 for each additional person.

What Does The Financial Assistance Program Cover?

Medically necessary inpatient and outpatient services are covered. In some cases, qualified patients may not have to pay for services. In other cases, patients may be required to pay only a portion of their bill.

How to Apply

Medically necessary inpatient and outpatient services are covered. In some cases, qualified patients may not have to pay for services. In other cases, patients may be required to pay only a portion of their bill.

Click here to download an application for the Hospital Care Assurance Program.

How are Applications Evaluated?

Union Hospital evaluates each applicant on a case-by-case basis. We use a sliding scale based on Federal Poverty Guidelines. Union Hospital uses fair and objective criteria to evaluate each applicant. Call us to find out more.

*Applications for financial assistance are kept completely confidential. The information is shared only with those responsible for determining your eligibility.

We're Here to Help

Please let us know how we can assist you with payment of your hospital bill. Contact the Patient Financial Services staff to discuss any of these Financial Assistance Program.

Call: 330-364-0842 or 330-364-0847.

Appointments with a Financial Assistance Specialist can be made by calling 330-343-3311 ext 2127

Union Hospital • 659 Boulevard • Dover, OH 44622 •
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