Coshocton Regional Medical Center is committed to offering financial assistance
to people who have health care needs and are not able to pay for care.
You may be able to get financial assistance if you are not insured, underinsured,
not eligible for a government program, or do not qualify for governmental
assistance (for example, Medicare or Medicaid). The hospital strives to
make sure that the financial capacity of people who need health care services
does not prevent them from seeking or receiving care. This is a summary
of the hospital’s financial assistance policy (FAP).
Availability of Financial Assistance
You may be able to get financial assistance if you do not have insurance,
are underinsured, or if it would be a financial hardship to pay in full
the expected out-of-pocket expenses for services at the hospital.
Financial assistance is generally determined by a sliding scale of total
household income based on the Federal Poverty Level (FPL). If your and/or
the responsible party’s income combined is at or below 350% of the
federal poverty guidelines, you may get discounted rates for the care
given by the provider. No person eligible for financial assistance under
the FAP will be charged more for emergency or other medically necessary
care than amounts generally billed to individuals who have insurance covering
such care. If you have sufficient insurance coverage or assets available
to pay your care, you may not be eligible for financial assistance.
Where to Find Information
There are many ways to find information about the FAP application process,
or get copies of the FAP or FAP application form. To apply for financial
assistance you may:
Download a copy of the
its appendix, and
the application through this page.
- You can request the information in writing, by mail, or by visiting the
patient financial services department located inside the hospital at 1460
Orange St., Coshocton, Ohio. You can also request the information by calling
How to Apply
Print and complete a copy of the
financial assistance application. Send the completed form to:
Coshocton Regional Medical Center
Attn: Patient Financial Services
PO Box 428
Coshocton, OH 43812
If you have questions and would like to talk to the financial counselor,
please call (740) 623-4244.