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Financial Assistance

Financial Assistance

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.

Eligibility Requirements

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 full policy, 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 (740) 623-4244.

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.