Waive

HERRIN HOSPITAL

HERRIN, IL · version 3 · published · JSON

eligibility.free_care_max_fpl200% of the federal poverty level

"SIH provides free care to all patients whose income is less than or equal to 200% of the Federal Poverty Guidelines, and partial assistance based on a sliding scale for those patients whose income is up to 600% of the Federal Poverty Guidelines."

documented · checked 2026-10-13 · Healthcare Assistance Program

eligibility.asset_testNo

"*Assets are not required for National Health Services Corps (NHSC) Location at SIH Primary Care Harrisburg, Eldorado Primary Care, HMC Marion Clinic, Logan Primary Care-West Frankfort, Benton Community Healthcare, Logan Primary Care-Herrin, Center for Medical Arts, Anna Primary Care, Medical Arts Clinic-Murphysboro, West Frankfort Family Medicine"

documented · checked 2026-10-13 · Harrisburg Medical Center Herrin Hospital 100 Dr Warren Tuttle Dr ...

apply.documents_requiredTax return
Pay stubs
Proof of income
Social Security letter
Other documents

"Please return the application with the following information: 1. A complete Healthcare Assistance Program application signed and dated. 2. A copy of your last federal tax return filed. If self-employed you must include Schedule C. Please include a copy of all W2’s. 3. A copy of your most recent check or check stub for employment, unemployment, Social Security, pension, workmen’s compensation (or work comp determination letter) or any other source(s) of income you have received for the past thirteen (13) weeks."

documented · checked 2026-10-13 · Harrisburg Medical Center Herrin Hospital 100 Dr Warren Tuttle Dr ...

apply.window_days_from_first_bill240 days

"Application Period – means the period during which SIH must accept and process an application for financial assistance under its HAP in order to have made reasonable efforts to determine whether the individual is HAP-eligible. The Application Period begins on the date the care is provided to the individual and ends on the later of the 240th day after the date that the first post-discharge billing statement for the care is provided or at least 30 days after SIH provides the individual with a written notice that sets a deadline after which ECAs may be initiated"

documented · checked 2026-10-13 · English – Southern Illinois Healthcare

collections.eca_wait_days120 days

"If SIH aggregates an individual’s outstanding bills for multiple episodes of care before initiating the ECAs to obtain payment for those bills, it refrains from initiating the ECA(s) until 120 days after it provided the first post-discharge billing statement for the most recent episode of care included in the aggregation."

documented · checked 2026-10-13 · English – Southern Illinois Healthcare

contacts.languagesEnglish
Spanish
Arabic

"Please be sure to add Attention: Financial Counselor HAP application, policy, and plain language summary are available in English, Spanish and Arabic."

documented · checked 2026-10-13 · Healthcare Assistance Program

coverage.facilitiesHarrisburg Medical Center
Herrin Hospital
HMC Clinic at Marion
Memorial Hospital of Carbondale
St. Joseph Memorial Hospital

"To learn more about SIH Healthcare Assistance Program, obtain a free copy of the HAP application, policy, and plain language summary, or obtain assistance with the HAP application process, please speak with a Financial Counselor Monday – Friday from 8:00 am to 4:30 pm at any of the following locations: Harrisburg Medical Center Herrin Hospital HMC Clinic at Marion Memorial Hospital of Carbondale St. Joseph Memorial Hospital"

documented · checked 2026-10-13 · Healthcare Assistance Program

Sources

Healthcare Assistance Program — fetched 2026-10-13

Billing & Collection Policy — fetched 2026-10-13

Harrisburg Medical Center Herrin Hospital 100 Dr Warren Tuttle Dr ... — fetched 2026-10-13

English – Southern Illinois Healthcare — fetched 2026-10-13

English – Harrisburg Medical Center — fetched 2026-10-13

Spanish – Southern Illinois Healthcare — fetched 2026-10-13

Spanish – Harrisburg Medical Center — fetched 2026-10-13