Waive

HSHS ST ELIZABETH'S HOSPITAL

O FALLON, IL · version 1 · published · JSON

eligibility.free_care_max_fpl200% of the federal poverty level

"Applicable If income If income is If income is Discount is less than between between 200%, patient 200-300%, 300-400%, receives 100% patient patient discount. receives 90% receives 80% discount. discount."

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

eligibility.discount_tiersAbove 200% up to 300% of FPL: 90% discount
Above 300% up to 400% of FPL: 80% discount

"Applicable If income If income is If income is Discount is less than between between 200%, patient 200-300%, 300-400%, receives 100% patient patient discount. receives 90% receives 80% discount. discount."

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

eligibility.insured_patients_coveredYes

"If you qualify for fnancial assistance, you will not be charged more for emergency or other medically necessary care than patients who are covered by Medicare or other insurance."

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

programs.presumptiveTemporary Assistance for Needy Families (TANF)
Participation in Women, Infants and Children programs (WIC)
Supplemental Nutrition Assistance Program (SNAP) eligibility
Low Income Home Energy Assistance Program (LIHEAP)

"PRESUMPTIVE ELIGIBILITY DOCUMENTS FOR LOW-INCOME INDIVIDUALS: • Temporary Assistance for Needy Families (TANF) • Illinois Housing Development Authority’s Rental Housing Support Program • Wisconsin Department of Health Services Housing Assistance Program • Participation in Women, Infants and Children programs (WIC) • Supplemental Nutrition Assistance Program (SNAP) eligibility • Low Income Home Energy Assistance Program (LIHEAP) • Wisconsin Home Energy Assistance Program (WHEAP) • Enrollment in an organized community-based program providing access to medical care that assesses and documents limited low-income financial status as criteria • Receipt of grant assistance for medical services"

documented · checked 2026-10-13 · Financial Assistance Required Documentation

apply.form_urlhttps://www.hshs.org/fap

"[HSHS Financial Assistance Application (ENG)](/getmedia/fc8fc549-210b-4285-8e5b-e627fb99b644/HSHS-FA-Application-EN.pdf) [HSHS Financial Assistance Application (SPA)](/getmedia/63b49946-c78f-4a27-bef0-989309ec55bf/HSHS-FA-Application-SP.pdf)"

documented · checked 2026-10-13 · Financial Assistance | Hospital Sisters Health System (HSHS)

contacts.phone833-464-1778

"Phone: [833-464-1778](tel:8334641778)"

documented · checked 2026-10-13 · Financial Assistance | Hospital Sisters Health System (HSHS)

contacts.languagesEnglish
Spanish

"Applications are available in English and Spanish."

documented · checked 2026-10-13 · HSHS Financial Assistance Application (ENG)

coverage.facilitiesHSHS St. Elizabeth's Hospital

"HSHS St. Elizabeth's Hospital"

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

Sources

2026 Financial Assistance Program — fetched 2026-10-13

Price Information | Hospital Sisters Health System (HSHS) — fetched 2026-10-13

Financial Assistance | Hospital Sisters Health System (HSHS) — fetched 2026-10-13

Financial Assistance Required Documentation — fetched 2026-10-13

HSHS Financial Assistance Application (ENG) — fetched 2026-10-13

HSHS Financial Assistance Application (SPA) — fetched 2026-10-13

« Billing, Insurance & Financial Assistance — fetched 2026-10-13