NORTHWESTERN MEDICINE KISHWAUKEE HOSPITAL

"Insured Illinois Residents with Household Income of 250% or less of the then current Federal Poverty Guideline applicable to the Applicant’s Family Size, shall be eligible for a 100% discount."

documented · checked 2026-10-14 · NMHC’s Financial Assistance Policy

"NMHC provides Free Care as well as Discounted Care to Insured Patients as provided in this Appendix B."

documented · checked 2026-10-14 · NMHC’s Financial Assistance Policy

"Enrollment in the following assistance programs for low-income individuals having eligibility criteria at or below 250% of the then current Federal Poverty Income guidelines: 1. Women, Infants and Children Nutrition Program (WIC) 2. Supplemental Nutrition Assistance Program (SNAP) 3. Illinois Free Lunch and Breakfast Program 4. Low Income Home Energy Assistance Program (LIHEAP)"

documented · checked 2026-10-14 · NMHC’s Financial Assistance Policy

"Free copies of the application can also be obtained via our: * Log in to your patient portal at <https://mynm.nm.org/Mychart/> * Financial Counseling Offices * Check in and check out areas * Emergency Department via Admitting and Registration * Or by mail, please contact our financial counseling department."

documented · checked 2026-10-14 · Financial Assistance | Northwestern Medicine

"With respect to any care provided by an NMHC Hospital Affiliate to an individual, the Application Period begins on the date the care is provided to the individual and ends on the 240th day after the date the NMHC Hospital Affiliate provides (i.e. mails, sends electronically, or delivers by hand) the individual with the first post-discharge billing statement for the care."

documented · checked 2026-10-14 · NMHC’s Financial Assistance Policy

"Call Financial Counseling, toll free, at [800.423.0523](tel:8004230523) Monday through Friday."

documented · checked 2026-10-14 · Financial Assistance | Northwestern Medicine

"To meet with a financial counselor in person, call [800.423.0523](tel:8004230523), Monday through Friday, 8:30 am to 5:00 pm to arrange an appointment."

documented · checked 2026-10-14 · Financial Assistance | Northwestern Medicine

"English [Plain Language Summary](/-/media/northwestern/resources/patients-and-visitors/billing-and-insurance/financial-assistance/english/financial-assistance-plain-language-english.pdf) [Financial Assistance Policy](/-/media/northwestern/resources/patients-and-visitors/billing-and-insurance/financial-assistance/english/nmhc-financial-assistance-policy.pdf) [Financial Assistance Application](/-/media/northwestern/resources/patients-and-visitors/billing-and-insurance/financial-assistance/english/northwestern-medicine-financial-assistance-application-fillable.pdf) Spanish [ASISTENCIA FINANCIERA – RESUMEN EN LENGUAJE SENCILLO (Plain Language Summary)](/-/media/northwestern/resources/patients-and-visitors/billing-and-insurance/financial-assistance/spanish/financial-assistance-plain-language-spanish.pdf) [POLÍTICA FINANCIERA (Financial Assistance Policy)](/-/media/northwestern/resources/patients-and-visitors/billing-and-insurance/financial-assistance/spanish/nmhc-financial-assistance-policy-spanish.pdf) [Solicitud de Ayuda Financiera (Financial Assistance Application)](/-/media/northwestern/resources/patients-and-visitors/billing-and-insurance/financial-assistance/spanish/northwestern-medicine-financial-assistance-application-spanish-fillable.pdf) Arabic [تلخيص لغة مبا ر شة بشأن المساعدة المالية (Plain Language Summary)](/-/media/northwestern/resources/patients-and-visitors/billing-and-insurance/financial-assistance/arabic/تلخيص-لغة-مبا-ر-شة-بشأن-المساعدة-المالية-plain-language-summary-arabic.pdf) [البوليصة المالية (Financial Assistance Policy)](/-/media/northwestern/resources/patients-and-visitors/billing-and-insurance/financial-assistance/arabic/nmhc-financial-assistance-policy-arabic.pdf) [طلب الحصول على المساعدة المالية (Financial Assistance Application)](/-/media/northwestern/resources/patients-and-visitors/billing-and-insurance/financial-assistance/arabic/northwestern-medicine-financial-assistance-application-arabic-fillable.pdf) Bosnian [JEDNOSTAVNO FORMULIRANI REZIME FINANSIJSKE POMOĆI (Plain Language Summary)](/-/media/northwestern/resources/patients-and-visitors/billing-and-insurance/financial-assistance/bosnian/jednostavno-formulirani-rezime-finansijske-pomoći-plain-language-summary-bosnian.pdf) [FINANSIJSKA POLITIKA (Financial Assistance Policy)](/-/media/northwestern/resources/patients-and-visitors/billing-and-insurance/financial-assistance/bosnian/nmhc-financial-assistance-policy-bosnian.pdf) [Zahtjev za finansijsku pomoć (Financial Assistance Application)](/-/media/northwestern/resources/patients-and-visitors/billing-and-insurance/financial-assistance/bosnian/northwestern-medicine-financial-assistance-application-bosnian-fillable.pdf) Chinese Simplified [经济援助简明语言总结 (Plain Language Summary)](/-/media/northwestern/resources/patients-and-visitors/billing-and-insurance/financial-assistance/chinese-simplified/经济援助简明语言总结-plain-language-summary-chinese-simplified.pdf) [财务政策 (Financial Assistance Policy)](/-/media/northwestern/resources/patients-and-visitors/billing-and-insurance/financial-assistance/chinese-simplified/nmhc-financial-assistance-policy-chinese-simplified.pdf) [经济援助申请表 (Financial Assistance Application)](/-/media/northwestern/resources/patients-and-visitors/billing-and-insurance/financial-assistance/chinese-simplified/northwestern-medicine-financial-assistance-application-chinese-simplified-fillable.pdf) Chinese Traditional [財務援助淺白用語重點摘要 (Plain Language Summary)](/-/media/northwestern/resources/patients-and-visitors/billing-and-insurance/financial-assistance/chinese-traditional/財務援助淺白用語重點摘要-plain-language-summary-chinese-traditional.pdf) [財務政策 (Financial Assistance Policy)](/-/media/northwestern/resources/patients-and-visitors/billing-and-insurance/financial-assistance/chinese-traditional/nmhc-financial-assistance-policy-chinese-traditional.pdf) [財務援助申請 (Financial Assistance Application)](/-/media/northwestern/resources/patients-and-visitors/billing-and-insurance/financial-assistance/chinese-traditional/northwestern-medicine-financial-assistance-application-chinese-traditional-fillable.pdf) Hindi [वित्तीय सहायता सादे भाषा सारांश (Plain Language Summary)](/-/media/northwestern/resources/patients-and-visitors/billing-and-insurance/financial-assistance/hindi/plain-language-summary-hindi.pdf) [वित्तीय नीतत (Financial Assistance Policy)](/-/media/northwestern/resources/patients-and-visitors/billing-and-insurance/financial-assistance/hindi/nmhc-financial-assistance-policy-hindi.pdf) [वित्तीय सहायता आवेदन (Financial Assistance Application)](/-/media/northwestern/resources/patients-and-visitors/billing-and-insurance/financial-assistance/hindi/northwestern-medicine-financial-assistance-application-hindi-fillable.pdf) Korean [재정 지원 간단한 요약 (Plain Language Summary)](/-/media/northwestern/resources/patients-and-visitors/billing-and-insurance/financial-assistance/korean/재정-지원-간단한-요약-plain-language-summary-korean.pdf) [재정 정책 (Financial Assistance Policy)](/-/media/northwestern/resources/patients-and-visitors/billing-and-insurance/financial-assistance/korean/nmhc-financial-assistance-policy-korean.pdf) [재정 지원 신청서 (Financial Assistance Application)](/-/media/northwestern/resources/patients-and-visitors/billing-and-insurance/financial-assistance/korean/northwestern-medicine-financial-assistance-application-korean-fillable.pdf) Polish [PODSUMOWANIE POMOCY FINANSOWEJ W PROSTYM JĘZYKU (Plain Language Summary)](/-/media/northwestern/resources/patients-and-visitors/billing-and-insurance/financial-assistance/polish/podsumowanie-pomocy-finansowej-w-prostym-języku-plain-language-summary-polish.pdf) [POLITYKA FINANSOWA (Financial Assistance Policy)](/-/media/northwestern/resources/patients-and-visitors/billing-and-insurance/financial-assistance/polish/nmhc-financial-assistance-policy-polish.pdf) [Wniosek o udzielenie wsparcia finansowego (Financial Assistance Application)](/-/media/northwestern/resources/patients-and-visitors/billing-and-insurance/financial-assistance/polish/northwestern-medicine-financial-assistance-application-polish-fillable.pdf) Russian [КРАТКИЙ ОБЗОР ПРОГРАММЫ ФИНАНСОВОЙ ПОМОЩИ НА ДОСТУПНОМ ЯЗЫКЕ (Plain Language Summary)](/-/media/northwestern/resources/patients-and-visitors/billing-and-insurance/financial-assistance/russian/краткий-обзор-программы-финансовой-помощи-на-доступном-языке-plain-language-summary-russian.pdf) [ФИНАНСОВАЯ ПОЛИТИКА (Financial Assistance Policy)](/-/media/northwestern/resources/patients-and-visitors/billing-and-insurance/financial-assistance/russian/nmhc-financial-assistance-policy-russian.pdf) [Заявление на Получение Финансовой Помощи (Financial Assistance Application)](/-/media/northwestern/resources/patients-and-visitors/billing-and-insurance/financial-assistance/russian/northwestern-medicine-financial-assistance-application-russian-fillable.pdf) Urdu [مالیاتی معاونت سادہ زبان میں خلاصہ (Plain Language Summary)](/-/media/northwestern/resources/patients-and-visitors/billing-and-insurance/financial-assistance/urdu/مالیاتی-معاونت-سادہ-زبان-میں-خلاصہ-plain-language-summary-urdu.pdf) [مالیاتی پالیسی (Financial Assistance Policy)](/-/media/northwestern/resources/patients-and-visitors/billing-and-insurance/financial-assistance/urdu/nmhc-financial-assistance-policy-urdu.pdf) [مالیاتی معاونت کی درخواست (Financial Assistance Application)](/-/media/northwestern/resources/patients-and-visitors/billing-and-insurance/financial-assistance/urdu/northwestern-medicine-financial-assistance-application-urdu-fillable.pdf) Vietnamese [TÓM TẮT HỖ TRỢ TÀI CHÍNH BẰNG NGÔN NGỮ ĐƠN GIẢN (Plain Language Summary)](/-/media/northwestern/resources/patients-and-visitors/billing-and-insurance/financial-assistance/vietnamese/tóm-tắt-hỗ-trợ-tài-chính-bằng-ngôn-ngữ-đơn-giản-plain-language-summary-vietnamese.pdf) [CHÍNH SÁCH TÀI CHÍNH (Financial Assistance Policy)](/-/media/northwestern/resources/patients-and-visitors/billing-and-insurance/financial-assistance/vietnamese/nmhc-financial-assistance-policy-vietnamese.pdf) [Đơn xin Hỗ trợ Tài chính (Financial Assistance Application)](/-/media/northwestern/resources/patients-and-visitors/billing-and-insurance/financial-assistance/vietnamese/northwestern-medicine-financial-assistance-application-vietnamese-fillable.pdf)"

documented · checked 2026-10-14 · Financial Assistance | Northwestern Medicine

"Appendix A-2: NMHC Affiliates A. Hospital Affiliates 1. Northwestern Memorial Hospital 2. Northwestern Medicine Lake Forest Hospital 3. Northwestern Medicine Central DuPage Hospital 4. Northwestern Medicine Delnor Hospital 5. Kishwaukee Hospital 6. Valley West Hospital 7. Northwestern Medicine - Ben Gordon Center 8. Marianjoy Rehabilitation 9. NM Huntley, NM McHenry and NM Woodstock Hospitals 10. Palos Community Hospital"

documented · checked 2026-10-14 · NMHC’s Financial Assistance Policy