Waive

ANDERSON HOSPITAL

MARYVILLE, IL · version 2 · published · JSON

eligibility.free_care_max_fpl200% of the federal poverty level

"Up to 200% of the Federal Poverty Guidelines 100% (free care)"

documented · checked 2026-10-09 · Financial Assistance Policy

eligibility.discount_tiersAbove 200% up to 300% of FPL: 90% discount
Above 300% up to 400% of FPL: 80% discount
Above 400% up to 600% of FPL: 73% discount

"Anderson Hospital: Family Income as percentage of FPL Discount Percentage Off Charges Up to 200% of the Federal Poverty Guidelines 100% (free care) 201% - 300% 90% 301% - 400% 80% 401% - 600% 73%"

documented · checked 2026-10-09 · Financial Assistance Policy

programs.presumptiveWomen, Infants and Children Nutrition Program (WIC)
Supplemental Nutrition Assistance Program (SNAP)
Illinois Free Lunch and Breakfast Program
Low Income Home Energy Assistance Program (LIHEAP)

"Enrollment in the following assistance programs for low-income individuals having eligibility criteria at or below 200% of the federal poverty income guidelines: a. Women, Infants and Children Nutrition Program (WIC) b. Supplemental Nutrition Assistance Program (SNAP) c. Illinois Free Lunch and Breakfast Program; d. Low Income Home Energy Assistance Program (LIHEAP);"

documented · checked 2026-10-09 · Financial Assistance Policy

apply.form_urlhttps://andersonhealthcare.myfa.app/

"[See If You Qualify and Apply Now](https://andersonhealthcare.myfa.app/)"

documented · checked 2026-10-09 · Financial Assistance | Anderson Hospital

apply.documents_requiredProof of income
Tax return
Pay stubs
Other documents
Bank statements

"Proof of income for all income sources (previous year's tax return, last two months pay stubs, social security benefit letters, etc.) • Bank statements (last two months)"

documented · checked 2026-10-09 · Financial Assistance Application

apply.submit_methodsMail: request to have an application mailed to you by calling 1-877-444-6382
In person: Visit our Financial Counselor in our Patient Access department located off the lobby at the hospital main entrance during the hours of 7:30am − 4pm
In person: Obtain a free paper financial assistance application at each hospital registration desk including the Emergency department
Phone: Contact our Financial Counselor by phone at 618−391−6920
Portal: Download a copy of the Financial Assistance Policy and Application via our website at www.andersonhospital.org/financialassistance

"How to Apply – Financial Assistance Applications may be obtained as follows: Download a copy of the Financial Assistance Policy and Application via our website at www.andersonhospital.org/financialassistance Contact our Financial Counselor by phone at 618−391−6920 Visit our Financial Counselor in our Patient Access department located off the lobby at the hospital main entrance during the hours of 7:30am − 4pm Obtain a free paper financial assistance application at each hospital registration desk including the Emergency department If hospital services have been received and you have received a patient billing statement, request to have an application mailed to you by calling 1−877−444−6382."

documented · checked 2026-10-09 · Plain Language Summary of Financial Assistance Policy

apply.window_days_from_first_bill240 days

"With respect to any care provided by Anderson Healthcare to an individual, the application period begins on the date the care is provided and ends on the 240th day after the date that the first post-discharge billing statement for the care is provided."

documented · checked 2026-10-09 · Financial Assistance Policy

apply.decision_days21 days

"I. A determination letter is provided to every patient that applies for financial assistance within 21 days of the completed application."

documented · checked 2026-10-09 · Process Owner: PO Both - Anderson Hospital

collections.eca_wait_days120 days

"Extraordinary Collection Actions (ECA’s) A. Anderson Healthcare or authorized party may not initiate ECA’s against an individual whose financial assistance eligibility has not been determined before 120 days after the first post-discharge billing statement, provided the required notifications and reasonable efforts have"

documented · checked 2026-10-09 · Process Owner: PO Both - Anderson Hospital

contacts.phone618-391-6920

"Contact our Financial Counselor by phone at 618−391−6920"

documented · checked 2026-10-09 · Plain Language Summary of Financial Assistance Policy

contacts.hours7:30am − 4pm

"Visit our Financial Counselor in our Patient Access department located off the lobby at the hospital main entrance during the hours of 7:30am − 4pm"

documented · checked 2026-10-09 · Plain Language Summary of Financial Assistance Policy

contacts.languagesEnglish and Spanish

"Below you will find our Financial Assistance documents in English and Spanish:"

documented · checked 2026-10-09 · Financial Assistance | Anderson Hospital

coverage.facilitiesAnderson Hospital
Anderson Medical Group
Community Hospital of Staunton
Community Clinic of Staunton

"This policy applies to Anderson Hospital, Anderson Medical Group, Community Hospital of Staunton and Community Clinic of Staunton (together “Anderson Healthcare”)."

documented · checked 2026-10-09 · Financial Assistance Policy

Sources

Financial Assistance Policy — fetched 2026-10-09

Financial Assistance | Anderson Hospital — fetched 2026-10-09

Billing & Collections Policy — fetched 2026-10-09

Process Owner: PO Both - Anderson Hospital — fetched 2026-10-09

Política de Ayuda Financiera — fetched 2026-10-09

Financial Assistance Application — fetched 2026-10-09

Solicitud de Ayuda Financiera — fetched 2026-10-09

Plain Language Summary of Financial Assistance Policy — fetched 2026-10-09