Waive

FERRELL HOSPITAL COMMUNITY FOUNDATIONS

ELDORADO, IL · version 1 · published · JSON

eligibility.free_care_max_fpl125% of the federal poverty level

"Uninsured patients with incomes below 125% of the Federal Poverty Guideline qualify for free care."

documented · checked 2026-10-11 · Financial Assistance Policy

programs.presumptiveHomelessness
Deceased with no estate
Mental incapacitation with no one to act on patient's behalf
Incarceration in a penal institution
Affiliation with a religious order and vow of poverty
Patients who receive grant assistance for medical services
Women, Infants and Children Nutrition Program (WIC)
Supplemental Nutrition Assistance Program (SNAP)
Illinois Free Lunch and Breakfast Programs
IHDA's Rental Housing Support Program
Low Income Home Energy Assistance Program (LIHEAP)
Temporary Assistance for Needy Families (TANF)

"Patients who are Illinois residents falling under one or more of the presumptive eligibility criteria below shall be presumed eligible for 100% financial assistance without completion of a financial assistance application:  Homelessness;  Deceased with no estate;  Mental incapacitation with no one to act on patient's behalf;  Medicaid eligibility, but not on date of service or for non-covered service.  Incarceration in a penal institution;  Affiliation with a religious order and vow of poverty;  Patients who receive grant assistance for medical services;  Women, Infants and Children Nutrition Program (WIC);  Supplemental Nutrition Assistance Program (SNAP);  Illinois Free Lunch and Breakfast Programs;  IHDA's Rental Housing Support Program;  Low Income Home Energy Assistance Program (LIHEAP);  Temporary Assistance for Needy Families (TANF);  Enrollment in an organized community-based program providing access to medical care that assesses and documents limited low-income financial status as a criterion for membership"

documented · checked 2026-10-11 · Financial Assistance Policy

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

"Unless an Illinois uninsured patient demonstrated presumptive eligibility, the following documents need to be provided to determine financial assistance eligibility:  Federal Tax Return with Schedules, W-2, and 1099 forms for the most recent filing period, plus proof of worker’s compensation for lost wages, disability income, and child support received or paid.  If applicant is unable to provide a complete copy of a Federal Tax Return for the most recent filing period, or the Tax Return indicates inaccurate information, or Family Income has significantly changed, the following documentation is required for all current Family Income: o Two most recent Paystubs or written income verification from all employers; o For self-employed applicants, two most recent paystubs and if a business owner, two most recent Business Checking Account Statements. o Social Security Award Letter; o Unemployment Award Letter; o VA Benefits Letter; and o Verification of the following  Disability Income;  Worker’s compensation for lost wages;  Rental Income;  Strike Benefits;  Public Assistance:  Alimony; and  Proof of Child Support received or paid.  If unemployed with no source of income, a signed statement explaining how the applicant pays for daily living expenses."

documented · checked 2026-10-11 · Financial Assistance Policy

apply.submit_methodsIn person: In person to the Patient Financial Counselor
Fax: Fax to at Ferrell Hospital Community Foundation 618-273-2504 Attn: Patient Financial Counselor
Mail: By mail to: Ferrell Hospital Community Foundation / 1201 Pine Street / Eldorado, Il 62930 Attn: Financial Counselor
Email: By email to financialcounselor@ferrellhospital.org

"Completed applications can be submitted as follows: * In person to the Patient Financial Counselor at Ferrell Hospital Community Foundation * By email to financialcounselor@ferrellhospital.org * By fax to 618-273-2504 - Attn: Patient Financial Counselor * By mail to: Ferrell Hospital Community Foundation Attn: Financial Counselor 1201 Pine Street Eldorado, IL 62930"

documented · checked 2026-10-11 · Ferrell Hospital - Pay My Bill - Financial Assistance

apply.window_days_from_first_bill240 days

"Ferrell Hospital will accept applications for its Financial Assistance Program for the first 240 days following the first post discharge bill to the patient, including on accounts sent to collections during the application period."

documented · checked 2026-10-11 · Financial Assistance Policy

Sources

Financial Assistance Policy Number: FH-PFS-017 Applies to — fetched 2026-10-11

[PDF] Ferrell Hospital Community Foundation FINANCIAL ASSISTANCE ... — fetched 2026-10-11

Plain Language Summary of Financial Assistance ... — fetched 2026-10-11

Ferrell Hospital - Pay My Bill - Financial Assistance — fetched 2026-10-11

Financial Assistance Policy — fetched 2026-10-11