LIMA MEMORIAL HEALTH SYSTEM

"offers emergency and other medically necessary hospital-level services free of charge if the patient is a resident of Ohio and the patient’s income is at or below 100% of the Federal Poverty Guidelines (the FPG)"

documented · checked 2026-10-13 · Hospital Financial Assistance, Billing, and Collections Policy

"MEDICARE PATIENTS ONLY : IF YOU HAVE TRADITIONAL MEDICARE AS YOUR INSURANCE WE ARE REQUIRED BY THE FEDERAL PROGRAM TO PERFORM AN ASSET TEST."

documented · checked 2026-10-13 · HCAP / Financial Assistance Form

"In addition to HCAP, under LMHS’s Financial Assistance Policy, LMHS provides financial assistance for emergency and other medically necessary care as a discount from our gross hospital charges if the patient is a resident in the Hospital Service Area and meets one of the following criteria as determined by the patient’s insurance status: Insured vs. Uninsured o Insured. For those patients who have insurance and do not qualify for HCAP but fall within 101-200% of the FPG, they will be eligible for a 100% discount on any co-pay, co-insurance, and deductible after insurance."

documented · checked 2026-10-13 · Hospital Financial Assistance, Billing, and Collections Policy

"Please provide all types of gross family income, such as employment, unemployment compensation, social security, pensions, self-employment, disability, workers compensation, alimony, child support, etc."

documented · checked 2026-10-13 · HCAP / Financial Assistance Form

"Financial Services (HCAP) 1001 Bellefontaine Ave Lima, OH 45804"

documented · checked 2026-10-13 · Hospital Financial Assistance, Billing, and Collections Policy

"Questions? Call Lima Memorial Patient Accounts Department at [567-242-0460](tel:567-242-0460)."

documented · checked 2026-10-13 · Health Care Financial Assistance at Lima Memorial Health System

"Download the [HCAP / Financial Assistance Form](http://www.limamemorial.org/media/d2je12il/charity-app-01-2025.pdf "Charity App 01 2025") Download the [Spanish HCAP / Financial Assistance Form](http://www.limamemorial.org/media/f5hda02o/l74443-hcap-01-2025_spanish.pdf "L74443 HCAP 01 2025 Spanish") Download the [Haitian Creole HCAP / Financial Assistance Form](http://www.limamemorial.org/media/qpblzjt0/l74443-hcap-01-2025_haitiancreole.pdf "L74443 HCAP 01 2025 Haitiancreole")"

documented · checked 2026-10-13 · Health Care Financial Assistance at Lima Memorial Health System

"Lima Memorial Health System Patient Accounts | 1001 Bellefontaine Avenue, Lima, Ohio 45804 | 567-242-0460"

documented · checked 2026-10-13 · HCAP / Financial Assistance Form