FIRELANDS REGIONAL MEDICAL CENTER

"Charity Care –The ability to receive free care for those patients whose gross income is not in excess of 200% of the Federal Poverty Guidelines (See attached Schedule A)."

documented · checked 2026-10-11 · FINANCIAL ASSISTANCE POLICY

"Patients whose income is at or below 302% of the current FPG can be a recipient of Medicare or other third party insurance. (*Subject to contract terms and Federal and State Laws)"

documented · checked 2026-10-11 · FINANCIAL ASSISTANCE POLICY

"You must provide proof of income such as: a copy of your W2, payroll stubs from 3 months prior to the date of service with year to date gross income, Social Security/Disability income, pension income, unemployment, VA benefits, and worker compensation."

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

"RETURN TO: Firelands Regional Medical Center, 1111 Hayes Ave., Sandusky, OH 44870 Attn: Financial Counseling"

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

"Inquiries can be made directly to any of the staff members involved in the above processes, by contacting the financial assistance staff at 419-557-7879, or by completing an application for financial assistance."

documented · checked 2026-10-11 · FINANCIAL ASSISTANCE POLICY

"Financial assistance screening and services are provided in the following areas of Firelands Regional Medical Center: 1. Outpatient registration 2. Pre-registration 3. Inpatient registration 4. Patient rooms 5. Emergency room 6. Cashier 's office 7. Patient financial services, Financial Counseling"

documented · checked 2026-10-11 · FINANCIAL ASSISTANCE POLICY