Waive

FISHER-TITUS HOSPITAL

NORWALK, OH · version 1 · published · JSON

eligibility.free_care_max_fpl150% of the federal poverty level

"101%-150% FPL FREE CARE DISCOUNT"

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

eligibility.insured_patients_coveredYes

"Underinsured Insured patients who receive Medically Necessary Care that are determined to be non-covered services or have limited benefit coverage or benefits are exhausted by the insurance provider."

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

apply.form_urlhttps://www.fishertitus.org/patients-guests/billing-financial-assistance/financial-assistance/

"Applications may be accessed by visiting the Financial Counseling Department, the Patient Access Department, the Emergency Department, or at the Cashier’s window at the hospital, from the hospital website at https://www.fishertitus.org/patients-guests/billing-financial-assistance/financial-assistance/, via email at financeservices@ftmc.com, or by requesting an application by phone at 419.660.2678 or 419.660.2679."

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

apply.documents_requiredProof of income
Pay stubs
Bank statements

"*Income verification MUST be attached and should include: Current W2 ’s, 2 Current paystubs, Current S.S. Benefits Letter, Pension/401K, Unemployment Stmt. Etc. Current 1-month Bank Statement is required ."

documented · checked 2026-10-11 · Fisher Titus Health Care Assurance and Financial Assistance ...

apply.window_days_from_first_bill240 days

"It is the responsibility of the patient to complete a charity app within 240 days of the date of the first statement if they believe their annual income for their family size may qualify them for possible assistance."

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

apply.decision_days45 days

"THIS APPLICATION MAY TAKE UP TO 45 DAYS TO PROCESS"

documented · checked 2026-10-11 · Fisher Titus Health Care Assurance and Financial Assistance ...

collections.eca_wait_days120 days

"The hospital will notify the patient about the FAP before initiating any ECAs to obtain payment for care and will refrain from initiating such ECAs for at least 120 days from the date of the first statement."

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

contacts.phone419.660.2678 or 419.660.2679

"or by requesting an application by phone at 419.660.2678 or 419.660.2679."

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

contacts.languagesEnglish
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Français
العربية
Deitsch
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Italiano
Tiếng Việt
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Nederlands
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繁體中文

"Meeshaaleenii fi tajaajiloonni qaama miidhamtootaaf bifa hubachuu danda’aniin odeeffannoo akka argatan gargaaran baasii tokko malee/bilisaan ni kennamu."

documented · checked 2026-10-11 · Fisher Titus Health Care Assurance and Financial Assistance ...

coverage.facilitiesFisher-Titus Medical Center

"Fisher-Titus Medical Center 272 Benedict Avenue Norwalk, OH 44857"

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

Sources

Fisher Titus Financial Assistance Policy — fetched 2026-10-11

Fisher Titus Health Care Assurance and Financial Assistance ... — fetched 2026-10-11