Waive

ASHTABULA COUNTY MEDICAL CENTER

ASHTABULA, OH · version 3 · published · JSON

eligibility.free_care_max_fpl100% of the federal poverty level

"Ashtabula County Medical Center will provide, to the individual, basic medically necessary hospital-level services to individuals are not recipients of the medical assistance program and whose income is at 100% or below the federal poverty guidelines."

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

programs.presumptiveDisability Assistance (DA)

"Recipients of the Disability Assistance (DA) program are also deemed to qualify for these services."

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

apply.submit_methodsIn person: hospital staff will complete the Charity application, over the telephone or in-person, on behalf of the responsible party.

"In the event the patient does not complete an application during the encounter, and as a result of the Charity communication, patient statements, or result of collection efforts, hospital staff will complete the Charity application, over the telephone or in-person, on behalf of the responsible party."

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

contacts.phone440-997-6219

"440-997-6219"

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

Sources

Financial Assistance Policy — fetched 2026-10-10

Financial Assistance Application — fetched 2026-10-10

Billing and Collections Policy — fetched 2026-10-10

Billing and Collections Policy — fetched 2026-10-10