FORT HAMILTON HUGHES MEMORIAL HOSPITAL
HAMILTON, OH · version 3 · published · JSON
eligibility.free_care_max_fpl250% of the federal poverty level"If you and/or the party responsible for payment has combined income equal to or below 250 percent of the federal poverty guidelines, you will have no financial responsibility for the care that Kettering Health provides."
documented · checked 2026-10-11 · [PDF] PLAIN LANGUAGE SUMMARY of Financial Assistance Policy
eligibility.discount_tiersAbove 250% up to 400% of FPL: 80% discount"KH Sliding Scale: PROGRAM % FPL DISCOUNT HCAP 0% - 100% 100% Financial Assistance – Extended 0% - 250% 100% Financial Assistance – Basic 251% - 400% 80%"
documented · checked 2026-10-11 · [PDF] EFFECTIVE DATE 06/25/2025 - Kettering Health
eligibility.insured_patients_coveredYes"Individual is insured but qualifies for assistance based on financial need to pay for the individual’s balance after insurance"
documented · checked 2026-10-11 · [PDF] EFFECTIVE DATE 06/25/2025 - Kettering Health
apply.documents_requiredProof of incomeTax return
"check stubs, tax return/1099/W2’s, social security/pension/VA statements, court documents, and other documents for income proof as reported below."
documented · checked 2026-10-11 · Patient Application for Financial/Medication Assistance
apply.submit_methodsMail: Return completed application with proof of income which may include pay stubs or other documents containing income information for the appropriate time period (3 or 12 months prior to hospital facility services). Complete application may be 1) mailed to Kettering Health Financial Assistance P.O. Box 933310 Cleveland Ohio 44193,Fax: 2) faxed to (937)522-9944,
Email: 3) or emailed to financialcounselors@ketteringhealth.org.
"Application Process: To apply for financial assistance, complete the application available at any one of our hospital registration departments listed below or visit www.ketteringhealth.org/financial. Return completed application with proof of income which may include pay stubs or other documents containing income information for the appropriate time period (3 or 12 months prior to hospital facility services). Complete application may be 1) mailed to Kettering Health Financial Assistance P.O. Box 933310 Cleveland Ohio 44193, 2) faxed to (937)522-9944, 3) or emailed to financialcounselors@ketteringhealth.org."
documented · checked 2026-10-11 · [PDF] PLAIN LANGUAGE SUMMARY of Financial Assistance Policy
apply.window_days_from_first_bill240 days"Financial assistance application will be considered up to 240 days after the first post discharge billing statement."
documented · checked 2026-10-11 · [PDF] EFFECTIVE DATE 06/25/2025 - Kettering Health
collections.eca_wait_days120 days"KH or its authorized agents will not initiate any ECAs for at least 120 days from the date KH provides the first post-discharge billing statement."
documented · checked 2026-10-11 · [PDF] EFFECTIVE DATE 06/25/2025 - Kettering Health
Sources
[PDF] EFFECTIVE DATE 06/25/2025 - Kettering Health — fetched 2026-10-11
Patient Application for Financial/Medication Assistance — fetched 2026-10-11
PLAIN LANGUAGE SUMMARY of Financial Assistance ... — fetched 2026-10-11
[PDF] PLAIN LANGUAGE SUMMARY of Financial Assistance Policy — fetched 2026-10-11