{"hospital":{"ccn":"360189","name":"MADISON HEALTH","city":"LONDON","state":"OH","zip":"43140","phone":"740-845-7000","ownership":"Voluntary non-profit - Private","website_domain":"madison-health.com","system":null},"version":1,"status":"published","eligibility":{"free_care_max_fpl":{"value":"200","layer":"documented","quote":"If you and/or the responsible party’s income combined is at or below 200% of the federal poverty guidelines and you are a resident of the State of Ohio, you will have no financial responsibility for the care given by Madison Health.","source_id":"summary-18a9a0e6066f9f82","checked_on":"2026-10-13","confidence":1.0,"support_count":0},"discount_tiers":null,"asset_test":null,"residency":null,"insured_patients_covered":null,"min_balance":null,"services_excluded":null},"programs":{"presumptive":null,"state_programs":null},"apply":{"form_url":null,"form_version":null,"documents_required":{"value":["proof_of_income","tax_return","pay_stubs","bank_statements"],"layer":"documented","quote":"• The most common documents for establishing income are the patient’s pay stubs. Tax returns and schedules, bank statements, and credit history may also be used. This information will be maintained with the completed assessment. Any of this information may be requested to verify income.","source_id":"fap-2fbdbb74e5c051f9","checked_on":"2026-10-13","confidence":1.0,"support_count":0},"documents_reported":null,"submit_methods":null,"window_days_from_first_bill":null,"decision_days":null,"decision_days_reported":null},"collections":{"eca_wait_days":{"value":120,"layer":"documented","quote":"Madison Health must refrain from initiating the ECAs until 120 days after it provides the first post discharge billing.","source_id":"billing-a1f9303deba638a3","checked_on":"2026-10-13","confidence":1.0,"support_count":0},"collection_agencies":null},"contacts":{"phone":{"value":"740-845-7033","layer":"documented","quote":"Request the information by calling 740-845-7033 or 740-845-7031.","source_id":"summary-18a9a0e6066f9f82","checked_on":"2026-10-13","confidence":1.0,"support_count":0},"hours":null,"languages":{"value":["English","Spanish"],"layer":"documented","quote":"[Application for Financial Assistance (English)](https://www.madison-health.com/content/uploads/2023/04/Madison-Health-Financial-Assistance-Application-2024.pdf)\n\n[Application for Financial Assistance (Spanish)](http://www.madison-health.com/content/uploads/2025/04/Financial-Assistance-Application-Spanish.pdf)","source_id":"billing-b63da779bf19f96c","checked_on":"2026-10-13","confidence":1.0,"support_count":0}},"coverage":{"facilities":{"value":["Madison Health Patient Financial Counselor 210 North Main Street London, Ohio 43140"],"layer":"documented","quote":"Financial assistance applications are to be submitted to the following office: \nMadison Health \nPatient Financial Counselor \n210 North Main Street \nLondon, Ohio 43140","source_id":"summary-18a9a0e6066f9f82","checked_on":"2026-10-13","confidence":1.0,"support_count":0},"provider_list_url":null},"sources":[{"id":"fap-2fbdbb74e5c051f9","kind":"hospital_web","url":"https://www.madison-health.com/content/uploads/2023/04/ADM-FIN-B-003-Madison-Health-Financial-Assistance-Program-Policy-112420_-1-1.pdf","title":"[PDF] Madison Health Financial Assistance Program Policy ( MH-FAP ...","fetched_on":"2026-10-13","sha256":"2fbdbb74e5c051f9b870467811e483a79d2ecf2368a44c2ba5701acb508918d8","effective_date":null},{"id":"summary-18a9a0e6066f9f82","kind":"hospital_web","url":"https://www.madison-health.com/content/uploads/2023/04/Madison-Health_Plain-Language-Summary.pdf","title":"[PDF] 15 Plain Language Summary Financial Assistance Policy Overview","fetched_on":"2026-10-13","sha256":"18a9a0e6066f9f822cba7fee76541cd86318464625491edf0bceeccfdf5b141b","effective_date":null},{"id":"billing-b63da779bf19f96c","kind":"hospital_web","url":"https://www.madison-health.com/patient-visitor-info/billing-insurance","title":"Billing & Insurance | Madison Health","fetched_on":"2026-10-13","sha256":"b63da779bf19f96cb9417a31828c1c875327ca09141f08dfc1838afa9189b972","effective_date":null},{"id":"fap-2a83d04a9f787d38","kind":"hospital_web","url":"https://www.madison-health.com/content/uploads/2023/04/Madison-Health_Financial_Assistance_Questionnaire.pdf","title":"Financial Assistance Questionnaire","fetched_on":"2026-10-13","sha256":"2a83d04a9f787d387dcdba631937e32e145c34668513c487025ffc1e66c98ebf","effective_date":null},{"id":"application-b5247d8fce455a26","kind":"hospital_web","url":"https://www.madison-health.com/content/uploads/2023/04/Madison-Health-Financial-Assistance-Application-2024.pdf","title":"Application for Financial Assistance (English)","fetched_on":"2026-10-13","sha256":"b5247d8fce455a2612132b38311854290c38d8daf33dab0a5cdbae481bf165c7","effective_date":null},{"id":"application-d95c3d9c970ac0d2","kind":"hospital_web","url":"http://www.madison-health.com/content/uploads/2025/04/Financial-Assistance-Application-Spanish.pdf","title":"Application for Financial Assistance (Spanish)","fetched_on":"2026-10-13","sha256":"d95c3d9c970ac0d2ceb2eed82ad6ee367d463d92f9fdc62f12f4e5a9d7c060ba","effective_date":null},{"id":"billing-a1f9303deba638a3","kind":"hospital_web","url":"https://www.madison-health.com/content/uploads/2023/04/Madison-Health_Billing-and-Collection-Policy.pdf","title":"Billing and Collection Policy","fetched_on":"2026-10-13","sha256":"a1f9303deba638a3dad0708531f8138900e31e8678a95dafb63ae14699b9f720","effective_date":null}],"accuracy":null}