LICKING MEMORIAL HOSPITAL

NEWARK, OH · version 1 · published · JSON

eligibility.free_care_max_fpl100% of the federal poverty level

"Household income must be at or below one-hundred percent (100%) of the poverty income guidelines established by the Department of Health and Human Services."

documented · checked 2026-10-13 · Financial Assistance, 00001 04 23

eligibility.discount_tiersAbove 100% up to 150% of FPL: 80% discount
Above 150% up to 200% of FPL: 50% discount
Above 200% up to 250% of FPL: 45% discount

"Annual Family Income Amount of Discount Less than 100% FPG 100% 100% - 150% FPG 80% 150% - 200% FPG 50% 200% - 250% FPG 45%"

documented · checked 2026-10-13 · Financial Assistance, 00001 04 23

eligibility.insured_patients_coveredYes

"In accordance with the procedure outlined below, insured (including Medicare) and uninsured patients who do not have the means to pay for services provided at Licking Memorial Health Systems may request to be considered for financial assistance under this policy."

documented · checked 2026-10-13 · Financial Assistance, 00001 04 23

apply.documents_requiredProof of income

"In addition to income documentation (i.e. pay stubs, pension), self-declaration of income may be used."

documented · checked 2026-10-13 · Financial Assistance, 00001 04 23

contacts.phone(220) 564-1500

"The Financial Assistance Policy and Application are available online by logging into MyChart at MyChart.LMHealth.org, by visiting LMHealth.org and clicking on “Assistance & Financial Aid” under Quick Links, or by calling Patient Financial Services at (220) 564-1500."

documented · checked 2026-10-13 · Financial Assistance Summary

Sources

Financial Assistance, 00001 04 23 — fetched 2026-10-13

Licking Memorial Health Systems - Billing — fetched 2026-10-13

Financial Assistance Summary — fetched 2026-10-13