ADENA PIKE MEDICAL CENTER

"ii. The patient’s individual or family, if applicable, income is at or below 200% of the current Federal Poverty Income Guidelines for a 100% CCP discount."

documented · checked 2026-10-09 · Financial Assistance Policy OWNER: Megan Krause AREA

"Asset testing is not required for financial assistance for NHSC facilities. Patients will not be denied based on ability to qualify for or participation in government programs such as Medicaid"

documented · checked 2026-10-09 · Financial Assistance Policy OWNER: Megan Krause AREA

"Required patient documentation to demonstrate eligibility for Charity Care Form of financial assistance may include IRS W-2 forms and/or 1099 forms, paycheck stubs, a valid government issued identification, and/or documentation of sources of other income, including disability payments."

documented · checked 2026-10-09 · Financial Assistance Policy OWNER: Megan Krause AREA

"Application Process for Financial Assistance: Patients with a financial need are encouraged to call Adena's customer service line at (740) 779-8786 , or email the Financial Aid Department at FinancialCounselingTeam@adena.org. An Adena representative will guide you through the financial assistance application process, and all inquiries are confidential. Individuals may request a Financial Aid Policy (FAP), a plain language summary, or financial aid application via mail from Patient Business Services, by calling (740) 779-8786. Hours of operation are 8am-4:30pm M-F; location is 110 Vaughn Lane, Chillicothe, Ohio 45601. Patients can also go to Adena Regional Medical Center, 272 Hospital Rd., Suite 240. Applicants may also visit Adena's website at www.adena.org."

documented · checked 2026-10-09 · Financial Assistance Policy OWNER: Megan Krause AREA

"Patients with a financial need are encouraged to call Adena's customer service line at (740) 779-8786"

documented · checked 2026-10-09 · Financial Assistance Policy OWNER: Megan Krause AREA

"Hours of operation are 8am-4:30pm M-F; location is 110 Vaughn Lane, Chillicothe, Ohio 45601."

documented · checked 2026-10-09 · Financial Assistance Policy OWNER: Megan Krause AREA

"Language assistance available: [Español (Spanish)](/language-assistance-services) | [नेपाली (Nepali)](/language-assistance-services) | [العربي (Arabic)](/language-assistance-services) | [Soomaali (Somali)](/language-assistance-services) | [中文 (Chinese)](/language-assistance-services) | [廣東話 (Cantonese)](/language-assistance-services) | [Русский (Rusian)](/language-assistance-services) | [Français (French)](/language-assistance-services) | [Tiếng Việt (Vietnamese)](/language-assistance-services) | [አማርኛ (Amharic)](/language-assistance-services) | [한국어 (Korean)](/language-assistance-services) | [မြန်မာ (Burmese)](/language-assistance-services) | [ትግሪኛ (Tigrinya)](/language-assistance-services) | [हिन्दी (Hindi)](/language-assistance-services) | [Kiswahili (Swahili)](/language-assistance-services)"

documented · checked 2026-10-09 · Financial Assistance | Adena Health

"SCOPE This policy applies uniformly to both inpatient and outpatient services provided by the following AHS entities: • Adena Regional Medical Center (ARMC) • Adena Greenfield Medical Center (AGMC) • Adena Pike Medical Center (APMC) • Adena Medical Group (AMG) • Adena Fayette Medical Center (AFMC)"

documented · checked 2026-10-09 · Financial Assistance Policy OWNER: Megan Krause AREA