As a not-for-profit, faith-based organization, we’re dedicated to providing care regardless of our patients’ ability to pay.
We offer a variety of financial assistance programs to help our patients who have difficulty paying medical bills. Your financial circumstances will not affect the care you receive. We treat every patient with dignity, respect and compassion.
These financial assistance programs apply only to Presence Health hospital charges. Please be aware that you will receive separate bills from each independent practitioner or group of practitioners for services provided. See the Financial Assistance Provider List to determine if these practitioners apply this Financial Assistance policy to their bills. If you visited one of our nursing homes, Presence Medical Group offices, or behavioral health providers, please click on the appropriate link on the left side of this page.
Offers free or discounted care based on family size and income according to the Federal Poverty Guidelines (FPG). Available to uninsured patients and insured patients with out-of-pocket expenses. To apply, complete the Financial Assistance Program Application.
Automatic Uninsured Self-Pay Discount
Provides an automatic 40% discount to uninsured patients for all medically necessary health care services. No application necessary. Those who receive a pre-negotiated discount will not be eligible.
Limits out-of-pocket costs over a 12-month period for medically necessary services when it exceeds 15% of your family’s gross income. Available to uninsured and insured patients. To apply, complete the Financial Assistance Program Application.
Assists patients with financial needs through payment arrangements. Available to both uninsured and insured patients. One of our financial counselors will help you set up a payment plan.
If you do not qualify for assistance but believe you have special circumstances, you can request a review by the hospital’s financial assistance committee by completing the Financial Assistance Program Application.
You may also be eligible for public programs such as Medicaid or Medicare. Applying for such programs may be required before requesting financial assistance.
Request an application.
Find the application form at the hospital or at the link below. If you are reporting no income, please also fill out the Room & Board statement to explain who is currently providing you with housing support. If you do have income, you do not need to fill out the Room & Board statement.
Fill out and return
Complete the application and provide any supporting documents soon after receiving care and return to the hospital or mail to:
1000 Remington Blvd., Suite 110
Bolingbrook, Illinois 60440
For help filling out the application, call the number for your hospital below or visit Patient Financial Counseling at the hospital where you were treated.
We review your application
We will review your application to see if you qualify based on the guidelines in the Financial Assistance Policy. If there are special circumstances that affect your ability to pay, these may be reviewed by the hospital’s financial assistance committee.
You receive an answer
We will send you a written decision within a reasonable time period. In the meantime, payment of your bill will be suspended. If your request is denied, you will be given an explanation and information on setting up a payment plan and how to appeal the decision, if applicable.
If you have already qualified for certain government-sponsored programs, such as food stamps or subsidized housing, you will be presumed eligible for assistance from us. No application necessary. Just supply us with verification that you are enrolled.
All applications for financial assistance are kept completely private. The information you provide is shared only with those responsible for determining your eligibility.
Find out whether or not you may qualify for financial assistance by looking at the chart below. Find your family size in the first column and then look right to see which category your household income falls under. This will tell you what percentage of financial assistance you may qualify for.
Full Financial Assistance
To qualify for 100% financial assistance, your household income must be at or below 200% of the current Federal Poverty Guidelines (FPG). Insured and uninsured patients who meet this requirement will receive a full write-off of patient charges.
Partial financial assistance
Patients who have an income above 200% of the FPG may also qualify for partial financial assistance for out-of-pocket expenses. A sliding scale is used for insured and uninsured patients to determine a discount percentage on charges.
Financial Assistance for Self-Pay Patients
|Family Size||This amount or less qualifies for 100% discount
|This amount or less qualifies for 90% discount
|This amount or less qualifies for 81% AGB discount
|This amount or less qualifies for 81% AGB discount
Financial Assistance for Insured Patients
Financial Assistance in the form of 100% discounts (free care) are available for patient-liability amounts remaining after insurance payments, for insured patients who are Illinois residents with family gross income less than or up to 200% of the Federal Poverty guidelines. For insured patients with family gross income between 200% and 400% of the Federal Poverty guidelines, the expected patient payment will not be more than amounts generally billed (AGB). The amount of Financial Assistance will be determined once all third-party payment amounts have been identified. In addition, insured patients with high hospital bills may receive a Catastrophic Discount.