Financial Assistance Program

As part of our mission and commitment to the community, Olympia Fields Hospital is committed to providing quality healthcare that is affordable for our community. If you don’t have health insurance, you may be eligible for a government-sponsored health program.

If you are not eligible for a government-sponsored health program and meet certain low- and moderate- income requirements, you may qualify for our Financial Assistance Program.  This program provides financial assistance to help qualified patients pay for healthcare based on their financial need. This includes emergency, urgent, or medically necessary care. Patients who qualify get some or all of their costs covered regardless of whether they have healthcare coverage, or are uninsured, or are underinsured.

To qualify for assistance, patients will be asked to complete a Financial Assistance Program Application. Review our Policy, Plain Language Summary and download the Application below:

English:

• Financial Assistance Program – Policy (07/01/2026)
• Financial Assistance Program – Plain Language Summary (07/01/2026)
• Financial Assistance Program – Application (07/01/2026)

Español:

• Programa de Asistencia Financiera – Política – (07/01/2026)
• Programa de Asistencia Financiera – Resumen en Lenguaje Sencillo (07/01/2026)
• Programa de Asistencia Financiera – Aplicación (07/01/2026)

For more information or if you have questions, call our Patient Financial Services at 734-458-4679.