Enhanced to better serve people with greater financial needs
Printable Financial Assistance forms in
English (237.7 KB)
|
Spanish (144.0 KB)
.
The mission of Sarah Bush Lincoln Health System is to provide exceptional care for all and create healthy communities.
At Sarah Bush Lincoln, our doors are open and care is available to all persons regardless of their income levels. Our policies become personal when a patient needs cancer treatment and cannot possibly afford it, when a disabled person has difficulty completing Medicaid enrollment paperwork on his or her own, or when families have unexpected expenses that make paying their hospital bills on time next-to-impossible.
In short, we work with community members to help simplify the business aspect of our relationship, in addition to providing excellent medical care. For example, we help patients obtain payment from third parties such as Medicaid and Medicare by answering their questionsand assisting them with applications. We offer our enhanced financial assistance for medically necessary healthcare services to persons who meet the financial terms once they've submitted the necessary documents, and we invite patients to apply for financial assistance when they cannot cover account balances after we've received paymentsfrom third-party payers (like Medicaid, Medicare and insurancecompanies).
Applicants who have no income must provide proof from the IRS that no tax return was filed by completing a
4506-T form (99.5 KB)
. A paper copy is also available at all SBL locations.
If you have any questions about the SBL Financial Assistance Program, please call the Registration office between 8 a.m. and 5 p.m., Monday through Friday at (217) 258- or 348-2157.