Financial Assistance
At Sarah Bush Lincoln, our doors are open and care is available to all persons regardless of their income levels. Medically necessary procedures are covered by the Sarah Bush Lincoln Financial Assistance program for persons who reside in our defined seven-county service area. This area includes Clark, Coles, Cumberland, Douglas, Edgar, Moultrie and Shelby counties.
People who meet financial eligibility requirements and who reside outside the defined seven-county service area, but reside in counties in which Sarah Bush Lincoln provides services, can receive those services -provided in those counties.
We will work with community members to help simplify the business aspect of our relationship. For example, we will help patients obtain payment from third parties such as Medicaid and Medicare by answering their questions and assisting them with applications. We offer financial assistance for persons who meet the financial terms once they’ve submitted the necessary paperwork, and we invite patients to apply for financial assistance when they cannot cover account balances after we’ve received payments from third-party payers (like Medicaid, Medicare and insurance companies).
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 Patient Financial Services between 8 a.m. and 4:30 p.m., Monday through Friday at (217) 258–2581.
Printable Financial Assistance forms in
English (157.9 KB)
|
Spanish (162.6 KB)
.