Financial Assistance


It is the mission of Memorial Health System (MHS) to improve the health of the people and communities we serve.

To better serve the community and further our mission, Passavant Area Hospital accepts a wide variety of payment methods and offers resources to assist the patient and responsible party in resolving any outstanding balance.

Passavant Area Hospital recognizes there are occasions when a patient is not financially able to pay for their hospital care, and is not covered by any payer. Since the provision of care is not dependent on the patient’s ability to pay, Passavant Area Hospital has established guidelines in which a patient may apply and qualify for financial assistance. Passavant Area Hospital strives to balance needed patient financial assistance with the broader fiscal responsibilities to accomplish our mission.

• Passavant Area Hospital Financial Assistance Application
• Programa De Ayuda Economica

• Passavant Physician Association Financial Assistance Application

• Payment Options

• MHS Financial Assistance Policy
Política de ayuda económica de MHS

• MHS Billing and Collections Policy
• Política de facturación y cobro de MHS

• Exhibit 1:
Schedule of Income Guidelines and Discounts
Cronograma de pautas de ingresos y descuentos

• Exhibit 2:
Group Provider List
Lista de grupos de proveedores para la FAP

• Exhibit 3:
Plain Language Summary
Tranquilidad sobre el pago

• Exhibit 4:
Explanation of the Amounts Generally Billed to Patients
Explicación de los montos generalmente facturados a los pacientes

• Exhibit 5:
Facility Directory
Directorio de centros afiliados

For more information on Passavant’s Financial Assistance Program, please contact a Patient Financial Representative, 217-479-2877 or 217-479-2876. Our Patient Financial Representatives are available Monday through Friday from 8:00 a.m. to 4:30 p.m. (except holidays).

Duck Race for Lifeline Tickets on Sale

Posted on: April 26, 2017

Elaine Hynes, left, and Adah Mitchell were two of the 40 Passavant Area Hospital volunteers who helped sell Duck Race for Lifeline tickets to the public during a ticket sale day April 22. Hynes, who is celebrating 50 years as a Passavant volunteer, and Mitchell were stationed at J.C. Penney, while other volunteers sold tickets at Ace Hardware, Buchheit’s, County Market, Farm and Home Supply, Kirlin’s and Shopko. Another public ticket sale day is scheduled for Saturday, May 20, from 9:00 a.m. to 2:30 p.m. Tickets, priced at $5 each, are also available in the Auxiliary Gift Shop at Passavant. The 23rd Annual Duck Race for Lifeline is Sunday, June 4, 2 p.m., at Nichols Park in Jacksonville. First prize is $1,000. Food and entertainment will be provided beginning at 1 p.m. Proceeds from the event go to support the Lifeline program at Passavant in their mission to improve the health of the people and communities they serve.

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