Financial Assistance
Lawrence County Memorial Hospital treats all patients, regardless of their ability to pay, for emergent and medically necessary care. If you know that you will be unable to pay your medical bills, contact the Patient Financial Services team immediately. Our staff will work with you to create a plan that fits your situation.
We offer financial assistance to low-income individuals and families, in addition to no-interest payment plans. We can usually work with patients to prevent bills going to collections or beyond, but you must contact us. We can’t help you if we don’t know you need help.
To be considered for financial assistance, please complete and submit an application (with requested attachments).
Plain Language Summary
Financial Assistance Policy
Financial Assistance Application
Financial Assistance Application SPANISH
FPL Guidelines
During the financial counseling application process, we will figure out if you qualify for health insurance coverage through federal and state programs such as Medicaid. If you are eligible for one of these programs, we will ask you to apply for coverage. Our team can help you fill out the application.
To learn more, please contact the Financial Assistance team at 812-450-3435 or 800-467-6802, option 5. Representatives are available Monday through Friday from 7:00 AM to 3:30 PM CST, excluding major holidays.
We offer financial assistance to low-income individuals and families, in addition to no-interest payment plans. We can usually work with patients to prevent bills going to collections or beyond, but you must contact us. We can’t help you if we don’t know you need help.
To be considered for financial assistance, please complete and submit an application (with requested attachments).
Plain Language Summary
Financial Assistance Policy
Financial Assistance Application
Financial Assistance Application SPANISH
FPL Guidelines
During the financial counseling application process, we will figure out if you qualify for health insurance coverage through federal and state programs such as Medicaid. If you are eligible for one of these programs, we will ask you to apply for coverage. Our team can help you fill out the application.
- No one will be denied access to services due to inability to pay.
- There is a discounted/sliding fee schedule available based on family size and income.
To learn more, please contact the Financial Assistance team at 812-450-3435 or 800-467-6802, option 5. Representatives are available Monday through Friday from 7:00 AM to 3:30 PM CST, excluding major holidays.
Mail completed application and attachments to:
Download and print the application. Fill the application out complete with black ink only, writing as much detail as possible. Mail the form, proof of income, and other necessary documents to
HRS Financial Assistance
PO Box 3366,
Evansville, IN 47732-3366
Fax to 812-450-5261
