Financial Assistance Guidelines
For more than 100 years, Good Samaritan Hospital has provided
quality medical services regardless of a patient's ability to pay. We
know the financial burden that an unexpected medical emergency can put
on a family, which is why we do our best to find the financial
assistance needed and offer a variety of payment plans from which to
choose. We work closely with the patient and members of the patient's
immediate family, and consider personal history. Factors, including
family income and number of dependents, help us determine assistance
Financial assistance applies only to the services the patient has
received from the hospital and not from other affiliated sources, such
as anesthesiologist, radiologist or other physicians on the hospital's
active medical staff. for those services, you would be billed directly
from their billing offices.
How to apply for financial assistance
The last thing you want to worry about while you're recuperating
from an illness, accident or injury, is how to pay your medical bills.
Good Samaritan Hospital makes it easy to apply for financial
assistance. If you feel you meet the requirements for financial
assistance, or have more than five members in your household, a patient
accounts representative will be glad to work with you in this request.
Patient accounts: 812-885-3325.
Please click here to download our Financial Assistance Guidelines.