At Southeastern Med, we understand that the proper medical care can be expensive, especially to those with limited or no health insurance. We will never let the monetary value of our services interfere with giving you the care you need and deserve. Financial aid is available for those who qualify, including patients that are underinsured or without insurance who have hospital bills and outstanding balances.

Billing Assistance

Our financial assistance programs are designed to help patients who meet the financial requirements as issued by the U.S. Department of Health and Human Services. Eligibility determinations are based on Federal Income Guidelines. For further information, please read the Southeastern Med CharityCare and Southeastern Med HCAP Policy and Procedures documents. If you would like to apply for financial assistance, please fill out our Southeastern Med application form.

Please note that you will continue to receive bills until the qualification process has been completed and a decision has been made. Feel free to ask our Resource Counselors for more information by calling 740.439.8140.

2017 HCAP/CHARITY GUIDELINES

(Eligibility is calculated based on gross annual income)
Hospital Care Assurance & Charity Care Application

HCAP (100%) MCD EXP (133%) CHARITY (150%) CHARITY (175%) CHARITY (200%) MCD (200%)
FAMILY SIZE 100% DISCOUNT Apply for PE- Medicaid expansion  80% DISCOUNT 60% DISCOUNT 52% Discount Apply for PE - MCD For Pregnant Woman or Children
1 $12,060.00 $16,039.80 $18,090.00 $21,105.00 $24,120.00 $24,120.00
2 $16,240.00 $21,599.20 $24,360.00 $28,420.00 $32,480.00 $32,480.00
3 $20,420.00 $27,158.60 $30,630.00 $35,735.00 $40,840.00 $40,840.00
4 $24,600.00 $32,718.00 $36,900.00 $43,050.00 $49,200.00 $49,200.00
5 $28,780.00 $38,277.40 $43,170.00 $50,365.00 $57,560.00 $57,560.00
6 $32,960.00 $43,836.80 $49,440.00 $57,680.00 $65,920.00 $65,920.00
7 $37,140.00 $49,396.20 $55,710.00 $64,995.00 $74,280.00 $74,280.00
8 $41,320.00 $54,955.60 $61,980.00 $72,310.00 $82,640.00 $82,640.00

**For families/households with more than 8 members, add $5,230 for each additional person**