Financial Assistance

As a non-profit community hospital, Fisher-Titus Medical Center is committed to providing health care services to all patients regardless of their ability to pay. Uninsured or under-insured patients may qualify for financial assistance under one of several programs.

Our Financial Assistance policies apply to all emergency and medically necessary care provided by employees and contractors at Fisher-Titus Medical Center (our hospital facility).

View a list of the providers who are not covered by our program

The application for HCAP, Charity Care, or Community Assistance programs are below. Simply print, complete, and mail the form back to the address listed on the form.

Click to download the English Application
Click to download the Spanish Application

If, after applying available discounts to all medically necessary inpatient and outpatient services, patients' liability exceeds 25% of family income, the bill will adjust not to exceed that amount. Persons with a liability exceeding 25% of family income will be declared "Medically Indigent" and will not be asked to pay amounts due for hospital services exceeding that limit.

Need to Pay Your Bill?

Our online Patient e-Billing has been developed to help you pay your bills online, quickly and easily.

PAY MY BILL

Questions About a Bill?

Call our Financial Services office at
419-660-2678 or 800-589-3862 Ext. 6278