CLOSE ALERT Visitors and Patients Financial Assistance Financial Assistance Patients may be eligible to receive free or discounted care. To see if you are eligible, download and complete the Financial Assistance Program Application. You can also obtain an application in person, by mail or fax by contacting a Financial Counselor at (937) 547-5770. For more information about Financial Assistance at Wayne HealthCare Download the Billing & Financial Counseling Booklet. Plain Language Summary Financial Assistance Application Hospital Care Assurance & Financial Assistance Policy Physicians Roster Note: The Financial Assistance Program is only available for services provided by a Wayne HealthCare employed physician. Please reference the Physicians Roster to determine eligibility. By completing and signing our financial assistance application, you acknowledge that you made a good faith effort to provide all the information requested in the application to assist Wayne HealthCare in determining your eligibility for financial assistance. Assistance is based on the Federal Poverty Guidelines, which is adjusted for family size and location. More information on the Federal Poverty Guidelines are updated each year and are available on the U.S. Department of Health & Human Services website. Financial assistance from Wayne HealthCare is secondary to the financial resources available to the patient. Resources may include but aren't limited to: insurance, third-party liability, government benefits, support from community agencies, and/or personal resources. For more information, you can contact a financial counselor at (937) 547-5770 or (800) 859-2963 extension 5947. Return your completed Financial Assistance Application form, along with supporting documents to: Wayne HealthCare Financial Counseling 835 Sweitzer Street Greenville, OH 45331 Featured Patient Stories "They made me feel warm and comfortable. They asked pertinent questions and were efficient and quick." - Submitted By Anonymous Continue Reading 1 / 2 VIEW ALL Visitors and Patients COVID-19 Visitor Information Financial Assistance Pay My Bill Accepted Insurance Plans Cost of Services Patient Portal Medical Records Patient Rights and Responsibilities Nominate an Extraordinary Nurse Hospitalist Program LEARN MORE ABOUT US OUR LOCATIONS NEWS CENTER 835 Sweitzer Street Greenville, OH 45331 (937) 548-1141 Home Our Services Find A Provider Locations Our Community Visitors and Patients About Us Our Foundation Contact Us Careers Our Blog Copyright © 2021 Privacy Policy Site Map