FINANCIAL ASSISTANCE
At Jellico Community Hospital, we understand that finances can hinder your ability to receive the care you or your loved ones require. That is why we offer financial assistance to patients who have an economic need and meet the qualifications of our financial assistance policy. If you need financial assistance, we encourage you to review and complete the forms to see if you qualify.
- Financial Assistance-Exhibit 1 (PDF)
- Financial Assistance-Exhibit 2 – Collections of Accounts
- Financial Assistance-Exhibit 3 – Discount and Payment Plan
- Financial Assistance-Exhibit 4 – Financial Counseling
- Financial Assistance-Exhibit 5 – Widely Publicizing Financial Assistance
- Financial Assistance Application (PDF)
- Financial Assistance Summary (PDF)
- Providers Covered and Not Covered (PDF)