Financial Assistance

Fairfield Memorial Hospital is committed to serving our community and offers Financial Assistance to qualified patients.  If you are unable to pay for your medically necessary care, regardless of how large or small your balance is, our policy, plain language summary, and application is below.  For more information, contact the Business Office at 618-842-2611.

To download our Policy for Financial Assistance, click here

To download our List of Covered Providers for Financial Assistance, click here

To download our List of Non-Covered Providers for Financial Assistance, click here

To download the Application for Financial Assistance, click here

To download the Plain Language Summary of Financial Assistance, click here