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 by 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
• Financial Assistance Application (Spanish)
• Hospital Care Assurance & Financial Assistance Policy
• Transition to Critical Access Hospital (CAH)
• Patient & Third Party Billing.
• Note: The Financial Assistance Program is only available for services provided by a Wayne HealthCare employed physician.

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 are adjusted for family size and location. More information on the Federal Poverty Guidelines is updated each year and is available on the U.S. Department of Health & Human Services website.

AblePay: Save up to 13% on medical expenses

AblePay is a unique, no-cost program that provides flexible payment options, all with savings or 0% interest, for your out-of-pocket medical expenses. AblePay is not a medical credit card or a financing option; there are no credit checks, and all interested patients are accepted. Plus, their member support team is available to assist with questions or billing issues. AblePay not only saves you money, but it can also save you time. Click here to learn more.

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.

We recommend that Medicare patients consider a supplemental insurance plan to ensure comprehensive coverage. For more information, please visit Medicare.gov.

For more information, you can contact a financial counselor at (937) 547-5770 or (800) 859-2963 extension 6947.

Return your completed Financial Assistance Application form, along with supporting documents to:

Wayne HealthCare
Financial Counseling
835 Sweitzer Street
Greenville, OH 45331