If you do not have the means to pay for your or a member of your family's stay at Saint Anthony Hospital, you may qualify for financial assistance.
To request assistance for hospital services, select a Patient Financial Assistance Packet below. You may either print and fill out the form by hand, or enter your information directly within the form using your keyboard with Adobe Acrobat.
Patient Financial Assistance Packet - English (6 pages / 298 KB)
Patient Financial Assistance Packet - Spanish (6 pages / 300 KB)
Mail the completed forms to:
Customer Service Representative
Saint Anthony Hospital
PO Box 809109
Chicago, IL 60680-9109
Qualified patients may have all or part of their hospital bills forgiven. If you do not qualify for financial assistance, but are uninsured, your hospital bills may be automatically discounted 65% of the total charges.
Our financial counselors will work with you and your families in finding the means to pay for your stay. You may still receive a bill for physician services.
For your reference:
Listing of Saint Anthony Hospital-employed providers. (6 pages / 66 KB)
Financial Assistance Policy – English. (13 pages / 583 KB)