Financial Assistance

Financial assistance may be available for patients.

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. For more information on how to apply, please download the Plain Language Summary found below, as well.

• Patient Assistance Application - English  
• Patient Assistance Application - Spanish  
  
  
• Financial Assistance - Plain Language Summary – English   
• Financial Assistance - Plain Language Summary – Spanish  

Mail the completed forms to:

Customer Service Representative
Saint Anthony Hospital
PO Box 85082 
Chicago, IL 60689-5082

Uninsured Patient Discount Policies

Qualified patients may have all or part of their hospital bills forgiven.  If you do not qualify for financial assistance and are uninsured, your hospital bills may be discounted 70% of the total charges.  Please see the Uninsured Discount Policy below:

• Uninsured Discount Policy – English  
• Uninsured Discount Policy – Spanish  

Your bill can be discounted up to 100 percent, if your income is at or below 200% of the Federal Poverty Income Guidelines.  Please see the policy below:

• Financial Assistance Policy - Charity Care   

Our financial counselors will work with you and your family in finding the means to pay for your visit. 

NOTICE TO PATIENTS

This practice serves all patients regardless of ability to pay. Discounts are offered based on family size and income.

For questions, contact Patient Financial Services at 773.484.4800 (7:00 a.m. to 5:00 p.m.) or send us an email.