Financial
Assistance

The level of assistance provided is based on a review of an individual’s economic condition which includes income level and assets held. We will need to verify your status as student or non-student to ensure the correct information for required documentation is included.

Upon request, an application and a list of required financial documentation will be provided. This information is necessary to determine the patient’s ability to pay. Both the completed application and all required financial documentation must be returned in order to be considered for financial assistance. Please be aware of the due date on your application. The application is only for charges with Ivinson Memorial Hospital.

Account Status and Responsibility

Accounts must be in good standing. Therefore, any accounts at collection status more than six months are not eligible for financial assistance. Payments are required to keep your account(s) current during the application process. Please include a payment with your returned application as a sign of good faith. 

Accounts for Non-emergent Care

Accounts for outpatient services, quality of life procedures, elective procedures or any other non-emergent procedures are only eligible for our standard payment plans. These accounts do not qualify for financial assistance. 

Other Non-eligible Accounts

1. Any account under $1,500.00 will not qualify for financial assistance.
2. Accounts for Advanced Medical Imaging, Anesthesia services and any billing from a doctor, surgeon or any entity other than Ivinson Memorial Hospital.
3. Full-time students do not qualify for financial assistance. 
   1. Student accounts qualify for the student payment plan with verification of enrollment and other required documentation.

You may contact our Financial Counselor or our Receptionist to request an application packet.