# OhioHealth Morrow County Hospital

Hospital in Mount Gilead, OH. Verified from the hospital's own policy.

OhioHealth Morrow County Hospital likely gives free care to households with a yearly income up to $31,920 for 1 person, $43,280 for 2, $54,640 for 3, $66,000 for 4, $77,360 for 5 or $88,720 for 6. It likely gives a discount to households with a yearly income up to $63,840 for 1 person, $86,560 for 2, $109,280 for 3, $132,000 for 4, $154,720 for 5 or $177,440 for 6.

The hospital makes the final decision.

| Household size | Free care if yearly income is up to | Discount if yearly income is up to |
|---|---|---|
| 1 | $31,920 | $63,840 |
| 2 | $43,280 | $86,560 |
| 3 | $54,640 | $109,280 |
| 4 | $66,000 | $132,000 |
| 5 | $77,360 | $154,720 |
| 6 | $88,720 | $177,440 |

Dollar amounts use the 2026 federal poverty guidelines.

## Discount steps

- 0% to 200% of poverty level, patient pays nothing (100% discount off the patient's share)
- 200.1% to 300% of poverty level, patient pays 20% of the patient's share (80% discount)
- 300.1% to 400% of poverty level, patient pays 35% of the patient's share (65% discount)

## How to apply

- Call 419-946-5015 and ask for financial assistance.
- [Application form](https://www.ohiohealth.com/siteassets/patients-and-visitors/paying-for-care/financial-assistance/financial-assistance-application.pdf)
- [Financial Assistance Policy (FAP), RC-2410.004](https://www.ohiohealth.com/siteassets/patients-and-visitors/paying-for-care/financial-assistance/ohiohealth-fap.pdf)
- [Plain language summary](https://www.ohiohealth.com/siteassets/patients-and-visitors/paying-for-care/financial-assistance/fap-plain-language-summary-9.2025.pdf)
- We do not have the deadline yet. Apply as soon as you get a bill, and ask the billing office to pause collections while you apply.
- Bring proof of income for the last 3 or 12 months (such as pay stubs), asset information, monthly expenses, explanation of support if income was $0.
- Very large bills. Above 400% of poverty level, a Hardship application may be considered case by case for catastrophic, unusual or extraordinary financial hardship
- Languages. English, Arabic, Chinese, French, German, Japanese, Korean, Nepali, Russian, Somali, Spanish, Vietnamese

## If you have insurance

Insured patients can also apply for help with deductibles and copays.
Keep your insurance. Financial assistance covers bills from this one place only.

## What is covered

Covered. Emergency and other medically necessary care billed by OhioHealth, plus care from OhioHealth-employed doctors at the hospital.

Not covered. Transplant services and elective cosmetic care are excluded. Doctors who are not employed by OhioHealth bill separately and are not covered. Outside labs such as Quest Diagnostics are not covered.

## State program in Ohio

### Hospital Care Assurance Program (Ohio Revised Code 5168.14 and Ohio Administrative Code 5160-2-17)

Ohio law says hospitals that get state Hospital Care Assurance Program (HCAP) funds must give basic, medically necessary hospital care free of charge to some patients. You may qualify if you live in Ohio, are not on Medicaid, and your household income is at or below the federal poverty level (100%). The law covers general medical and surgical hospitals and children's hospitals. It does not cover transplants. You must fill out and sign an application with proof of income and family size. Many people at this income can also get Medicaid, so the hospital may ask you to apply for it. HCAP covers only the hospital's own bill. Doctors who bill separately are not covered. Many hospitals offer more help than this under their own policy, so ask about both.

Income levels in the program are free up to 100% of poverty level.

Applies to nonfederal Ohio hospitals registered as general medical and surgical or pediatric general hospitals (and Medicare-recognized cancer hospitals) that receive HCAP funds; Ohio residents who are not Medicaid recipients.

How to apply. Ask the hospital's billing or financial assistance office for an HCAP application. Fill it out, sign it, and include proof of your income and family size. Hospitals must post signs about HCAP in admissions, the business office, and the emergency room.

> shall provide, without charge to the individual, basic, medically necessary hospital-level services

Source https://codes.ohio.gov/ohio-revised-code/section-5168.14, checked 2026-11-11

## Notes

OhioHealth help is a last resort. You may be asked to apply for Medicaid or other programs first. Ohio's Hospital Care Assurance Program (HCAP) is on the same application. The application instructions say care is free at or below the poverty level, while the policy itself gives 100% off up to 200% of the poverty level. If you are told something different, ask which program was used. The application asks about savings, property and monthly expenses. You can apply online in MyChart, by mail to OhioHealth, L-4312, Columbus, OH 43260, or by email to customercenter@OhioHealth.com. The policy does not state a filing deadline. Eligible patients are never charged more than insured patients are generally billed.

## Sources

- Free care level https://www.ohiohealth.com/siteassets/patients-and-visitors/paying-for-care/financial-assistance/ohiohealth-fap.pdf
  > a 100% discount off of the patient's payment responsibility to patients whose income is at or below 200% of the Federal Poverty Guidelines
- Discount level https://www.ohiohealth.com/siteassets/patients-and-visitors/paying-for-care/financial-assistance/ohiohealth-fap.pdf
  > a 65% discount off the patient's payment responsibility to patients whose income is at or below 400% of the Federal Poverty Guidelines.
- Discount steps https://www.ohiohealth.com/siteassets/patients-and-visitors/paying-for-care/financial-assistance/ohiohealth-fap.pdf
  > a 80% discount off of the patient's payment responsibility to patients whose income is at or below 300% of the Federal Poverty Guidelines
- Insured patients https://www.ohiohealth.com/billing-insurance/pay-your-bill/financial-assistance
  > Whether you're uninsured, underinsured or facing financial hardships, our Financial Assistance Program provides
- Very large bills https://www.ohiohealth.com/siteassets/patients-and-visitors/paying-for-care/financial-assistance/ohiohealth-fap.pdf
  > consider a Hardship application on a case-by-case basis for patients who otherwise demonstrate that a financial hardship is catastrophic, unusual, or extraordinary.
- What is not covered https://www.ohiohealth.com/siteassets/patients-and-visitors/paying-for-care/financial-assistance/ohiohealth-fap.pdf
  > Exclusions to this policy include transplant related services and elective cosmetic services.
- What is covered https://www.ohiohealth.com/siteassets/patients-and-visitors/paying-for-care/financial-assistance/fap-plain-language-summary-9.2025.pdf
  > The FAP applies only to services billed by OhioHealth and physician services received by a patient at the Hospital from an OhioHealth-employed physician.
- Documents https://www.ohiohealth.com/siteassets/patients-and-visitors/paying-for-care/financial-assistance/financial-assistance-application.pdf
  > Attach income verification to this application. Income verification may include pay stubs or other documents containing income information
- Languages https://www.ohiohealth.com/siteassets/patients-and-visitors/paying-for-care/financial-assistance/fap-plain-language-summary-9.2025.pdf
  > Translated copies of the Financial Assistance Policy, this summary of the policy and the application form are available in Spanish.
- Covered facility https://www.ohiohealth.com/siteassets/patients-and-visitors/paying-for-care/financial-assistance/ohiohealth-fap.pdf
  > This policy is in effect for all OhioHealth member hospitals and employed physician practices
- Financial counseling phone https://www.ohiohealth.com/siteassets/patients-and-visitors/paying-for-care/financial-assistance/fap-plain-language-summary-9.2025.pdf
  > Ohio Health Morrow County Hospital 419-946-5015
- Covered facility listed https://www.ohiohealth.com/siteassets/patients-and-visitors/paying-for-care/financial-assistance/fap-plain-language-summary-9.2025.pdf
  > OhioHealth Facility Where to call ... Ohio Health Morrow County Hospital 419-946-5015

Last checked 2026-11-11.

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