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Financial Assistance

Financial Assistance for Eligible Patients

HH Health is committed to providing care regardless of a patient’s ability to pay. However, you may be asked to pay a deposit when you’re admitted or when you register for an outpatient procedure. Financial assistance may be available to eligible patients and families who need help managing the cost of hospital care, including charity care and payment assistance. Approved financial assistance applies to hospital charges only and does not include physician or other professional fees that may be billed separately.

Financial assistance eligibility is generally based on household income, available assets and the Federal Poverty Income Guidelines.

Determining Eligibility
How to Verify Your Income

Examples of documentation used to verify eligibility include pay stubs, tax returns forms and bank statements. Additional forms of verification may be required.

  • If you are currently employed, please provide verification of gross income for the last three months. Verification can be a current check stub with a year to date total or a letter from your employer on company letterhead.
  • If you are self-employed, please provide a complete copy of the prior tax year income tax return, including schedule C and all forms.
  • If you are unemployed and drawing unemployment benefits, please provide verification of the amount you receive. Verification can be your unemployment benefit approval letter.
  • If you are unemployed and have no income, please provide verification of your circumstances. Verification can be provided by a written statement from your physician, church pastor or attorney.
  • If you are collecting Social Security, SSI, Social Security Disability or Veteran or Military Pension, please provide verification of income. Verification can be a copy of your most recent check stub or a letter from the government showing the amount you are receiving. If your minor children also receive a check, please provide verification of their income as well.
  • If you are collecting a retirement check, pension, annuity, short/long term disability or workers’ compensation, please provide verification of that income. Verification can be a copy of your most recent check stub or a letter from the income source.
  • If you receive Food Stamps, AFDC (Aid for Dependent Children) or FA (State-provided Family Assistance), please provide verification of the assistance. Verification can be your approval letter outlining your proof of eligibility.
  • If you receive child support or alimony or receive assistance from your children’s other parent (not living in the household), please provide verification of that income source. Verification can be a copy of your child support order or divorce decree.
  • If you are separated and/or going through a divorce, please provide legal proof of separation.
  • If your monthly expenses exceed your income, please provide verification of how your monthly expenses are being satisfied. Verification can be letters of financial support from your family, friends, church or other organizations. If you are using credit cards, cash advances or loans to satisfy your monthly expenses, please provide copies of the most recent statement of those items.
How to Verify Available Assets
  • Please provide the most recent copy of your complete bank statement (including all pages of all checking, savings or certificates of deposits). If your bank account has been closed, please provide a letter from the bank stating your account has been closed.
  • Other assets, such as real estate (other than your primary residence), rental income or investment equity will be verified during the financial application process.

How to Apply for Financial Assistance

Download Application Form

To apply for financial assistance, download and complete the PDF format application below:

Highlands Medical Center Documentation:

Lincoln Medical Center Documentation:

Documentation for all other hospitals:

Hospitals include: Athens-Limestone Hospital, Decatur Morgan Hospital, DeKalb Regional Medical Center, Helen Keller Hospital, Huntsville Hospital, Huntsville Hospital for Women & Children, Madison Hospital and Red Bay Hospital


How to Submit Your Application

When you have completed your application, mail it with your supporting documentation to the financial counselors at your local hospital. Patients will be notified by letter regarding the status of their financial assistance application.

Financial assistance programs are administered by each hospital within HH Health. Mailing addresses for each hospital are provided below. If you need help completing the application, phone number for financial counselors are also provided below. All inquiries are confidential.

Click the hospital name below to access information.

Athens-Limestone Hospital

Attention: Patient Accounts Department
700 West Market Street
Athens, AL 35611

Call for Assistance:
256-233-9158

Monday – Friday, 8 a.m. – 4:30 p.m.

Crestwood Medical Center

Attention: Financial Counselor
One Hospital Drive
Huntsville, AL 35801

Call for Assistance:
256-429-4820

Decatur Morgan Hospital

Attention: Financial Counselor
PO Box 2239
Decatur, AL 35609-2239

Call for Assistance:
256-973-4688

Monday – Friday, 7 a.m. – 5:30 p.m.

DeKalb Regional Medical Center

Attention: Financial Counselor
200 Medical Center Drive SW
Fort Payne, AL 35968

Call for Assistance:
256-997-2133

Monday – Friday, 8 a.m. – 5 p.m.

Helen Keller Hospital

Attention: Financial Counselor
1300 South Montgomery Ave.
Sheffield, AL 35660

Call for Assistance:
256-386-4002 or 256-386-4385

Monday – Friday, 8 a.m. – 4:30 p.m.

Highlands Medical Center

Attention: Financial Counselor
P.O. Box 1050
Scottsboro, AL 35768

Call for Assistance:
256-218-3780

Monday – Friday, 8 a.m. – 4:30 p.m.

Huntsville Hospital

Huntsville Hospital Patient Accounting
Attention: Financial Counselor
101 Sivley Road
Huntsville, AL 35801

Call for Assistance:
256-265-9689

Monday – Friday, 9 a.m. – 4 p.m.

Huntsville Hospital for Women & Children

Huntsville Hospital Patient Accounting
Attention: Financial Counselor
101 Sivley Road
Huntsville, AL 35801

Call for Assistance:
256-265-9689

Monday – Friday, 9 a.m. – 4 p.m.

Lincoln Medical Center

Attention: Financial Counselor
106 Medical Center Blvd
Fayetteville, TN 37334

Call for Assistance:
931-438-7482

Monday – Friday, 8 a.m. – 4:30 p.m.

Madison Hospital

Huntsville Hospital Patient Accounting
Attention: Financial Counselor
101 Sivley Road
Huntsville, AL 35801

Call for Assistance:
256-265-9689

Monday – Friday, 9 a.m. – 4 p.m.

Marshall Medical Centers

8000 AL Highway 69
Guntersville, AL 35976

Call for Assistance:
256-571-8125 or 256-753-8125 (Arab Area)

Monday – Friday, 8 a.m. – 4:30 p.m.

Red Bay Hospital

Attention: Financial Counselor
1300 South Montgomery Ave.
Sheffield, AL 35660

Call for Assistance:
256-218-3780

Monday – Friday, 8 a.m. – 4:30 p.m.

Language Assistance

HH Health offers a range of free language assistance services for all patients who prefer to communicate in a language other than English.

Continued Collections Policy

Extraordinary collection actions will be suspended during the consideration of a completed charity care application. Prior to placement with an agency, a note will be entered into the patient’s account related to charity care to suspend collection activity. If the account has been placed at the agency, the agency will be notified by telephone to suspend collection efforts until a determination is made. If a charity care determination allows for a percent reduction but leaves the patient with a self-pay balance, payment terms will be established on the basis of disposable income.

If supporting documentation is not submitted with the financial statement and/or falsification of any portion of the application is identified, your application will be denied. We reserve the right to reverse financial assistance when information is presented indicating the patient/guarantor has the ability to pay for services and financial assistance should not have been approved.

PLEASE NOTE: The financial assistance offered under this program does not apply to physician or other professional fees billed separately from the hospital fees.