Adena Health System is committed to serving our community, regardless of their ability to pay. That’s why we offer a variety of financial assistance programs to help you get the care you need.

Adena Health System has four programs to help you with the cost of your medical care:

  • Medicaid
  • Hospital Care Assurance Program (HCAP)
  • Community Financial Assistance Program
  • Uninsured/Underinsured Patient Discounts

To apply or learn more about these programs, please call Customer Service at 855-275-7408. Besides having a scheduled procedure, documentation is needed before an application can be processed. This includes:

  • A completed application 
  • Three months of income verification prior to date of the first service on your application
  • A bank statement that represents the time frame for covered dates

Patients under the age of 18 must be accompanied by a parent or legal guardian when requesting services.

Please note: It could take 60-90 days to receive communication regarding your application. 

Adena’s Financial Assistance Program 

No one will be denied access to services due to inability to pay, the there is a discounted/sliding fee schedule available based on family size and income. We do not discriminate based on an individual’s payor source, including Medicare, Medicaid, and Children’s Health Insurance Program (CHIP).  

If you may have difficulty paying for medical care, Adena’s Financial Assistance Program covers people who fall within 400% of the Federal Poverty Guidelines. These are the same guidelines used by the Affordable Care Act insurance exchanges, federally-subsidized programs such as Medicaid, and Ohio’s Hospital Care Assurance Program (HCAP).   

HCAP/CHARITY  scale based on 2020 FEDERAL POVERTY GUIDELINES  01/20/2021  

Full Write-off HCAP ELIGIBLE FULL Write-off charity 40% Patient responsibility

100% Write off HCAP ELIGIBLE 100% Write-off 60% WRITE OFF 

<100% fpl 101-200% FPL 201-400% FPL 

Family membersAnnual family incomeAnnual family incomeAnnual family income
1$0 – $12,880$12,881 – $25,760$25,761 – $51,520
2$0 – $17,420 $17,421 – $34,840$34,841 – $69,680
3$0 – $21,960$21,961 – $43,920$43,921 – $87,840
4$0 – $26,500$26,501 – $53,000$53,001 – $106,000
5$0 – $31,040$31,041 – $62,080$62,081 – $124,160
6$0 – $35,580$35,581 – $71,160$71,161 – $142,320
For each additional person, add:$4,540$9,080$18,160

Patients with income at or below 200% of the Federal Poverty Income Guidelines (FPL) are eligible for 100% financial assistance; while those with income between 201% – 400% of the FPL are eligible for a substantial discounted rate that is adjusted each year. To qualify, you must reside in one of the 15 Ohio counties served by Adena, including: 

  • Adams
  • Athens
  • Clinton
  • Fayette
  • Gallia
  • Greene
  • Highland
  • Hocking
  • Jackson
  • Madison
  • Pickaway
  • Pike
  • Ross
  • Scioto
  • Vinton 

If you have a financial need, please call Customer Service at 855-275-7408. An Adena representative will guide you through the financial assistance application process. All inquiries are confidential.

Financial Assistance