Billing & Insurance
Jersey Community Hospital offers financial assistance to unisured/underinsured patients. Applications for JCH Financial Assistance Program are available upon request.
Monday - Friday, 7:00 a.m. - 4:30 p.m.
Key Phone Numbers
JCH - (618) 498-6402
Medicaid/BC - (618) 498-8321
Medicare - (618) 498-8324
Other Insurance Plans - (618) 498-8322
Financial Assistance Process
If you wish to apply for financial assistance, please complete and return the application within 10 days. Eligibility for assistance is based on family size, income and expenses.
To apply for assistance, simply complete the application and return it to us with documented proof of income for the last three months and a copy of your most recent tax return.
If you are potentially eligible for Medicaid, we must have a copy of your approval or denial letter from the Illinois Department of Public Aid.
We must have the following documentation before we can begin processing your financial assistance application. Please take time to check that the following items are enclosed:
- Most recently filed income tax forms (Federal IRS form 1040)
- Last three months' Proof of Income. Check stubs or a statement from the employer are acceptable.
- Prior three months' bank account statements (checking and savings)
Completion of this application signifies all information provided is true and accurate. Further, the applicant will take any action reasonably necessary to obtain assistance from any program available for payment (Medicaid, Medicare, Insurance, etc.) and will assign or pay the hospital any amount recovered for hospital charges. If any information given proves to be untrue, it is understood that the hospital may re-evaluate the applicant's financial status and take whatever action becomes appropriate.
Once your application has been reviewed, you will be notified of the determination. If you should have questions, contact the Patient Accounts Office at (618) 498-8326.