NOTICE: In response to COVID-19, we will not be taking walk-ins at the Financial Counseling Department. Please call 419-557-7879 for additional information. We apologize for the inconvenience this may cause. Thank you for your understanding. Please keep up to date with Firelands' response to COVID-19 here.
Firelands Regional Medical Center is committed to providing access to healthcare for all persons regardless of their ability to pay. Our mission is to serve the community with appropriate cost-effective services.
The following outlines our financial assistance programs, which we offer to those in need.
Hospital Care Assurance
Firelands Regional Medical Center complies with the hospital care assurance program(HCAP) as defined in the Ohio Revised Code section 5168.14. Firelands Regional Medical Center provides access to essential care and to essential health services without regard for individual consumers' ability to pay.
Applicants' qualifications for assistance will be determined based on current federal poverty guidelines, income, other earnings and family size. HCAP does not cover charges incurred for physicians, hospitalists, pathologists, radiologists, anesthesiologists, or emergency transport services by either land of air.
The Financial Assistance Program (FAP) is Firelands Regional Medical Center's program for patients in financial need. Patients are eligible for financial assistance on a sliding scale through an application process.
Documentation and completion of an application are required in order to evaluate financial assistance needs.FAP does not cover charges incurred for physicians, hospitalists, pathologists, radiologists, anesthesiologists, or emergency transport services by either land of air.
Susan G. Komen Northwest Ohio Grant
Firelands Regional Medical Center offers financial assistance for women who are in need of breast health screenings and may not be able to afford them. The funds for this program are provided by Susan G. Komen Northwest Ohio and The Foundation for Firelands. Proof of income or financial need will be required to qualify for funding from Susan G. Komen Northwest Ohio.
Questions About Your Bill
During your hospital experience, you may receive statements (bills) from various providers (for instance, emergency care physicians, radiologists, pathologists and anesthesiologists) as well as from the hospital. If you have questions regarding any of these charges, please contact that provider as listed on the statement. Questions regarding your hospital bill should be directed to 419-557-7879 or toll-free at 800-342-1177.
Get information about paying your co-pay at the time of service.
Financial Assistance Application (PDF)
Financial Assistance Policy (PDF)
Independent Physician Services (PDF)
Plain Language Summary (PDF)
Resumen en Términos Sencillos (PDF)
View a list of the providers who are not covered by our program
Hospital Care Assurance and Financial Assistance Program Effective January 20, 2020
Hospital Care Assurance and Financial Assistance Program Effective January 17, 2019
Hospital Care Assurance and Financial Assistance Program Effective January 13, 2018
Hospital Care Assurance and Financial Assistance Program Effective January 24, 2017