Horizon Health Plain Language Summary for Financial Assistance
Patients may obtain a free copy of the FAP and FAP application at MyHorizonHealth.org/financialassistance
or in the patient services office, Financial Assistance Coordinator at
Horizon Health, 721 East Court St., Paris, IL 61944.
Patients may obtain a free copy of the FAP and FAP application by mail
by calling 217-466-4257.
General information about the FAP, as well as assistance with the application
process, is available by calling 217-466-4257. Assistance also is available
at the patient services office, Financial Assistance Coordinator at Horizon
Health, 721 East Court St., Paris, IL 61944.
English and Spanish versions of the FAP, FAP application form, and plain
language summary are available. Further translation is available via the
hospital’s contracted service. Other languages include Polish, Chinese,
Korean, Tagalog, Arabic, Russian, Gujarati, Urdu, Vietnamese, Italian,
Hindi, French, Greek, and German.
Patients who are deemed to be eligible for financial assistance will not
be charged more than the amounts generally billed (AGB) for emergency
or other medically necessary care. The hospital specific AGB is derived
by using the prospective method for claims paid by Medicare Fee-for Service,
together with any associated portions of these claims paid by Medicare
beneficiaries (co-pays, deductibles).
Frequently Asked Questions
At Horizon Health, no one will be denied access to healthcare services
deemed medically necessary due to inability to pay. Financial Assistance
is discounted healthcare provided by Horizon Health. View our list of
frequently asked questions below.
Qualification is based upon the family’s gross income (before taxes).
Financial Assistance is for patients who do not qualify for other assistance
programs, such as Illinois Public Aid. Health services must be medically
necessary as determined by the attending physician to be eligible for
Financial Assistance.
Uninsured and underinsured patients residing in our Illinois service area
are eligible to apply.
Our service area includes Edgar County and Clark County, and areas outside
of Edgar County with the following zip codes: 61810, 61817, 61833, 61841,
61844, 61857, 61858, 61833, 61846, 61850, 61870, 61876, 61912, 61924,
61930, 61942, 61943, Bushton, and Rardin.
If you do not reside in our service area, please contact other hospitals
in your area to inquire about their assistance programs..
Veterans: Financial Assistance is only available for services approved by the VA
to be provided by Horizon Health.
How do I apply for financial assistance?
To receive financial assistance, you must fill out an application and submit
it with the required proof to Paris Community Hospital, Paris Clinic,
Chrisman Clinic, or Oakland Clinic.
Your application cannot be processed until all documentation is received.
Applications are available at the registration desk of Paris Community
Hospital and at all Horizon Health clinics. A Financial Assistance Coordinator
is also available to answer your questions.
To contact the Financial Assistance Coordinator, call the Horizon Health
business office at (217) 466-4257.
Do I have to apply for other assistance before applying at Horizon Health?
No. If you apply for financial assistance through Horizon Health, you will
be screened to see if you qualify for other assistance programs, such
as Illinois Public Aid. If you do qualify for another assistance program,
the Financial Assistance Coordinator can help you fill out the proper forms.
How do I know if I qualify?
The Financial Assistance Coordinator uses an income table (see below) to
see if you qualify for financial assistance with Horizon Health.
To use the table, simply find your family’s size (two parents and
two children are a family of four), and then your gross yearly family
income (the total amount of money you earn per year before taxes). The
amount of money listed in the table is the most that you can earn to receive
that discount.
Example 1: Family of 4 with an income level of $30,000 qualifies for 100% discount.
Example 2: Family of 2 with an income level of $32,500 qualifies for 90% discount.
Horizon Health does have the right to change or take away approval if we
receive information that shows a change in the family’s financial
situation or if the family moves out of our service area.
