Apply for Financial Assistance

Apply for Financial Assistance

Patient Financial Help

Little Company of Mary Hospital ensures that all patients receive high quality, compassionate care without regard for an individual's ability to pay. 

 

Financial Counselors

Financial counselors are available to discuss your insurance benefits and may visit during your stay to obtain additional insurance information or make arrangements for "patient portion" amounts. For your convenience, cash, check, Visa, MasterCard, Discover and American Express are all acceptable forms of payment. 

 

Full or partial assistance as part of our Charity Care Policy may be available based on your financial condition. Please contact one of our Financial Counselors for an appointment.

 

(708) 229-6152
(708) 229-6153

Monday-Friday 8 am-5:30 pm

 

Your physician is responsible for writing your discharge order. Our Business Office will bill the insurance company with the information provided to us upon your admission for each stay at Little Company.

 

Little Company of Mary Hospital se asegura de que todo paciente reciba cuidados compasivos de alta calidad, independientemente de su capacidad de pago. Mediante nuestra Política de Cuidados Caritativos puede obtener ayuda parcial o total, en base a su condición económica. Por favor, llame a uno de nuestros Consejeros Financieros al 708.229.6152 o 6153 para concertar una cita.

 

Convenient Downloadable Forms and Explanations

 

Financial Assistance Process

Financial Assistance Application

Proof of Residency for Financial Assistance

Payment Plan Application

Who Qualifies for Charity Care?

Financial Plan Application Spanish Version

Proof of Residency for Financial Assistance Spanish Version

Payment Plan Application Spanish Version

Brochure Spanish Version

Financial Brochure



JUL

31

Adult Wellness

Lite cardio aerobics

8:30AM - 9:30 AM


JUL

31

Adult Wellness

Lite Cardio Aerobics

4:00PM - 5:00 PM


AUG

1

Support Groups

Emotions Anonymous

6:00PM - 7:30 PM

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