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Financial Assistance
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Financial Assistance

Financial Assistance with Clinics or Other MCH Bills

If you received a bill for eligible care at a Med Center Health physician clinic or other facility, you may be entitled to several different forms of assistance.

Participating Non-Hospital (Clinics or Other) Facilities

Please note: Rural Health Clinics, including Primary Care Clinics in Caverna, Fountain Run, Franklin, Munfordville and Scottsville can be found on our Financial Assistance with Rural Health Clinic Bills page.

Uninsured or Self-pay Discounts

Many of our physician clinics and other facilities offer self-pay patients receiving care at a Med Center Health hospital are automatically entitled to a 40% discount. You may also be eligible for a 10% Quick Pay Discount. For additional details on these discounts, you can visit our Self Pay page.

Payment Plans

We offer payment plans with 0% interest and no fees to you. Please visit our Payment Plan page for additional details.

Financial Assistance

If your household income is less than or equal 400% of the federal poverty limit, you may be eligible for Financial Assistance. Those with household incomes less than or equal to 200% of this limit may be eligible for 100% discounts of their bill. Patients with household incomes between 201% and 300% of the federal poverty limit may be eligible for a 50% discount, and those with household incomes between 301% and 400% may be eligible for a 25% discount. Please see our policies below for full details or contact a Customer Service representative.

How to apply

You may print the application forms below to complete them and mail with the required documentation as outlined in the forms. You may also drop them off in person at the address below. Also, if you want assistance in completing them, contact Customer Service.

Customer Service
270-745-1100 or 800-786-1581
800 Park Street
PO Box 9577
Bowling Green, KY 42102-9577

Application for Financial Assistance Form (English)

Application for Financial Assistance form (Spanish)

Application for Financial Assistance form (Bosnian)

Application for Financial Assistance form (Burmese)

Application for Financial Assistance form (Swahili)