Financial Assistance

At HSHS Mary's Hospital, our mission is caring for the sick and injured, regardless of the ability to pay. Even in difficult economic times, St. Mary's continues to provide care for those who cannot afford to pay. First class care - regardless of race, color, creed, sex, national origin, ancestry or economic status - is our commitment.

The HSHS Financial Assistance Program offers financial assistance to eligible persons who have no insurance, do not qualify for government programs and cannot afford to pay for their health care.

Eligibility is determined by family income and family size.

Eligibility Guidelines

Income guidelines for eligibility are adjusted annually based on the Federal Poverty Guidelines established by the United States Department of Health and Human Services and published periodically in the Federal Register.  These guidelines are subject to change without notice.

To view current guidelines, please visit our HSHS Financial Assistance Program web page and select the Financial Assistance Brochure for the Illinois Single Billing Office. 
In order to qualify for assistance, you must: 
  • Complete an application form (We will help, if necessary)

  • Required attachments for application form
  • Provide documentation of income. 
  • Provide a statement of assets (what you own)
  • Provide evidence that you have investigated all other means of assistance, including private and public aid when appropriate.
Please call the Illinois Single Billing Office at 1-877-636-2264 for more information.