Ascension St. Vincent’s Financial Assistance Program, also known as Health Outreach Patient Eligibility – H.O.P.E Program offers financial assistance to our patients for emergency and other medically necessary care. Our Financial Counselors help with:
Care covered by Financial Assistance: emergency and medically necessary care
Financial Assistance is limited to patients living in the Community defined as:
the five (5) counties of Northeast Florida which include Baker, Clay, Duval, Nassau, St. Johns and the ten (10) counties of Southeast Georgia which include: Appling, Bacon, Brantley, Camden, Charlton, Coffee, Glynn, Pierce, Ware and Wayne.
Furthermore, some counties are limited to certain zip codes. Please contact our office if you have questions regarding the zip codes.
To help the Financial Assistance Application process move along, please submit the following with your completed and signed application:
Please note that incomplete applications/missing documents will cause delays in approval. We cannot process incomplete application and without all required documents.
Requirements for Financial Assistance Approval:
Please print and mail your completed application and supporting documentation to the following addresses:
Ascension St. Vincent's
PO Box 932886
Atlanta, GA 31193
Ascension Medical Group
PO Box 80278
Indianapolis, IN 46240
We are here to help and want to ensure that patients that qualify for financial assistance receive it. If you have any questions about this application, supporting documents required, or how to best get your application to us, please call one of our Patient Representatives at the following numbers:
For support with the financial assistance program for Ascension St. Vincent’s Riverside, Southside, Clay County and St. Johns County, please call (904) 308-7381.
For support with the financial assistance program for Ascension Primary and Specialty Care provided by Ascension Medical Group (AMG), please call (904) 308-7864.
Our fax number is (904) 450-6448.
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