Manage your bill at Ascension Sacred Heart in Florida

Financial Aid for Your Medical Group Bill

At Ascension hospitals and clinics, patients receive necessary medical care, regardless of their ability to pay. Services are provided without regard to culture, age, gender, sexual orientation, spiritual beliefs, socioeconomic status, language or disability. Trained financial counselors are available to discuss individual needs.  We will review your eligibility for financial assistance and assist you in making payment arrangements.

If you feel you need financial assistance, please print and complete the financial assistance application form below:

Our mailing address for completed forms:

Ascension Medical Group
P.O. Box 80278
Indianapolis IN 46240

Additional income, asset and expense information may be requested upon review of the completed financial assistance application.

Financial counselors are available Monday through Friday 8 am – 4:30 pm. For additional assistance please contact a counselor associated to the location where services were performed.

Contact Us

Hours

Monday-Friday
8 am-4:30 pm

Ascension Medical Group
833-263-9781

For additional information about the financial assistance policy or an application form, view the documents below:

Financial Assistance Program Summary

• English Version
• Spanish Version

Financial Assistance Policy

• English Version - Financial Assistance Policy
  • Exhibit A - List of Providers Covered By Financial Assistance Policy
  • Exhibit B - Amount Generally Billed Calculations
• Spanish Version - Financial Assistance Policy (Política de Asistencia Financiera)
  • Exhibit A - List of Providers Covered By Financial Assistance Policy
  • Exhibit B - Amount Generally Billed Calculations (Cálculo de la Suma Facturada Normalmente)

Financial Assistance Application Form

• English Version
• Spanish Version