We offer financial assistance to patients who qualify according to the terms and conditions of Saint Anthony's Health Center.
Click here to download a printable version of the application. Mail completed application to:
Saint Anthony’s Health Center, Attn: Financial Assistance, P.O. Box 340, Alton, IL 62002
In addition to completing this application, you must supply one of the following proofs of income: 1) Paycheck stub or Social Security check copy 2) Letter from employer or employers certifying your income for the past three months or proof of lack of income: Notarized letter from you in your own words that you had no income for the past three months.
Please allow at least two (2) weeks for processing. You will be notified by letter if you are approved or did not qualify.
If you qualify you will be notified in writing of your eligibility and the amount of assistance allowed. Your bill will then be adjusted and a payment plan established for your remaining balance, should one exist.
If you do not qualify you will be notified in writing with an explanation for your ineligibility and will be required to make arrangements for paying your bill. Applicants can reapply for assistance if their financial situation changes.
If you have any questions or need assistance with the financial application, please call 618/465-4506 or 618/474-6141, Monday – Friday, 8 a.m. - 4:30 p.m.