Stephens County Hospital offers help to eligible patients who either cannot pay or have difficulty paying their hospital bill(s). Patients who are residents of the State of Georgia can apply for this program. If you are private pay, do not have Medicare and Medicaid, or resources to pay for your medical bills you may qualify for indigent care. You can download an application below or come by the cashier window which is located on the first floor off the Main Lobby of the hospital and pick up a form. If you need assistance completing the form, we will help. You must be a resident in the state of Georgia and meet the income guidelines to qualify for assistance. You will be notified by mail as to your eligibility. You must re-apply with each visit. The Stephens County Hospital Financial Assistance Policy is available below which explains the requirements patients need to qualify for financial help with their hospital bill(s) through the Stephens County Indigent Care Program and/or the Georgia Indigent Care Program. We have also made a “Plain Language Summary” available for your convenience. You can call 706.282.4167 for additional information.
Financial Assistance Application