Hospital Financial Assistance

SSM Health (SSM) is committed to providing financial assistance to people who are without insurance, underinsured, ineligible for a government program, or otherwise unable to pay for medically necessary care. SSM Health will provide care of emergency medical conditions to individuals regardless of their ability to pay.

Apply for Financial Assistance

Submit your application and all requested documentation by mail, email, or fax. Be assured that SSM Health understands the sensitivity of your personal information and works hard to protect your privacy.

• Financial Assistance Application
• Financial Assistance Policy

The financial assistance application and policy are available in several languages. Download the application in another language.

Email
financialaid@ssmhealth.com

Mail
SSM Health: Patient Financial Services
Attn: Financial Assistance
PO Box 411997
St. Louis, MO 63141

Fax
314-989-6734

How is Financial Assistance Determined?

Financial assistance is based on need and determined by Federal Poverty Levels, which includes income and number of family members. Financial need does not consider age, gender, race, social, or immigrant status, sexual orientation or religious affiliation. SSM Health limits the amount charged for emergency and medically necessary care provided to patients who are eligible for financial assistance under this policy to not more than gross charges for the care multiplied by the amounts generally billed percentage. 

Physicians Covered by SSM Health Financial Assistance Policy

Review our list of physicians to determine if your doctor is covered under SSM Health’s Financial Assistance Policy. To search by name, specialty, or hospital hold the “CTRL” and “F” keys at the same time. A search box will appear that you can use to find your physician quickly. Any questions about financial assistance for your physician and/or professional services should be directed to that provider’s office.

Eligibility

To apply for financial assistance, you must complete a Financial Assistance Application. To request a free application be mailed to you, call 888-918-3512. The following documentation should be included with your application:

• Verification of income (last two months)
• Last year’s federal tax return or non-filing letter

Contact Customer Service

For more information about financial assistance, contact an SSM Health customer service representative toll free at 888-918-3512, Monday - Friday, 8 AM to 5 PM CST. A customer service representative can also provide a copy of our billing and collections policy, which describes the actions that SSM Health may take in the event of nonpayment and is provided for free upon request.