Financial Assistance
It is Premier Health's policy to collect all estimated out-of-pocket expenses due prior to or at time of service. If you are not contacted prior to your date of service, you may be visited by a financial counselor while receiving services to review your benefit package. The financial counselor will estimate any out-of-pocket expenses that you may be responsible for and collect payment prior to discharge. If you are unable to pay at the time of service, the financial counselor will be able to discuss other payment options with you.
Any amount not paid by your health insurance plan within a reasonable amount of time will also be billed to you. If you have questions about your insurance benefits, contact your insurance company.
Questions?
Reach out to us if you have questions about your hospital, Premier Physician Network, Premier Health Urgent Care, Fidelity Health Care, or Samaritan Behavioral Health bills.
Payment Options
We offer a variety of convenient payment options.
Financial Assistance for Premier Health Hospital* and Premier Physician Network Bills
Premier offers additional assistance for patients with limited resources and insufficient insurance coverage. Financial counselors are available to assist patients in applying for many local, state, and federal programs that provide funding to help families pay for medical expenses. If you don't qualify for any of these programs, you may qualify for a financial assistance program offered through our hospital.
Patients who qualify for payment assistance will need to fill out the Hospital Care Assurance Program (HCAP) and Financial Assistance Program (FAP) Application Form. Income verification documents may be required with the application.
Premier Health's financial policy, a summary of the policy, and a financial assistance application can be downloaded below. You also can request any of these documents by contacting Premier Health Patient Billing.
Premier Health Financial Assistance Applications
Financial Policies
- Financial Policy – English version
- Financial Policy – Spanish version
- One-page summary of policy – English version
- One-page summary of policy – Spanish version
This financial assistance policy is revised as of 1/01/2025. For questions about services prior to this date, please contact Premier Health Patient Billing.
Premier Health's financial assistance program applies to qualifying services provided by Premier Health hospitals* and Premier Physician Network only. During your course of treatment, you may receive services from other providers who are not covered by this program. A list of these providers can be obtained online. These providers may offer their own financial assistance program; please contact them directly to inquire. Because our provider list changes periodically, certain providers may not appear on the list. If you cannot find a particular provider, contact Premier Health Patient Billing for confirmation.
Premier Health Patient Billing
For questions about financial assistance contact:
- Phone: (937) 208-5555(937) 208-5555
- Hours: Monday through Friday, 8 a.m. to 6 p.m., closed on all major holidays
*Atrium Medical Center, Miami Valley Hospital, Upper Valley Medical Center
Payment Plans
As a service to our patients, we offer payment plans for those who are unable to pay their balance in full. To set up a payment plan, contact the organization your bill is from.