Assistance
Witham Patient Accounts and Witham Physician Billing is located in Witham's South Pavilion on the Witham Campus. The address is 2505 N. Lebanon Street, Suite 220, Lebanon In 46052. For billing questions call 765-485-8060.
If you are worried about paying your medical bills, we can help you through one of the financial assistance programs at Witham Health Services. We are committed to providing healthcare to you, regardless of family income.
What if I do not have health insurance?
We have an on-site Medicaid representative that can help. Please call for questions or to set up an appointment at 765-485-8195.
All families who live in our primary service area and do not have health insurance are eligible for discounts and payment plans. Our primary service area includes Boone and surrounding counties. Discounts vary and are based on family income and size. To receive discounts and payment plans, or to apply for other financial aid programs, you will need to fill out a Financial Assistance Application.
English
Financial Assistance Application
Financial Assistance Policy
Plain Language Summary
Spanish
Solicitud de Asistencia Financiera
Política de Asistencia Financiera
Resumen en Lenguaje Sencillo
For additional information contact our financial counselors at 765-485-8060.
Is there help if my health insurance does not cover my bills?
Financial counselors assist families that have health insurance but who need additional financial resources to cover medical bills. We identify and help you apply for programs including Medicaid, Social Security, waivers, developmental disabilities services, and other financial assistance. Our financial counselors can also help you resolve billing issues.
For more information about our Financial Assistance Program for Medical Services, contact our Financial Counselors at 765-485-8060 or check out our policy.
2024 Federal Poverty Income Guidelines
Qualification for many assistance programs requires applicants to meet federal poverty income guidelines based on their Federal Poverty Level (FPL).
| 100% Assistance | 80% Assistance | 60% Assistance | 40% Assistance | 20% Assistance | ||
| FAMILY SIZE | Poverty Guideline | 200% | 250% | 300% | 350% | 400% |
| 1 | $15,060 | $30,120 | $37,650 | $45,180 | $52,710 | $60,240 |
| 2 | $20,440 | $40,880 | $51,100 | $61,320 | $71,540 | $81,760 |
| 3 | $25,820 | $51,640 | $64,550 | $77,460 | $90,370 | $103,280 |
| 4 | $31,200 | $62,400 | $78,000 | $93,600 | $109,200 | $124,800 |
| 5 | $36,580 | $73,160 | $91,450 | $109,740 | $128,030 | $146,320 |
| 6 | $41,960 | $83,920 | $104,900 | $125,880 | $146,860 | $167,840 |
| 7 | $47,430 | $94,680 | $118,350 | $142,020 | $165,690 | $189,360 |
| 8 | $52,720 | $105,440 | $131,800 | $158,160 | $184,520 | $210,880 |
| $5,380 | for each additional dependent | |||||