Financial Assistance

"*" indicates required fields

Thanks for using our Eligibility Checker for Financial Assistance! Answer the following questions to see if you may be eligible for a discount on your Carlinville Area Hospital & Clinics bills.

Name*
Do you have health insurance?*
Please enter a number from 1 to 10.
Please enter a number from 0 to 1000000.
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This field is for validation purposes and should be left unchanged.
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