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Financial Assistance

At Carle, we believe that the cost of healthcare should not stop anyone from receiving necessary care. Complete a financial assistance application today. Charity Care

Financial Assistance en Espanol

Do You Need Help Paying Your Medical Bill?

At Carle, we believe that the cost of healthcare should not stop anyone from receiving necessary care. Our patients may be able to receive free or discounted care through one of our financial assistance programs.

Completing a financial assistance application will help Carle determine if you can receive free or discounted services.

Here Are Some General Guidelines About the Program:

  1. Eligibility is based on your household's adjusted gross income as reported on the prior year's Federal Tax Return and family size. If you are claimed as a dependent on another's Federal Tax Return, you will need to submit their Federal Tax Return as well.
  2. We will approve and apply discounts only after all third-party payments have been received.
  3. Before granting discounted care, we may ask you to apply for public assistance. Carle's Case Management department will be happy to help you fill out application forms. For more information on applying for federal assistance, please visit the Illinois Medicaid website. 
  4. Discounts will extend for one year from the date of approval. To continue to receive financial assistance, a new application must be submitted yearly.
  5. These programs are open to new and existing patients who meet certain residency requirements.
  6. Uninsured hospital patients who meet certain requirements may qualify for an uninsured discount through Carle Health's Illinois Hospital Uninsured Patient Discount Program and your qualified hospital expenses may be limited to 25% of your annual gross income.
  7. Carle staff will review your application and if approved, match you with the assistance program that is best for you.
  8. Carle reserves the right to require patients to produce additional information in order to verify income and/or assets.

Before being granted discounted care, you may be asked to apply for public assistance insurance programs including Medicare and any medical assistance programs offered by the Illinois Department of Healthcare and Family Services for which you may be eligible. You may link to program descriptions and applications using these helpful links: Sign up for Medicare | SSA Medical Program | HFS (illinois.gov)

If you need assistance in filling out your application forms, please contact Carle Patient Financial Services at (888) 71-CARLE, (888) 712-2753

Eligible Services

Eligible Services are those services provided in accordance with the generally accepted standards of medical practice by one of the following Carle entities*:

  • Arrow Ambulance, LLC
  • Carle Foundation Hospital 
  • Carle Home Care 
  • Carle Home Infusion 
  • Carle Hospice
  • Carle Medical Supply 
  • Carle Physician Group
  • Carle Danville Surgery Center
  • Carle Champaign Surgery Center
  • Carle Therapy Services

  • Carle Hoopeston Regional Health Center and Clinic Locations: 
    • Carle Cissna Park
    • Carle Danville Medical Office Center at The Riverfront
    • Carle Mattoon on Hurst
    • Carle Milford
    • Carle Rossville
    • Carle Tuscola
    • Carle Watseka
    • Carle Hoopeston at Charlotte Ann Russell
    • Hoopeston Community Memorial Hospital

  • Carle Richland Memorial Hospital and Clinic Locations: 
    • Carle Bridgeport
    • Carle Olney - Family Practice Clinic
    • Carle Olney - Primary Care Clinic
    • Carle Richland Memorial Hospital
    • Carle West Salem 

  • Carle BroMenn Medical Center and Clinic Locations: 
    • Carle West Physician Group
    • Carle BroMenn Outpatient Center
    • Carle BroMenn Comfort and Care Suites
  • Carle Eureka Hospital and Clinic Locations: 
    • Carle Eureka
    • Carle El Paso
  • Carle Health Greater Peoria and Clinic Locations:
    • Carle Health Methodist Hospital
    • Carle Health Pekin Hospital
    • Carle Health Proctor Hospital 
    • Carle Health Methodist Medical Group
    • Carle Health Methodist Physician Group
    • Carle Health ProHealth Physician Group







Additional Providers

*Additional providers may provide services at a Carle location who are not participating under the CFAP. View complete listing of participating and non-participating providers.

For further details about the Carle Financial Assistance Programs, read the Plain Language Summary, Carle Financial Assistance Program Policy, or Carle Regional Financial Assistance Program Policy.

Submit an Application

You can apply for assistance by:

  • Completing an application online in English or en Español.
  • Downloading an application here—in English, en Español, and en Français.
    • These files may not open correctly in certain web browsers. We are actively working on resolving this issue. If the file doesn't open correctly, please use one of the alternate methods listed on this page to submit your application.
  • Obtaining a financial assistance application at any of our registration desks throughout our facilities and clinics
  • Requesting an application be mailed to you by – Calling Patient Financial Services at (888) 71-CARLE, (888) 712-2753, or – writing Carle Financial Assistance Program at PO Box 4024, Champaign, IL 61824-4024.

Once completed, you can submit your application by:

  • Sending by mail to : Carle Patient Financial Services, PO Box 4024, Champaign, IL 61824-4024
  • If by email, to FinancialAssistance@carle.com
  • If by fax, to (217) 902-7720
  • If you have questions, call Carle Patient Financial Services at (888) 71-CARLE, (888) 712-2753
  • You may also come by and drop it off at any Carle front desk or office at the hospital or within any of our clinics

Eligibility will be determined once a completed application is received by Carle. Staff will review your application, and if approved, match you with the most beneficial financial assistance program at Carle. Patients will not be charged more for care than Amounts Generally Billed (AGB) to those patients who have insurance.


Discount Table (Carle Effective Date: 03/01/2024)
Family Size 200% 300% 400% 600%
1 $30,120 $45,180 $60,240 $90,360
2 $40,880 $61,320 $81,760 $122,640
3 $51,640 $77,460 $103,280 $154,920
4 $62,400 $93,600 $124,800 $187,200
5 $73,160 $109,740 $146,320 $219,480
6 $83,920 $125,880 $167,840 $251,760
7 $94,680 $142,020 $189,360 $284,040
8 $105,440 $158,160 $210,880 $316,320
Add per each additional person $10,760 $16,140 $21,520 $32,280
Program Eligibility 100% CFAP CFAP 50% and CHRHC/CRMH IL Uninsured Discount Income Max CAP 40% of income CFH/CBMC/CEH/CHMH/
CHPK/CHPR IL Uninsured Discount Income Max

Amounts Generally Billed (AGB) to Carle Financial Assistance Program participants will be determined by Medicare fee-for-service together with all private health insurers, during a prior 12-month period. 1. AGB determined through calculations of sum of all payments plus the sum of all bad debt and charity care adjustments divided by the sum of all charges in the time frame. 2. Time frame included in method is for October 1 through September 30 of the prior calendar year.

If you have questions regarding the amounts charged to patients, please call Carle Patient Financial Services at (888) 71-CARLE, (888) 712-2753. 

Self-Pay Patients

As of Monday, April 15, patients will automatically be screened for the Carle Financial Assistance Program during the appointment scheduling process. If you are identified to be a self-pay patient who is not eligible for CFAP, you will be asked to pay a portion of the estimated charges prior to scheduling your appointment unless your medical needs fall under the standard exception list. 

This pre-payment process will only affect appointment scheduling in the Champaign-Urbana service area for our Audiology, Ear, Nose and Throat (ENT), Eye, General Surgery, Oral and Maxillofacial Surgery and Plastic Surgery departments.

The standard exceptions list includes:

  • Patient is in active cancer treatment (does not include subsequent or new treatments).
  • Patient is in 2nd of 3rd trimester of pregnancy.
  • Patient is a newborn and has 48 hour post-delivery follow up.
  • Patient is in any trimester of high risk pregnancy or Maternal Fetal Medicine.
  • Patient has 90 days global follow up for surgery.
  • Patient meets Red List criteria at Convenient Care site.
  • Patient is receiving services in NICU Developmental Follow Up Clinic.
  • Patient is receiving Psych or Behavioral Health Services.
  • Patient has referral for ED follow up with PCP within 1-2 days.
  • Patient has Neurosurgical-Spine Trauma - will be allotted one follow up after hospitalization.

If you have any questions about the self-pay payment scheduling process, please contact Carle Patient Accounts at (888) 71-CARLE (888-712-2753).