Financial Assistance

Ballad Health recognizes that those on limited incomes sometimes need help paying their bills.

That’s why we offer financial assistance to qualifying patients who need help with emergency or other necessary medical care they receive from us.

Do you qualify?

To find out if you qualify, you’ll find the eligibility criteria and other important information in the application linked below.

En Español

Ballad Health reconce que puede haber necesidad de asistencia financiera para individuos que tienen ingresos limitados para pagar sus cuentas del hospital. La eligibilidad para asistencia financiera esta basada en el criterio establecido y la informacion contenida en esta solicitud.

Financial assistance application, policy and supporting documents

• Financial Assistance Policy [PDF]
• Política de Asistencia Financiera [PDF] – Español / Spanish
• Plain Language Summary
• Resumen en Términos Sencillos [PDF] – Español / Spanish
• Application for Financial Assistance [PDF]
• Solicitud para Asistencia Financiera [PDF] – Español / Spanish
• Ballad Financial Assistance Appeal [PDF]

Other links

• Exhibit A – Limitation of Charges [PDF]
• Exhibit B – Provider Participation List [PDF]
• U.S. Federal Poverty Guidelines
• Ballad Credit and Collections Policy [PDF]

Application mailing address

Please mail your application and supporting documents to:

Ballad Health 
Attn: Document Imaging 
PO Box 746465
Atlanta, GA 30374 
Fax: 423-854-4346

Alternatively, you can also give us your application in person at any Ballad Health facility.

Need help?

If you have any questions or need help completing the application, please call (888) 288-5174 between 8 a.m. and 4:30 p.m., Monday through Friday, or send an email to CBOPatientadvocate@balladhealth.org.