Billing
Financial aid program
Illinois Valley Community Hospital affirms and maintains its commitment to serve our community in a manner consistent with our mission, vision, and value statements. These statements emphasize our commitment to meet the healthcare needs of our community through the provision of quality patient care. Within the limits of our resources, the use of our facility's services and efforts will be provided to aid all persons, regardless of their financial resources.
In order to qualify for assistance you must:
- Complete an application form (we’ll help if necessary).
- Provide documentation of income for the last 12 months, including federal tax form 1040 and the last three pay stubs for all household members.
- Provide evidence that you have pursued all other payment sources, including public aid
- Provide bank statements for the last two months for all household members.
Our Financial Assistance Application must be completed and signed by you. We use income guidelines established by the U.S. Dept. of Health and Human Services to determine if you are eligible for charity care. We do verify assets regarding your eligibility. So, please provide all the information promptly so we may try to help you as quickly as possible.
If you have any questions about IVCH Financial Aid or any other offers of assistance, please call our Billing Department or the Patient Financial Services Supervisor at 815.780.3418.
Download our Financial Assistance Application here. Print the form, complete it, and then bring or mail it with appropriate documentation to:
IVCH
925 West St.
Peru, IL 61354
Attention: Patient Financial Services
