Through our exceptional health
care services, we reveal
the healing presence of God.

Financial Assistance 

SSM Health (SSM) is committed to providing financial assistance to people who are without insurance, underinsured, ineligible for a government program, or otherwise unable to pay for medically necessary care. SSM Health will provide care of emergency medical conditions to individuals regardless of their ability to pay.

Our Financial Assistance Application is available for download in 13 languages:

 Arabic / العربية  Chinese / 中国  English 
 French / français  German / Deutsch  Hmong / hmôNG
 Korean / 한국의  Laotian / ລາວ  Russian / русский
 Serbo-Croatian  Spanish / español  Tagalong
 Vietnamese / tiếng Việt    

How is financial assistance determined?
Financial assistance is based on need and determined by Federal Poverty Levels, which includes income and number of family members. Financial need does not consider age, gender, race, social or immigrant status, sexual orientation or religious affiliation.  

To apply for financial assistance, you must complete a Financial Assistance Application. To request a free application be mailed to you, call (855) 989-6789 or visit ssmhealth.com/financialaid. The following documentation should be included with your application:
  • Checking & savings account statements (last three months)
  • Verification of income (last two months)
  • Last year’s federal tax return or non-filing letter 

Physicians covered by SSM Health Financial Assistance Policy
Review our list of physicians to determine if your doctor is covered under SSM Health's Financial Assistance Policy. To search by name, specialty, or hospital hold the "CTRL" and "F" keys at the same time. A search box will appear that you can use to find your physician quickly. Any questions about financial assistance for your physician and/or professional services should be directed to that provider's office.

Submit your application and documentation.
Submit your application and all requested documentation by mail, email, fax or in person. Be assured that SSM Health understands the sensitivity of your personal information and works hard to protect your privacy.


By Mail     
SSM Health: Patient Business Services                    
Attn: Financial Assistance 
P.O. Box 28205   
St. Louis, MO  63132
  By Fax
(314) 989-6734

By Email 

Contact Customer Service
For more information about financial assistance, contact an SSM Health customer service representative toll free at (855) 989-6789, Monday through Friday, 8 am – 5 pm CST.

A customer service representative can also provide a copy of our billing and collections policy, which describes the actions that SSM Health may take in the event of nonpayment and is provided for free upon request.

Our Financial Assistance Policy / Billing & Collections Policies are available for download:
Financial Assistance Policy, AGB% and Billing & Collection Policy.




St. Mary's Hospital     700 South Park Street     Madison, WI 53715-0450     (608) 251-6100
Copyright ©     St. Mary's Hospital
All Rights Reserved.     A Member of SSM Health
SSM Health Care Wisconsin