Baptist Health Deaconess Madisonville treats all patients, regardless of their ability to pay, for emergent and medically necessary care. If you know that you will be unable to pay your medical bills, contact the Patient Financial Services team immediately. Our staff will work with you to create a plan that fits your situation.
We offer financial assistance to low-income individuals and families, in addition to no-interest payment plans. We can usually work with patients to prevent bills going to collections or beyond, but you must contact us. We can’t help you if we don’t know you need help.
To be considered for financial assistance, please complete and submit an application (with requested attachments). If more information is needed to process your application, our financial assistance representatives will reach out to you. Processing your application may take 10-14 days. Additional processing time may be needed if more information is required.
If your accounts are currently in a Commerce Bank repayment plan, please indicate Commerce as an expense and the amount of your monthly payment. Additional processing time is required for balances with Commerce Bank.
Financial Assistance Application
Aplicacion de Asistencia Financiera
To learn more, contact the Financial Assistance team at 812-450-3435. Representatives are available Monday-Friday, 7 AM to 3:30 PM (CST), excluding major holidays and the Friday after Thanksgiving.
During the financial counseling process we will figure out if you qualify for health insurance coverage through federal or state programs such as Medicaid. If you are eligible for one of these programs, we will ask that you apply for coverage.
Your application may be completed and returned in several ways
Patients with a balance of $1,000.00 or more may now apply directly for financial assistance using MyChart. Just log in to MyChart, click on Your Menu and choose Financial Assistance under Billing. You will be guided to input your application information and upload all necessary documentation before submitting the information securely via MyChart. For balances less than $1,000.00, download the application and submit with all requested attachments via email, mail or fax. See below for further instructions.
Download the fillable application and type your information directly on the form. This will allow you to sign electronically. Save the completed form to your documents. You will then be able to return the form, proof of income, and other necessary documents as attachments via email to Financial.Assistance@deaconess.com.
Mail or Fax
Download and print the application. Fill the application out complete with black ink only, writing as much detail as possible.
Mail the form, proof of income, and other necessary documents to
Baptist Health Deaconess Madisonville Financial Assistance
PO Box 3366
Fax to 812-450-5261
Financial Assistance Policy
Plain Language Summary Charity Policy
Financial Assistance Participating Physicians
Patient Collections Policy
Financial Assistance Non Participating Physicians
Resumen del Programa de Asistencia Financiera
Politicia de Asistencia Financiera (Espanol)