Financial assistance policy

Salem Health is committed to making sure our patients get the hospital care they need regardless of their ability to pay for that care. Providing health care to those who cannot afford to pay is part of our mission, so we provide free and discounted care to eligible patients. You may qualify for free or discounted care based on family size and income, even if you have health insurance.

How to apply

Any patient may apply to receive financial assistance/charity care by submitting an application form (found below) and providing supporting documentation. If you have questions, need help, or would like to request more information, please contact us:

550 Hawthorne Ave. SE, Suite 200, Salem OR 97301

  • By mail: To obtain paper documents via mail free of charge, call 503-562-4357
  • Online: Download and complete a Financial Assistance Application form from the list below

English

Plain Language Summary_English
Financial Assistance Application Form_English
Billing and Collections_English
Full Financial Assistance Policy_English

Spanish

Plain Language Summary_Spanish
Financial Assistance Application Form_Spanish
Billing and Collections_Spanish
Full Financial Assistance Policy_Spanish

Russian

Plain Language Summary_Russian
Financial Assistance Application Form_Russian
Billing and Collections_Russian
Full Financial Assistance Policy_Russian

Vietnamese

Plain Language Summary_Vietnamese
Financial Assistance Application Form_Vietnamese
Billing and Collections_Vietnamese
Full Financial Assistance Policy_Vietnamese

Have a question?

503-562-4357