Financial Assistance Program
Abbeville General Hospital will offer help to those who
cannot afford their prescription medications starting January
2008. Starting after the first of the year, on Tuesdays
Abbeville General Hospital will have a Financial Aid
Coordinator in our Abbeville General Hospital Clinic (Rural
Health Clinic) located at 2419 Alonzo St, Abbeville, LA and on
Thursdays at our Maurice Community Care Clinic (Rural Health
Clinic) located at 207 Milton Rd, Maurice,
LA.
Our mission is to reach each and every person in Vermilion
Parish and surrounding parishes who are struggling to pay for
their medication with a message of hope.
Our Financial Aid Coordinator will also be available on
these days for Financial Assistance offering assistance to
uninsured patients to give them access to medical care at a
sliding fee discounted rate.
To apply for Sliding Fee Scale (also known as Uncompensated
Care) please click on the link below, print and fill out the
application and return it to the address listed on the
application or return it in person to the Financial Assistance
Office with the required documents.
Sliding Fee
Application
To apply for the Prescription Assistance Program please
click the link below and print and fill out the application
and bring it in to one of the above listed clinics on the day
of the program with the required documents:
Yearly membership fee=$30.00 must be paid that day
Previous month’s proof of income. Example-paycheck stubs,
letter from employer stating gross monthly income, copy of
social security income letter or check or rental income
receipts.
Previous year’s Federal income tax returns (1040’s).
Prescription
Assistance Application
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