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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/help with medical bills 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:


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


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


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


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


2022 provider list

Click to  download a list of providers who do and do not participate in financial assistance determination.

NOTE: Providers that do not follow the hospital's financial assistance policy may have their own financial assistance policies, so please contact the provider directly if you have any questions regarding their policies.