As a community-based, not-for-profit health care system, it is
our mission to provide high quality health care services to anyone
that needs it, regardless of their ability to pay. Our
billing representatives are more than happy to work with you to
create a payment plan for your account.
You can apply for financial assistance through the Ohio Hospital
Care Assurance Program (HCAP) by completing our online form.
Click here to
download a pdf and print this form.
Once you complete the form, please
print, sign and return it to:
Lima Memorial Patient Accounts Department
1001 Bellefontaine Ave.
Lima, OH 45804
The Hospital Care Assurance Program (HCAP) is the Ohio
Department of Job and Family Services' mechanism for meeting the
federal requirement to provide additional payments to hospitals
which provide a disproportionate share of uncompensated services to
the indigent and uninsured.
For hospital services provided by Lima Memorial Health System on
or after May 22, 1992, a person may be eligible for basic medically
necessary hospital services at no charge if their income is at or
below the federal poverty guidelines in accordance with Ohio
Revised Code (occurred) section 5112.17. Any account that has
occurred within the last three years could be eligible for
HCAP based on the patients income and family size.
Questions? Call Lima Memorial's Patient Accounts Department at