Patients & Visitors

Indiana Regional Medical Center’s I-Care (IRMC) Fund helps eligible patients receive health care services at little or no cost, depending on their family income. Please see the following table to determine your eligibility and share of covered charges:

Income Range Less Than or Equal to
Family Size	Category A	Category B	Category C	Category D
1	$10,890	$21,780	$32,670	$43,560
2	$14,710	$29,420	$44,130	$58,840
3	$18,530	$37,060	$55,590	$74,120
4	$22,350	$44,700	$67,050	$89,400
5	$26,170	$52,340	$78,510	$104,680
6	$29,990	$59,980	$89,970	$119,960
7	$33,810	$67,620	$101,430	$135,240
8	$37,630	$75,260	$112,890	$150,520
For each additional person, add:	$3,820	$7,640	$11,460	$15,280

If your family income is less than or equal to the amount in category A, you are eligible for free health care services. These figures are defined by the Department of Health and Human Services guidelines for the period March 20, 2011, to March 20, 2012.

The patient’s share of charges is as follows:

• Category A: 0 percent
• Category B: 25 percent
• Category C: 50 Percent
• Category D: 75 percent

For more information, call 724.357.7020, 724.357.7022 or 724.357.8173. For your convenience, an IRMC representative will make a written determination of your eligibility for the I-Care Fund within two business days of your request.

Application Process

If you are interested in applying for the I-Care Fund, download the I-Care Fund application (PDF). Please complete the following:

1. List applicant's name, address and social security number on the form.

2. List dependent's names and ages in space provided.

3. List phone number in space provided.

4. Mail or bring to the Patient Financial Services Office along with one of the following:

• Copy of pay stub from the last three months, plus last year's tax return.
• Copy of social security check.
• Copy of any other income you receive.

5. Completed application can be mailed or returned in person to:

Indiana Regional Medical Center
Attn: Billing Dept/PFS
P.O. BOX 788
Indiana, PA 15701-0788

The I-Care office is located on the second floor of the Out-Patient Services Building. Walk-in applications will be taken on Tuesday from 8 a.m. to noon, Wednesday from 8 a.m. to 3:30 p.m. and Thursday from 11:30 a.m. to 3:30 p.m.

Contact Us

Sheila Henry
Phone: 724.357.7018

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