Financial AssistanceEligibility Checker "*" indicates required fields Thanks for using our Eligibility Checker for Financial Assistance! Answer the following 2 questions to see if you may be eligible for a discount on your Southern Ohio Medical Center bills.Including yourself, how many people are in your immediate family?*This is the total number of people that are included on your Federal Tax return, or would be included if you filed a return.Please enter a number from 1 to 10.What is your estimated gross MONTHLY household income?*This is current household monthly income before taxes.Please enter a number from 0 to 1000000.This field is hidden when viewing the formPhone # For Text (Optional)This field is hidden when viewing the formFamily AdditionalsThis field is hidden when viewing the formFamily Additional Total 5500This field is hidden when viewing the formYearly Rate 15650This field is hidden when viewing the formCalculated % FPLThis field is hidden when viewing the formAnnual IncomeCommentsThis field is for validation purposes and should be left unchanged.
