Chester Clinic &
Steeleville Family Practice
Have limited income? Social Security can help with prescription costs.
Find out if you are eligible and ask for help with Medicare prescription costs. Complete your application for help today. or call 1-800-772-1213 (TTY 1-800-325-0778)
For more information visit: www.ssa.gov
Our fees are based on standard guidelines set by CMS (Center for Medicare and Medicaid services.)
Our practice participates with numerous insurance companies. For patients who are beneficiaries of one of these insurance companies, our billing office will submit a claim for services rendered. All necessary insurance information, including special forms, must be completed by the patient.
It is your responsibility to pay any deductible amounts, co-insurance or any other balance not paid by your insurance company.
If a patient has insurance in which we do not participate, our office is happy to file a claim upon request; however, the patient will be responsible for any out of network expenses that may incur.
To apply for financial assistance at one of the rural health clinics, follow the directions below:
Print the Financial Application (Download Here)
View the Sliding Fee Discount Schedule Here
Complete and sign the application.
Return the application, along with copies of supporting documentation to the Patient Accounts Department. The application may either be delivered in person or sent by mail to:
Attention: Patient Accounts
2319 Old Plank Road
Chester, IL 62233
To apply for Charity Care at Memorial Hospital follow the instructions on the hospital page here.
Persons may be eligible for financial assistance with their medical bills under the terms and conditions Chester Clinic/Steeleville Family Practice offers to qualified patients (See our Financial Policy: English, Spanish). For more information, please contact the Patient Accounts Department at 618-826-2388 ext: 5103.