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)

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For more information visit: www.ssa.gov

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Fees

Our fees are based on standard guidelines set by CMS (Center for Medicare and Medicaid services.)

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Insurance

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.

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It is your responsibility to pay any deductible amounts, co-insurance or any other balance not paid by your insurance company.

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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:

Chester Clinic

Attention: Patient Accounts

2319 Old Plank Road

Chester, IL 62233

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To apply for Charity Care at Memorial Hospital follow the instructions on the hospital page here.

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Financial Policy

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.

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Privacy Policy

This Notice of Privacy Practices describes how we may use and disclose your protected health information (PHI) to carry our treatment, payment or health care operations (TPO) and for other purposes that are permitted or required by law. It also describes your rights to access and control your protected health information. (See our Privacy Policy)