Financial Assistance and Charity Care - St. Mary's Good Samaritan Hospital

In the spirit of our mission to serve together in the spirit of the Gospel as a compassionate and transforming healing presence within our communities, St. Mary's Good Samaritan Hospital is committed to providing healthcare services to all patients based on medical necessity.

For patients who require financial assistance or who are experiencing temporary financial hardship, St. Mary's offers several assistance and payment options, including charity and discounted care, short term and long term payment plans and online patient payment capabilities.

To apply for financial assistance, please complete and submit the application. The application is available in English and Spanish.

  • Financial Assistance Full Policy: English / Spanish          

Please contact our financial counselor office to discuss your financial needs so we can assist you in determining the best option available for you. Our phone number is (706) 453-5032.

Written copies of the application, plain language summary or the full policy can also be obtained from a financial counselor at the hospital. Copies may also be requested by emailing: billing@stmarysathens.org or by mailing to the hospital address below:

St. Mary's Good Samaritan Hospital   
Attn: Patient Access
5401 Lake Oconee Parkway
Greensboro, GA 30642-4232

Thank you for choosing St. Mary's. We look forward to serving you.

For information on insurance plans contracted with St. Mary’s Good Samaritan, please see our insurance page.


Patient Financial Services

Financial counselors are available to work with patients in completing financial assistance applications to determine what assistance is available. This includes assessing eligibility for Medicaid and Health Insurance Exchange plans.

Patients may contact a financial counselor at the hospital who can assist in determining qualification for financial assistance by calling (706) 453-5032.

The Health Insurance Marketplace

The Affordable Care Act (ACA) requires everyone legally living in the U.S. to have health insurance beginning January 1, 2014. It also gives millions of individuals with too little or no insurance, access to health plans at different cost levels. The law also provides financial assistance to those who qualify based on family size and income. Open enrollment for the health insurance exchange marketplace begins in November. Please see a financial counselor at the facility where you receive care for more information.