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Financial Assistance Policy

Tift Regional Health System, Inc. (TRHS), a not-for-profit health system, was established to serve the health needs of the patients and communities we serve. TRHS is committed to providing health services to patients regardless of their ability to pay. TRHS recognizes that not all patients have the financial resources to pay their hospital bill. 

The Financial Assistance Program offers emergency and other medically necessary services at no cost to qualified patients. Whether patients are uninsured or underinsured, they can apply for financial assistance. Our Financial Counseling staff and a third party service will assist individuals in applying for eligible government health insurance programs and completing the financial assistance application, free of charge. Upon approval patients may receive the following assistance:

2022 Federal Poverty Guidelines (FPG)
Indigent/Charity Income Levels
ANNUAL INCOME LEVELS

2022 INCOME LEVEL per Year
Family Size
Federal Poverty Level
125% Indigent

100% Reduction
225% Charity

100% Reduction
1
$13,590
$16,988
$30,578
2
$18,310
$22,888
$41,198
3
$23,030
$28,788
$51,818
4
$27,750
$34,688
$62,438
5
$32,470
$40,588
$73,058
6
$37,190
$46,488
$83,678
7
$41,910
$52,388
$94,298
8
$46,630
$58,288
$104,918
For family units over 8
$4,720 per year for each additional member.
$5,900 per year for each additional member.
$10,620 per year for each additional member.

How to Obtain Copies of our Financial Assistance Program Policy and Application

You may obtain a copy of our policy and application form free of charge in the following ways:

  • Click below to download the form
  • Additional Forms
  • Visit our Financial Counseling office located at:

Request copies to be mailed or sent electronically by calling (229) 353-6124, option 2; or, send an e-mail to PFSFinancialCounselor@tiftregional.com

Providers Not Covered Under the Financial Assistance Policy

Certain physicians are not covered under the TRHS Financial Assistance policy. Please click on the link below (Appendix A) for a complete list or contact us at (229) 353-6124, option 2 for more information.

Return your completed application to:

If approved, financial assistance will apply to:

Important: Patients/guarantors may apply for financial assistance at any time up to two hundred forty (240) days after the first post-discharge billing statement is available.