Payment Options

ONLINE CREDIT AND DEBIT CARD PAYMENT OPTION

Goshen General Hospital offers a convenient, online payment option for your hospital bills, at no additional charge. Payments may be made with MasterCard, Discover or Visa. To pay your bill(s) online, please click here or directly on the "Pay Now!" symbol.

FINANCIAL ASSISTANCE

Goshen General Hospital offers a financial assistance program to those patients unable to pay all or a portion of their balance and who are unable to qualify for assistance through federal and state government assistance programs.

To complete the preliminary application, please download and print out our Financial Assistance Application to obtain the additional required documentation.

Download the application:  English |  Spanish

Download agreement:  English |  Spanish

Complete and mail the application to:

Goshen General Hospital
Attn: Financial Advocate
200 High Park Avenue
Goshen, IN 46526

FIRST SOURCE BANK LOAN OPTION

Goshen General Hospital and 1st Source Bank have joined together to offer you a flexible and affordable financing solution for your medical care. Our partnership with 1st Source Bank will enable you to consider more options for payment plans that have greater flexibility and in many cases, lower your monthly payment over an extended period of time. This financing option offers you the following:

• competitive fixed rate

reasonable monthly payments

minimum loan amount of $500

• no penalty for early repayment
• the convenience of closing your loan at any 1st Source banking center

To apply:

Download the application: English | Spanish
Complete and mail the application to:

1st Source Bank
LoanSource
P.O. Box 1602
South Bend, IN 46699-0070

Give LoanSource a call at 888-255-6644 to complete the application process

GGH PAYMENT PLAN OPTION

Goshen General Hospital offers 4 or 6 month payment plan options for your hospital bills. For more information, please contact Patient Financial Services at 574-535-2420.