How to apply for Hospital Financial Assistance (Southeast Health Medical Center) — Henry

Who it's for

Henry County has no hospital of its own; Southeast Health in nearby Dothan is the closest full-service hospital. It offers financial assistance to patients who have no health insurance and cannot pay their bill, as discounts based on income, assets and need. Patients must first apply for any state assistance they may qualify for, such as Medicaid. Call Patient Financial Services at 334-712-3713, Monday to Friday, 8:00 am to 4:30 pm.

What you'll need

• Completed and signed Application for Financial Assistance
• Most recent federal tax return, including W-2s and all schedules
• Two most recent pay stubs for all wage earners in the household
• Proof of Social Security, disability, pension, food stamp and child support income for all household members
• Your latest utility bill
• 'No Income' forms for household members over 18 who do not work

Where to apply

What to say when you call

"Hello, I'm calling to ask about Hospital Financial Assistance (Southeast Health Medical Center) — Henry. I'd like to know whether I may qualify, what documents I need, and whether I can apply online, by mail, by phone, or in person. I understand I may need completed and signed Application for Financial Assistance, most recent federal tax return, including W-2s and all schedules, two most recent pay stubs for all wage earners in the household — is anything else required? What is the best next step?"

Tip: have a pen ready, ask for the person's name, and write down any case or reference number they give you.

Renewals

annual (reapply per policy)