How to apply for Hospital Financial Assistance (Baptist Health Shelby Hospital) — Shelby

Who it's for

Baptist Health Shelby Hospital in Alabaster offers financial assistance for emergency or medically necessary care to patients with limited or no resources. If your income is at or below 225% of the federal poverty level for your family size, the bill can be covered in full. Help is based on income, family size, assets and other resources. To apply, fill out the Guarantor Financial Statement Application. Call 205-592-1216 or 800-443-1039 for help with the application.

What you'll need

• Guarantor Financial Statement Application (GFSA)
• Paperwork about your income, assets and health benefits, such as bank statements, income tax forms, or check stubs

Where to apply

What to say when you call

"Hello, I'm calling to ask about Hospital Financial Assistance (Baptist Health Shelby Hospital) — Shelby. 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 guarantor Financial Statement Application (GFSA), paperwork about your income, assets and health benefits, such as bank statements, income tax forms, or check stubs — 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)