How to apply for Hospital Financial Assistance (Ashley County Medical Center) — Ashley in Arkansas

Who it's for

Ashley County Medical Center in Crossett is a not-for-profit critical access hospital that gives emergency and medically necessary care regardless of ability to pay. Its financial assistance program lowers the hospital bill on a sliding fee scale based on income and family size. People with income up to 225% of the Federal Poverty Guideline can be considered for help of up to 100% of the bill. Fill out an application; the Financial Counseling Supervisor reviews it and sends a decision letter within 10 business days of getting a complete application. Copies of the policy and application are on the hospital website, at the Financial Counseling or Admissions offices, or at the Emergency Room registration desk. Call the Financial Counseling Supervisor at 870-364-0505 to ask how to apply or to get a copy mailed free.

What you'll need

• Completed Ashley County Medical Center Application for Uncompensated Care
• Proof of household income (recent pay stub, tax return, Social Security or disability statement, or other income papers)
• Proof of monthly bills (such as a payment coupon or monthly statement)

Where to apply

What to say when you call

"Hello, I'm calling to ask about Hospital Financial Assistance (Ashley County Medical Center) — Ashley. 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 Ashley County Medical Center Application for Uncompensated Care, proof of household income (recent pay stub, tax return, Social Security or disability statement, or other income papers), proof of monthly bills (such as a payment coupon or monthly statement) — 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)