How to apply for Hospital Financial Assistance (Johnson Regional Medical Center) — Johnson in Arkansas

Who it's for

Johnson Regional Medical Center in Clarksville offers financial assistance and charity care for emergency and other medically necessary hospital care. Under its policy, applicants with household income at or below 200% of the Federal Poverty Guidelines qualify for free care, and those between 201% and 300% may get partial charity on a sliding scale; assets under $8,000 (individual) or $12,000 (household) qualify for full charity. Uninsured patients automatically get a 45% discount. You must have lived in Arkansas for six months. Complete a Financial Assistance Application and return it to the Financial Counselor in the Admissions Department at 1100 E. Poplar St., Clarksville, or call the JRMC Business Office Financial Counselor at 479-754-5404. Approval lasts 90 days. The policy covers hospital charges only, not outside physicians.

What you'll need

• Completed Financial Assistance Application
• Supporting documents to verify household income (call the Financial Counselor if you are missing some)

Where to apply

What to say when you call

"Hello, I'm calling to ask about Hospital Financial Assistance (Johnson Regional Medical Center) — Johnson. 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 Financial Assistance Application, supporting documents to verify household income (call the Financial Counselor if you are missing some) — 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

every 90 days (reapply per policy)