How to apply for Hospital Financial Assistance (St. Bernards Five Rivers Medical Center) — Randolph in Arkansas

Who it's for

St. Bernards Five Rivers Medical Center in Pocahontas, part of St. Bernards Healthcare, offers financial assistance to people who are uninsured, underinsured, not eligible for government programs, have low income, or otherwise cannot pay for medically necessary care. It is a Rural Emergency Hospital, which offers emergency and outpatient care but not inpatient stays. Download the financial assistance summary, policy (policy #1253) and application from the St. Bernards website, and mail the completed application to St. Bernards Five Rivers Medical Center Attn: Financial Assistance 2801 Medical Center Drive Pocahontas, AR 72455. For help, ask an admissions representative or call a financial counselor at 870.892.6000 or 870.892.6221.

What you'll need

• Completed St. Bernards Financial Assistance Application
• Call a financial counselor to ask what proof to include

Where to apply

What to say when you call

"Hello, I'm calling to ask about Hospital Financial Assistance (St. Bernards Five Rivers Medical Center) — Randolph. 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 St. Bernards Financial Assistance Application, call a financial counselor to ask what proof to include — 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)