How to apply for Hospital Financial Assistance (Saline Memorial Hospital) — Saline in Arkansas

Who it's for

Saline Memorial Hospital in Benton (Saline Health System) has a Financial Assistance Policy that gives free or discounted care to eligible patients getting medically necessary or emergency care. Discounted care uses a sliding scale for applicants whose annual household income is between 120% and 400% of the Federal Poverty Level; cash and other liquid assets are also considered. Patients may also qualify based on medical indigence, medical hardship or presumptive eligibility. Get an application at admission or from Patient Financial Services at 501-776-6049 or 501-776-6040, and turn it in with supporting documents in person or by mail to 1 Medical Park Drive, Benton, AR 72015.

What you'll need

• Completed financial assistance application
• Supporting documentation (ask Patient Financial Services what to include)

Where to apply

What to say when you call

"Hello, I'm calling to ask about Hospital Financial Assistance (Saline Memorial Hospital) — Saline. 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 documentation (ask Patient Financial Services what 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)