How to apply for Hospital Financial Assistance (Ozark Health) — Van Buren in Arkansas

Who it's for

Ozark Health in Clinton, a non-profit hospital, has a financial assistance program for people who are uninsured, underinsured, not eligible for a government program, or otherwise unable to pay for medically necessary care. If you may qualify for another program (such as Medicaid), you must apply for it first. Services must be diagnostic, urgent or emergent as decided by the ordering doctor. With the application, attach your latest tax return or three recent check stubs for every household member, three months of checking and savings statements, and any Social Security, disability or retirement award letters. Without documentation, assistance cannot be considered. For help with the application, call the financial counselor at 501-745-9521. Mail it to Ozark Health, Inc., P. O. Box 206, Clinton, AR 72031.

What you'll need

• Latest tax return or three recent check stubs from every household member
• Three months of checking and savings statements from every household member
• Social Security, disability and retirement award letters from every household member

Where to apply

What to say when you call

"Hello, I'm calling to ask about Hospital Financial Assistance (Ozark Health) — Van Buren. 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 latest tax return or three recent check stubs from every household member, three months of checking and savings statements from every household member, social Security, disability and retirement award letters from every household member — 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)