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

Who it's for

Chambers Memorial Hospital in Danville offers financial assistance for emergency and other medically necessary care to people who are uninsured, underinsured, or for whom paying out-of-pocket costs would be a hardship. Under its summary, household income at or below 110% of the federal poverty guidelines means no financial responsibility for care given by the hospital, and income from 111% up to 300% may get discounted rates. Fill out the Financial Assistance Application and send it with supporting documents to Patient Financial Services, Chambers Memorial Hospital, P.O. Box 639, Danville, AR 72833, or visit the Billing Office at 719 Detroit Street. Call 479-495-6355, 8 a.m. to 4:30 p.m.

What you'll need

• Completed Financial Assistance Application
• Supporting documents (call to ask which ones)

Where to apply

What to say when you call

"Hello, I'm calling to ask about Hospital Financial Assistance (Chambers Memorial Hospital) — Yell. 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 (call to ask which ones) — 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)