How to apply for Hospital financial assistance (Horn Memorial Hospital (Ida Grove)) — Ida in Iowa

Who it's for

Horn Memorial Hospital in Ida Grove does not deny anyone services because they cannot pay. A discounted, sliding fee schedule based on family size and income is available, and staff can help you get financial assistance or set up a payment plan. To apply, send a signed Financial Assistance Application, a copy of your current federal tax return, and copies of your last 3 pay stubs or Social Security income statements. Call the Financial Counselor at 712-364-7219, Monday to Friday during business hours.

What you'll need

• Signed and completed Financial Assistance Application
• Copy of your current federal tax return
• Copies of your last 3 pay stubs or Social Security income statements

Where to apply

What to say when you call

"Hello, I'm calling to ask about Hospital financial assistance (Horn Memorial Hospital (Ida Grove)) — Ida. 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 signed and completed Financial Assistance Application, copy of your current federal tax return, copies of your last 3 pay stubs or Social Security income statements — 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

per application