How to apply for Hospital Financial Assistance (Jefferson County Health Center) — Jefferson in Iowa

Who it's for

Jefferson County Health Center in Fairfield offers discounted care through its Financial Assistance Program. To qualify, you must be a current Iowa resident and meet the federal poverty guidelines. Based on family size and household income, a discount of 10% to 100% may apply to hospital accounts. Approval is good for six months. Services billed by outside groups are not covered. Return the application to the Financial Counselor at 2000 S. Main, Fairfield, or call the Financial Counselor at 641-469-4311.

What you'll need

• Completed and signed application
• Proof of income (pay stubs, tax return/W-2, self-employment worksheet, or bank statement showing monthly deposits)

Where to apply

What to say when you call

"Hello, I'm calling to ask about Hospital Financial Assistance (Jefferson County Health Center) — Jefferson. 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 and signed application, proof of income (pay stubs, tax return/W-2, self-employment worksheet, or bank statement showing monthly deposits) — 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)