How to apply for Hospital Financial Assistance (Wayne County Hospital) — Wayne in Iowa

Who it's for

Wayne County Hospital in Corydon offers charity care to patients who show a clear need. You fill out an application about your finances, and the hospital compares your income to the federal poverty guidelines for your family size; the charity allowance can be a full or partial write-off of charges. You may be asked for proof of income, such as pay stubs, a tax return or bank statements, and you must apply for Medicaid and show a denial. Call the Business Office at 641-872-5293.

What you'll need

• Completed charity care application
• Proof of income (paycheck stubs from the current month, income tax return, or bank statements for self-employed)
• Proof of Medicaid denial

Where to apply

What to say when you call

"Hello, I'm calling to ask about Hospital Financial Assistance (Wayne County Hospital) — Wayne. 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 charity care application, proof of income (paycheck stubs from the current month, income tax return, or bank statements for self-employed), proof of Medicaid denial — 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)