How to apply for Hospital financial assistance (Amberwell Hiawatha) — Brown in Kansas

Who it's for

Amberwell Hiawatha, the hospital in Hiawatha, gives care to patients in its service area without regard to their ability to pay, and offers free or reduced-cost care to eligible people who cannot pay. Discounts are based on a percentage of the federal poverty guidelines, updated every year. Eligibility depends on where you live (you must be a permanent resident of the hospital's service area, which includes Hiawatha, Horton, Everest, Fairview, Morrill and other nearby towns), your gross income and your household size. The discount is applied only after all other payment sources are used. You can apply at the time of service or up to 240 days after your first statement. Applications are at the Financial Counselor's office, outpatient registration and Emergency Department registration. Call the Financial Counselor at 785-742-6397.

What you'll need

• Utility bill or other mail addressed to you at your permanent residence (a P.O. box is not accepted)
• Written proof of household income for three or twelve months

Where to apply

What to say when you call

"Hello, I'm calling to ask about Hospital financial assistance (Amberwell Hiawatha) — Brown. 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 utility bill or other mail addressed to you at your permanent residence (a P.O. box is not accepted), written proof of household income for three or twelve months — 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)