How to apply for Hospital financial assistance (Hodgeman County Health Center) — Hodgeman in Kansas

Who it's for

Hodgeman County Health Center in Jetmore has a financial assistance application for people who need help with medical bills. Fill out the application with proof of income, copies of your monthly expenses, and any Medicaid or other benefit approval or denial. The hospital's administration decides eligibility. Until your application is approved, you are still responsible for your bill. Mail or bring the form to the Business Office, 809 W. Bramley, Jetmore. For questions, call 620-357-8361.

What you'll need

• Proof of income: 2–3 recent pay stubs, a W-2, last year's income tax return, an unemployment approval or denial, or written statements from employers
• Copies of all monthly expenses listed on the application
• Approval or denial of Medicaid, medical assistance or other benefits

Where to apply

What to say when you call

"Hello, I'm calling to ask about Hospital financial assistance (Hodgeman County Health Center) — Hodgeman. 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 proof of income: 2–3 recent pay stubs, a W-2, last year's income tax return, an unemployment approval or denial, or written statements from employers, copies of all monthly expenses listed on the application, approval or denial of Medicaid, medical assistance or other benefits — 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)