How to apply for Hospital financial assistance (F.W. Huston Medical Center) — Jefferson in Kansas

Who it's for

F.W. Huston Medical Center in Winchester treats patients in its service area without regard to their ability to pay. Its Financial Assistance Policy compares your household income and family size with the federal poverty guidelines: below 100% gets a 100% waiver of the bill, 100% to 150% gets an 80% waiver, and 150% to 225% gets a 50% waiver. A waiver lasts 90 days and covers hospital services in that time without reapplying. Send the application to the Business Office Manager with proof of income and family size, such as your latest federal tax return (1040) or a recent pay stub. A written decision comes within 30 days after all documents arrive. Call the hospital at 913-774-4340.

What you'll need

• Financial assistance application
• Proof of income and family size: most recent federal income tax return (1040), most recent pay stub with year-to-date amounts, or a federal or State of Kansas document showing you meet the federal poverty guidelines

Where to apply

What to say when you call

"Hello, I'm calling to ask about Hospital financial assistance (F.W. Huston Medical 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 financial assistance application, proof of income and family size: most recent federal income tax return (1040), most recent pay stub with year-to-date amounts, or a federal or State of Kansas document showing you meet the federal poverty guidelines — 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)