How to apply for Hospital financial assistance (Kiowa County Memorial Hospital) — Kiowa in Kansas

Who it's for

Kiowa County Memorial Hospital in Greensburg offers financial assistance to patients who cannot pay for emergency or medically necessary care. Help is for patients who are uninsured or underinsured, and partial or full help is based on your ability to pay. The hospital looks at your income (using federal poverty level guidelines), family size, assets, insurance and other ways to pay. You must turn in tax returns, bank statements and pay stubs with the application. Help covers care at the hospital and Greensburg Family Practice only, not travel, food, lodging, medical equipment or prescriptions. Call the Business Office at 620-723-3341 (Monday to Friday, 8 a.m. to 5 p.m.) or visit 721 West Kansas, Greensburg.

What you'll need

• Completed financial assistance application
• Tax returns
• Bank statements
• Pay stubs

Where to apply

What to say when you call

"Hello, I'm calling to ask about Hospital financial assistance (Kiowa County Memorial Hospital) — Kiowa. 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 financial assistance application, tax returns, bank statements — 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)