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

Who it's for

Osborne County Memorial Hospital provides essential medical services regardless of ability to pay. Discounts are based on household size and yearly income, using a sliding fee schedule updated each year with the federal poverty guidelines. Once approved, the discount lasts six months, then you must reapply. If you may qualify for Medicaid, a written Medicaid denial may be required. Return the Request for Financial Assistance to Osborne County Memorial Hospital/Goad Medical Clinic, P.O. Box 70, Osborne, KS 67473. Call the business office at 785-346-2121, Monday through Friday, 8 a.m. to 5 p.m.

What you'll need

• Current bank statement
• Proof of income for the most recent full month, such as pay stubs, Social Security, disability or pension
• Most recent federal income tax return (not just the W-2)
• Medicaid denial letter
• Copies of all unpaid medical bills

Where to apply

What to say when you call

"Hello, I'm calling to ask about Hospital financial assistance (Osborne County Memorial Hospital) — Osborne. 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 current bank statement, proof of income for the most recent full month, such as pay stubs, Social Security, disability or pension, most recent federal income tax return (not just the W-2) — 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)