How to apply for Hospital financial assistance (Pratt Regional Medical Center) — Pratt in Kansas

Who it's for

Pratt Regional Medical Center (PRMC) gives financial assistance for medically necessary care to patients whose family income is at or below 300% of the federal poverty level. If your household income is at or below 200%, the full bill is covered (100% adjustment). From 201% to 300%, you get a 75% adjustment. Uninsured hospital patients also get a 30% discount from gross charges. Financial assistance is used after insurance and government programs. You can apply during care or any time during billing. Send the application with proof of income, such as your most recent W-2 or tax return, to PRMC, Attn: Financial Assistance Determination, 200 Commodore St., Pratt, or bring it to the Financial Services office in the main lobby. You will get a decision within 14 business days after your complete application is received. Questions: call Customer Service at 620-302-1380 (hospital) or 620-450-1146 (clinic).

What you'll need

• Completed PRMC Financial Assistance Application
• Proof of family income (most recent W-2 or filed tax return)
• Other papers if needed, such as a Social Security benefits letter

Where to apply

What to say when you call

"Hello, I'm calling to ask about Hospital financial assistance (Pratt Regional Medical Center) — Pratt. 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 PRMC Financial Assistance Application, proof of family income (most recent W-2 or filed tax return), other papers if needed, such as a Social Security benefits letter — 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)