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

Who it's for

Sheridan County Hospital in Hoxie (AmberMed) offers financial assistance if your household income is not more than 250% of the federal poverty level. Discounts range from 80% for the lowest incomes (up to 150% of poverty) to 15% (225% to 250%). Patients above 250% may qualify for a 30% hardship discount. Fill out the Financial Assistance Application Packet with 3 months of income proof, 3 months of bank statements for all accounts and your most recent tax return, and return it within 14 days. Call the Business Office at 785-675-3018 with questions.

What you'll need

• 3 months of proof of wages (pay stubs, employer statement, W-2, 1099) or other income (Social Security, VA, pensions)
• Last 3 months of bank statements for all checking and savings accounts
• Copy of your most recent tax return

Where to apply

What to say when you call

"Hello, I'm calling to ask about Hospital financial assistance (Sheridan County Hospital) — Sheridan. 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 3 months of proof of wages (pay stubs, employer statement, W-2, 1099) or other income (Social Security, VA, pensions), last 3 months of bank statements for all checking and savings accounts, copy of your most recent tax return — 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)