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

Who it's for

Smith County Memorial Hospital in Smith Center has a financial assistance program for emergency and medically necessary care at the hospital and Smith County Family Practice. Household income must be less than 200% of the federal poverty level to qualify for free care. To have an application mailed to you, or with any questions, call the Financial Counselor at 785-686-3146.

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
• 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 (Smith County Memorial Hospital) — Smith. 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 — 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)