How to apply for Hospital Financial Assistance (Madison Parish Hospital) — Madison Parish
Madison Parish Hospital
Who it's for
Madison Parish Hospital in Tallulah and its Rural Health Clinic offer discounts on essential services based on family size and family income, using a sliding fee scale. You must apply, show proof of income, and qualify. Call Agnes Johnson at the hospital at 318-651-5629 for help, including with the IRS non-filing form if you did not file taxes.
Charity care is income-based and set by the hospital's financial assistance policy; the hospital makes the final award decision.
People who qualify for one senior program often qualify for others. See everything you may qualify for — free, no SSN, about five minutes.
Find my benefitsWhat you'll need
- Completed Financial Assistance Application
- Copy of prior year tax return
- Proof of 3 months of current income
- Social Security, disability, or unemployment check or award letter
- IRS Form 4506-T, if you did not file a tax return last year
Where to apply
Apply online: official application
By phone: 1-318-651-5629
What to say when you call
"Hello, I'm calling to ask about Hospital Financial Assistance (Madison Parish Hospital) — Madison Parish. 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, copy of prior year tax return, proof of 3 months of current income — 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)
Not sure if you qualify? Run a free check first.
Find my benefitsNot legal or financial advice. The agency makes the final eligibility decision.