How to apply for Hospital Financial Assistance (Magnolia Regional Health Center) — Alcorn in Mississippi

Who it's for

Magnolia Regional Health Center in Corinth offers financial assistance, also called charity care, for hospital-based services. You may qualify for free or reduced-price care based on family size and income, even with health insurance. Financial assistance may not cover services from other organizations. The application asks for household size and gross monthly income, proof of income, a declaration of assets, and a copy of the most recent federal income tax return and W2 forms. A Social Security number is not required. Mail it to Magnolia Regional Health Center, Attention: Financial Counselors, 611 Alcorn Drive, Corinth, MS 38834, fax it to 662-293-6225, or bring it to Patient Financial Services, Monday to Friday, 8:00 a.m. to 5:00 p.m. A decision comes within 14 calendar days of a complete application. For help, call 662-293-1151.

What you'll need

• Completed Magnolia Regional financial assistance application
• Proof of income for all family members 18 or older (for example a W-2, current pay stubs for 3 months, or last year's tax return)
• Copy of the most recent federal income tax return and W2 forms

Where to apply

What to say when you call

"Hello, I'm calling to ask about Hospital Financial Assistance (Magnolia Regional Health Center) — Alcorn. 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 Magnolia Regional financial assistance application, proof of income for all family members 18 or older (for example a W-2, current pay stubs for 3 months, or last year's tax return), copy of the most recent federal income tax return and W2 forms — 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)