How to apply for Hospital Financial Assistance (Simpson General Hospital) — Simpson in Mississippi

Who it's for

Simpson General Hospital in Mendenhall and its clinics serve all patients regardless of ability to pay, and offer financial assistance to people who are uninsured, underinsured, or would face hardship paying in full. Help is based on household income compared with the federal poverty guidelines: at or below 100%, you owe nothing for the hospital's care; between 101% and 250%, you may get discounted rates. Fill out the financial assistance form and send it with your income documents to Simpson General Hospital, Attn: Business Office, 1842 Simpson Hwy 149, Mendenhall, MS 39114, or apply in person. Call 601-847-7131 for information or an application.

What you'll need

• Financial assistance application
• Proof of income, such as last year's tax return, W-2, recent pay stubs, a letter from your employer, or bank statements
• Proof of retirement, pension or other income and the amount
• A current utility bill (form of ID)

Where to apply

What to say when you call

"Hello, I'm calling to ask about Hospital Financial Assistance (Simpson General Hospital) — Simpson. 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 financial assistance application, proof of income, such as last year's tax return, W-2, recent pay stubs, a letter from your employer, or bank statements, proof of retirement, pension or other income and the amount — 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

per application