How to apply for Hospital Financial Assistance (South Sunflower County Hospital) — Sunflower in Mississippi

Who it's for

South Sunflower County Hospital in Indianola offers charity care or reduced charges for medically necessary care to people in its service area who are uninsured or underinsured and cannot pay. Under its policy, household income at or below 200% of the Federal Poverty Level can have the balance after insurance treated as charity care, and income from 201% to 299% can get a discount. Fill out a Financial Assistance Application and bring the required papers. You can apply up to 240 days after the first bill. Call the hospital at 662-887-5235.

What you'll need

• Completed Financial Assistance Application
• Most recent federal income tax return, including W-2 and/or 1099 forms
• Proof of address
• Last three pay stubs
• Photo ID

Where to apply

What to say when you call

"Hello, I'm calling to ask about Hospital Financial Assistance (South Sunflower County Hospital) — Sunflower. 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, most recent federal income tax return, including W-2 and/or 1099 forms, proof of address — 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)