How to apply for Hospital Financial Assistance (Merit Health River Region) — Warren in Mississippi

Who it's for

Merit Health River Region, in Vicksburg, has a Financial Assistance Program for patients who get non-elective care, do not qualify for state or federal help, and cannot pay a large part of their bill. It offers a Charity Care Discount based on multiples of the U.S. Federal Poverty Guidelines, using income documents to decide. Fill out the Financial Assistance Program (FAP) application and return it to the hospital with the required documents, at the time of service or any time during your billing cycle. The hospital also screens patients for other coverage such as Medicaid. Call the hospital at (601) 883-5000 and ask for Customer Service, the Patient Access Director or a Financial Counselor.

What you'll need

• Financial Assistance Program (FAP) application
• Proof of income, such as last 4 pay stubs, a letter from your employer, Social Security benefits, last 3 months of bank statements, or last year's federal tax return
• Proof of expenses, such as a mortgage payment or rental agreement and copies of monthly bills

Where to apply

What to say when you call

"Hello, I'm calling to ask about Hospital Financial Assistance (Merit Health River Region) — Warren. 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 Program (FAP) application, proof of income, such as last 4 pay stubs, a letter from your employer, Social Security benefits, last 3 months of bank statements, or last year's federal tax return, proof of expenses, such as a mortgage payment or rental agreement and copies of monthly bills — 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