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

Who it's for

Wayne General Hospital in Waynesboro offers financial assistance on a sliding scale for emergency and other medically necessary care for patients who do not have insurance and whose family income is not more than 150% of the federal poverty guidelines. Income from 100% to 109% of the guidelines gets a 100% discount, 110% to 119% gets 80%, 120% to 129% gets 60%, 130% to 139% gets 40%, and 140% to 149% gets 20%. Charges will not be more than amounts generally billed to insured patients. Fill out the Financial Assistance Application and return it with supporting documents to the Financial Services Department, or mail it to Wayne General Hospital, P.O. Box 1249, Waynesboro, MS 39367. For questions or payment arrangements, call 601-735-7105 (Monday to Friday, 8:00 a.m. to 4:30 p.m.).

What you'll need

• Financial Assistance Application
• Supporting documentation listed on the application

Where to apply

What to say when you call

"Hello, I'm calling to ask about Hospital Financial Assistance (Wayne General Hospital) — Wayne. 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, supporting documentation listed on the application — 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)