How to apply for Hospital Financial Assistance (Winston Medical Center) — Winston in Mississippi

Who it's for

Winston Medical Center in Louisville has a financial assistance program that gives discounts, up to 100 percent of hospital charges, to patients who meet financial eligibility guidelines. Patients who qualify will not be charged more for medically necessary care than amounts generally billed to insured patients. Patients are asked to give health insurance information, apply for government programs they may qualify for, fill out a financial assistance application when needed, and provide the papers requested. The application asks for household income for the last 12 months, with recent pay stubs and W-2 forms or last year's tax return. Call the Business Office at 662-779-5127.

What you'll need

• Completed Winston Medical Center financial assistance application
• Most recent pay stubs showing year-to-date earnings for each job in the household in the last year
• W-2 forms for the prior year and/or last year's tax return
• Written statement from the person you pay rent to, if you live with someone else

Where to apply

What to say when you call

"Hello, I'm calling to ask about Hospital Financial Assistance (Winston Medical Center) — Winston. 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 Winston Medical Center financial assistance application, most recent pay stubs showing year-to-date earnings for each job in the household in the last year, w-2 forms for the prior year and/or last year's tax return — 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)