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

Who it's for

Yalobusha General Hospital in Water Valley, part of Yalobusha Health Services, has a Charity Care program. It gives discounted care to people who are uninsured or underinsured and have no means, or limited means, to pay for their medical care. No one is refused service because they cannot pay. A sliding fee schedule based on the Federal Poverty Guidelines decides the discount. Fill out the Charity Application, list everyone in your household and their income, and return it with proof of income to the Business Office where you got care. Call the Business Office at 662-473-5257.

What you'll need

• Yalobusha Health Services Charity Application
• Proof of income, such as pay stubs for the last three months, last year's tax return or W2 form, federal and state assistance documents, child support papers, or pension or retirement statements

Where to apply

What to say when you call

"Hello, I'm calling to ask about Hospital Financial Assistance (Yalobusha General Hospital) — Yalobusha. 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 yalobusha Health Services Charity Application, proof of income, such as pay stubs for the last three months, last year's tax return or W2 form, federal and state assistance documents, child support papers, or pension or retirement statements — 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