How to apply for Hospital Financial Assistance (Grover C. Dils Medical Center) — Lincoln

Who it's for

Grover C. Dils Medical Center in Caliente serves all patients regardless of ability to pay. Discounts for essential services are offered based on family size and income. To ask for help with a hospital bill, fill out the Hospital Financial Assistance Application and send it with proof of income for everyone in the household. Eligibility is based only on family size and income. For questions, call Patient Financial Services at 775-726-8011.

What you'll need

• Completed Financial Assistance Application
• A brief letter explaining your situation and why you need help with medical bills
• Proof of the last 30 days of income (pay stubs, Social Security, retirement, disability, or unemployment letters)
• Last two years of tax returns, or last 3 bank statements if you did not file taxes

Where to apply

What to say when you call

"Hello, I'm calling to ask about Hospital Financial Assistance (Grover C. Dils Medical Center) — Lincoln. 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, a brief letter explaining your situation and why you need help with medical bills, proof of the last 30 days of income (pay stubs, Social Security, retirement, disability, or unemployment letters) — 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 (reapply as needed)