How to apply for Hospital Financial Assistance (Great Plains Regional Medical Center) — Beckham

Who it's for

Great Plains Regional Medical Center in Elk City offers financial assistance to people who are uninsured, underinsured, or would face financial hardship paying their share of the bill. Eligibility is based on gross household income compared with the Federal Poverty Level; an assistance adjustment is available if household income is at or below 200% of the federal poverty guidelines. To apply, fill out the Financial Assistance Form and turn it in with supporting documents to the Patient Financial Representative in the hospital's Admission Department at 1801 W 3rd St., Elk City. Call the Business Office Monday through Friday, 8 a.m. to 5 p.m., at 580-821-5519.

What you'll need

• Completed Financial Assistance Form
• Supporting documents

Where to apply

What to say when you call

"Hello, I'm calling to ask about Hospital Financial Assistance (Great Plains Regional Medical Center) — Beckham. 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 Form, supporting documents — 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)