How to apply for Hospital Financial Assistance (Newman Memorial Hospital) — Ellis

Who it's for

Newman Memorial Hospital in Shattuck offers financial assistance through its Financial Assistance/Charity Care Policy to patients who cannot pay for emergency or medically necessary care, whether they are uninsured or underinsured. Help can be partial or full and is based on income (using Federal Poverty Level guidelines), family size, assets, insurance, and the care needed. Uninsured patients can also get a 20% prompt-pay discount if the balance is paid in full within 30 days of the first statement. To apply, fill out the financial assistance form and send it with last year's tax returns or your three most recent pay stubs, or apply in person at the Business Office. You must also apply for other help you may qualify for, such as Medicaid or Medicare. Call Patient Business Services at 580-938-2551, 8 a.m. to 5 p.m., Monday through Friday.

What you'll need

• Financial assistance form
• Last year's tax returns or three most recent pay stubs

Where to apply

What to say when you call

"Hello, I'm calling to ask about Hospital Financial Assistance (Newman Memorial Hospital) — Ellis. 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 form, last year's tax returns or three most recent pay stubs — 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)