How to apply for Hospital Financial Assistance (Grady Memorial Hospital) — Grady

Who it's for

Grady Memorial Hospital in Chickasha offers charity care and payment assistance for patients who cannot pay their hospital bills. A key test is household income below 300% of the federal poverty guideline, along with limited assets. Under the 2025 policy, income below poverty can get a 100% discount, and the discount steps down as income rises: 90% at 100–119% of poverty, 80% at 120–139%, 70% at 140–169%, 60% at 170–199%, 50% at 200–249%, and 30% at 250–299%. Fill out the Application for Payment Assistance and attach the documents on its checklist; the application must be returned within 30 days. For questions about your account, call the Business Office at 405-779-2267, Monday through Friday, 8 a.m. to 4:30 p.m.

What you'll need

• Completed Application for Payment Assistance
• Entire copy of Federal Tax Return or letter of non-filing from IRS
• Last 3 paystubs for everyone in the home over 18, or a notarized letter stating you are unemployed
• Social Security Award Letter
• Medicaid Award or Denial Letter
• Award letters for any assistance received (Food stamps, Housing Assistance, etc.)
• Last 3 detailed bank statements, or a notarized letter stating you do not own an account

Where to apply

What to say when you call

"Hello, I'm calling to ask about Hospital Financial Assistance (Grady Memorial Hospital) — Grady. 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 Application for Payment Assistance, entire copy of Federal Tax Return or letter of non-filing from IRS, last 3 paystubs for everyone in the home over 18, or a notarized letter stating you are unemployed — 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)