How to apply for Hospital Sliding Fee Discount (Harper County Community Hospital) — Harper

Who it's for

Harper County Community Hospital in Buffalo provides essential services regardless of a patient's ability to pay, with discounts based on family size and annual income. Free or reduced-cost care is limited to families with income at or below 200% of the federal poverty guidelines: at or below 150% pays a $10 nominal fee, 175% pays 50%, and 200% pays 80%. The discount covers services at the hospital but not outside services such as reference lab tests or a consulting radiologist. Fill out the Sliding Fee Discount Application (linked on the hospital's home page) and return it to the front desk; copies of tax returns, pay stubs, or other proof of income may be required. The form must be redone every 6 months or when your finances change. The Hospital Business Office is open Monday through Friday, 8 a.m. to 5 p.m. Call 580-735-2555.

What you'll need

• Sliding Fee Discount Application
• Proof of income, such as a prior-year tax return or three most recent pay stubs
• Identification or proof of address, such as a driver's license or utility bill
• Insurance cards

Where to apply

What to say when you call

"Hello, I'm calling to ask about Hospital Sliding Fee Discount (Harper County Community Hospital) — Harper. 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 sliding Fee Discount Application, proof of income, such as a prior-year tax return or three most recent pay stubs, identification or proof of address, such as a driver's license or utility bill — 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

every 6 months