How to apply for Hospital Financial Assistance (Purcell Municipal Hospital) — McClain

Who it's for

Purcell Municipal Hospital offers financial assistance to people who are uninsured or underinsured, for emergency and medically necessary care, including inpatient hospital stays. Eligibility is based on household gross income compared with the current Federal Poverty Level guidelines. An approval lasts up to 6 months and can also cover unpaid balances for covered services from up to 3 months before approval. Fill out the financial assistance application and send it with all supporting documents to the Business Office Manager (PO Box 511, Purcell, OK 73080), in person or by mail or fax. For help or an appointment, call the Business Office at 405-527-2368, Monday through Friday, 8 a.m. to 4:30 p.m.

What you'll need

• Completed financial assistance application
• All supporting documents

Where to apply

What to say when you call

"Hello, I'm calling to ask about Hospital Financial Assistance (Purcell Municipal Hospital) — McClain. 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, all 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

every 6 months (approval lasts up to 6 months)