How to apply for Hospital Financial Assistance (Stillwater Medical-Perry) — Noble

Who it's for

Stillwater Medical-Perry, a rural emergency hospital in Perry run by Stillwater Medical, has a financial assistance program based on yearly income and the number of people living in your household. Assistance granted by Stillwater Medical Center Authority applies to Stillwater Medical Center, Stillwater Medical-Blackwell, Stillwater Medical-Perry and Stillwater Medical employed providers. Send the signed application with the required papers to the Financial Counselor; a decision is mailed or emailed in about 8 weeks. For questions, call the Financial Counselor at 405-742-5711.

What you'll need

• Copy of last paycheck stub, retirement or pension letter, Social Security or Disability award letter for all family members that have an income
• Your family's most recent Federal Income Tax forms (or a letter stating you were not required to file)
• Checking and/or savings account statements (full 30-day itemized activity) for the previous month
• A copy of the patient's driver's license or photo ID
• Insurance information (report "NONE" if uninsured)

Where to apply

What to say when you call

"Hello, I'm calling to ask about Hospital Financial Assistance (Stillwater Medical-Perry) — Noble. 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 copy of last paycheck stub, retirement or pension letter, Social Security or Disability award letter for all family members that have an income, your family's most recent Federal Income Tax forms (or a letter stating you were not required to file), checking and/or savings account statements (full 30-day itemized activity) for the previous month — 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)