How to apply for Hospital Financial Assistance (Cleveland Area Hospital) — Pawnee

Who it's for

Cleveland Area Hospital, a critical access hospital in Cleveland, offers financial assistance based on household income plus a share of assets, measured against the Federal Poverty Guidelines. Income of 200% or less gets 100% of the patient's bill covered, 201% to 220% gets 90%, 221% to 240% gets 80%, 241% to 260% gets 70%, 261% to 280% gets 60%, and 281% to 300% gets 50%. Uninsured patients who do not qualify for charity care get a 40% private pay discount. Some patients, such as those who qualify for food stamps, may qualify without a full application. Call Financial Counseling at 918-358-2501.

What you'll need

• Completed Cleveland Area Hospital Financial Assistance Application

Where to apply

What to say when you call

"Hello, I'm calling to ask about Hospital Financial Assistance (Cleveland Area Hospital) — Pawnee. 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 Cleveland Area Hospital Financial Assistance Application — 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)