How to apply for Hospital Financial Assistance (SSM Health St. Anthony Hospital – Shawnee, Seminole Campus) — Seminole in Oklahoma

Who it's for

The SSM Health St. Anthony Hospital – Shawnee, Seminole Campus at 2401 Wrangler Blvd. in Seminole has an emergency room open 24 hours, plus primary care, lab, X-ray and physical therapy. It is part of SSM Health St. Anthony Shawnee Hospital, which is covered by the SSM Health financial assistance policy. Help is on a sliding scale based on household income and size compared with the Federal Poverty Guidelines: at or below 200% gets a 100% discount (free care); 201% to 250% gets 80% off; 251% to 300% gets 60% off; 301% to 350% gets 50% off the amount over $2,000; and 351% to 400% gets 20% off the amount over $2,000. Emergency care is given regardless of ability to pay. Send the application with your last two months of income proof and last year's tax return (or a non-filing letter) by mail, fax or email. Call 888-918-3512 for an application or with questions.

What you'll need

• Completed SSM Health Financial Assistance Application
• Verification of income (last two months)
• Last year's federal tax return or non-filing letter

Where to apply

What to say when you call

"Hello, I'm calling to ask about Hospital Financial Assistance (SSM Health St. Anthony Hospital – Shawnee, Seminole Campus) — Seminole. 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 SSM Health Financial Assistance Application, verification of income (last two months), last year's federal tax return or non-filing letter — 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)