How to apply for Hospital Financial Assistance and Charity Care (Memorial Hospital of Texas County) — Texas

Who it's for

Memorial Hospital of Texas County in Guymon offers financial assistance and charity care for people who need medical services and cannot pay for them. Its Charity Care program uses the current Federal Poverty Guidelines: a patient or guarantor whose gross income is less than 400% of the guidelines is eligible for charity care. To see if you qualify, fill out an application and contact the Financial Counselor at 580-338-6515, who can also help set up payment arrangements.

What you'll need

• Completed charity care application — call the Financial Counselor to ask what else to bring

Where to apply

What to say when you call

"Hello, I'm calling to ask about Hospital Financial Assistance and Charity Care (Memorial Hospital of Texas County) — Texas. 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 charity care application — call the Financial Counselor to ask what else to bring — 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)