How to apply for Hospital Financial Assistance (Allendale County Hospital) — Allendale

Who it's for

Allendale County Hospital in Fairfax offers financial assistance to uninsured and underinsured patients who cannot pay for emergency or medically necessary care. Help can be partial or full, based on income, family size, assets and ability to pay. You will need to send tax returns, bank statements and pay stubs, and apply for other help such as Medicaid. Call Patient Account Services at 803-632-3311 for a policy and application.

What you'll need

• Proof of household income (tax return, pay stubs, or benefit award letter)
• Proof of household size
• Identification

Where to apply

What to say when you call

"Hello, I'm calling to ask about Hospital Financial Assistance (Allendale County Hospital) — Allendale. 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 proof of household income (tax return, pay stubs, or benefit award letter), proof of household size, identification — 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)