How to apply for Hospital Financial Assistance (Gundersen Moundview Hospital and Clinics) — Adams

Who it's for

Uninsured and underinsured residents of Adams County can apply for financial assistance (charity care) at Gundersen Moundview Hospital and Clinics for emergency and medically necessary care. Gundersen provides free or discounted care based on household income and size for patients unable to pay. Discounts are based on household size and income compared with the Federal Poverty Level.

What you'll need

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

Where to apply

What to say when you call

"Hello, I'm calling to ask about Hospital Financial Assistance (Gundersen Moundview Hospital and Clinics) — Adams. 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 family/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)