How to apply for Hospital Financial Assistance (Baxter Health Fulton County Hospital) — Fulton in Arkansas

Who it's for

Baxter Health Fulton County Hospital in Salem offers financial assistance for emergency and other medically necessary care. Approved patients get a 50% to 100% cut in the cost of care, based on household income compared with the national poverty guidelines. In the 2024 schedule, income up to 138% of the poverty guidelines got a 100% reduction, 139% to 200% got 75%, and 200% to 300% got 50%. You must also apply for Medicaid to qualify. Send in an application with income proof, such as your latest federal tax return, and, if they apply, your last two months of bank statements and two most recent pay stubs. If you got financial assistance in the past 12 months and your finances have not changed, you do not need to apply again. For a copy of the policy or application, or for help, call Patient Financial Services at 870-895-2691 or write to 679 N Main St, Salem, AR 72576.

What you'll need

• Completed financial assistance application
• Most recent federal income tax return (plus an employer's verification of earnings if you apply after March 31)
• Last two months of bank statements and two most recent pay stubs, if they apply
• A Medicaid application (the policy requires you to apply for Medicaid)

Where to apply

What to say when you call

"Hello, I'm calling to ask about Hospital Financial Assistance (Baxter Health Fulton County Hospital) — Fulton. 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 financial assistance application, most recent federal income tax return (plus an employer's verification of earnings if you apply after March 31), last two months of bank statements and two most recent pay stubs, if they apply — 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)