How to apply for Hospital financial assistance (Madison County Health Care System) — Madison in Iowa

Who it's for

Madison County Health Care System in Winterset offers financial assistance to all patients. It checks your household size and yearly income against the federal poverty guidelines. Assistance covers only services billed by Madison County Memorial Hospital; it does not cover ambulance rides, prescriptions, specialty clinic providers or medical equipment. To apply, complete the application (download it or apply online), give proof of income for the past year including your federal income tax return, and be willing to look at other ways to pay, such as Medicaid and the Health Insurance Exchange. Mail it to the Revenue Cycle Director, Madison County Memorial Hospital, 300 W. Hutchings St., Winterset, IA 50273. Call 515-462-9747 for help.

What you'll need

• Completed financial assistance application
• Proof of income for the past year (federal income tax return required)

Where to apply

What to say when you call

"Hello, I'm calling to ask about Hospital financial assistance (Madison County Health Care System) — Madison. 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, proof of income for the past year (federal income tax return required) — 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)