How to apply for Hospital financial assistance (Medicine Lodge Memorial Hospital) — Barber in Kansas

Who it's for

Medicine Lodge Memorial Hospital has a Financial Assistance Program for emergency and medically necessary care. It uses a sliding scale based on household income and the number of people in the home. Your household income must be less than 200% of the federal poverty level to get a discount. Financial assistance is used after insurance, government programs and other sources. You can apply in person at admissions or patient financial services, by mail (Drawer C, 710 N. Walnut, Medicine Lodge), or by calling the financial counselor at 620-930-3773. You have at least 240 days from your first bill to apply. While your application is reviewed (up to 30 days), your account is put on hold from collections.

What you'll need

• Income tax return with W-2 or 1099 forms
• The last 90 days of pay stubs, Social Security checks or unemployment checks
• The last 60 days of bank statements
• Current trust fund statements, if any
• Medicaid denial letter, if you have one
• Completed Financial Assistance Application

Where to apply

What to say when you call

"Hello, I'm calling to ask about Hospital financial assistance (Medicine Lodge Memorial Hospital) — Barber. 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 income tax return with W-2 or 1099 forms, the last 90 days of pay stubs, Social Security checks or unemployment checks, the last 60 days of bank statements — 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)