How to apply for Hospital financial assistance (HaysMed) — Ellis in Kansas

Who it's for

HaysMed in Hays, part of The University of Kansas Health System, offers financial assistance to eligible patients for medically necessary care. Discounts are based on household income compared with the federal poverty level, and catastrophic medical bills are also considered. Assistance applies only to the self-pay part of your bill, and you must live in the HaysMed service area. To apply, send the application with your income tax return and last three months of pay stubs to PO Box 8110, Hays, KS 67601, or take it to Registration at 2220 Canterbury Drive. Call a Financial Counselor at 785-623-5100 with questions. Uninsured patients get a self-pay discount of 67% for hospital services and 50% for physician services.

What you'll need

• Copies of your income tax return
• Pay stubs from the last three months

Where to apply

What to say when you call

"Hello, I'm calling to ask about Hospital financial assistance (HaysMed) — Ellis. 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 copies of your income tax return, pay stubs from the last three months — 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)