How to apply for Hospital financial assistance (Graham County Hospital) — Graham in Kansas

Who it's for

Graham County Hospital in Hill City offers financial assistance for emergency and other medically necessary care; elective services are not covered. If your income is at or below 200% of the federal poverty level, you may get a 90% write-off of the part of the bill you owe. If your income is above 200% but not over 300%, you may get a sliding-scale discount. Send your application and documents to the Billing Office, 304 West Prout Street, Hill City, KS 67642. For help, call the Billing Department at 785-421-2121.

What you'll need

• Completed and signed Financial Assistance Application
• Proof of income (recent pay stubs, benefit letters or tax forms)
• Most recent bank statement
• Kansas Medicaid denial letter
• Last year's federal income tax return (all pages)

Where to apply

What to say when you call

"Hello, I'm calling to ask about Hospital financial assistance (Graham County Hospital) — Graham. 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 and signed Financial Assistance Application, proof of income (recent pay stubs, benefit letters or tax forms), most recent bank statement — 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)