How to apply for Hospital financial assistance (Bob Wilson Memorial Hospital) — Grant in Kansas

Who it's for

Bob Wilson Memorial Hospital in Ulysses is part of CommonSpirit Health. Under the CommonSpirit Health Mountain Region financial assistance program for Kansas hospitals, patients whose household income is at or below 250% of the federal poverty level pay reduced amounts. At or below 150%, you pay a $650 copay for a hospital stay, observation visit or same-day surgery, a $50 copay for recurring outpatient care, and 15% of charges for provider fees. From 151% to 200%, you pay 10% of hospital charges; from 201% to 250%, you pay 20% of hospital charges. Uninsured patients can be screened for financial assistance, and payment plans are offered. Emergency and urgent care is given regardless of ability to pay. For billing or payment questions about your stay, call the financial counseling department at 620-272-2455.

What you'll need

• Call the financial counseling department to ask what to bring

Where to apply

What to say when you call

"Hello, I'm calling to ask about Hospital financial assistance (Bob Wilson Memorial Hospital) — Grant. 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 call the financial counseling department to ask what to bring — 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)