How to apply for Hospital financial assistance (Kingman Healthcare Center) — Kingman in Kansas

Who it's for

Kingman Healthcare Center in Kingman helps people who cannot pay for medically necessary or emergency care. Free or discounted care is for patients who are uninsured or underinsured with household income under 200% of the federal poverty guidelines, on a sliding scale. Patients whose medical bills are more than 30% of their household income or assets may also qualify as medically indigent. You may need to apply for Medicare, Medicaid or other programs first. Get the policy and the Application for Financial Assistance on the hospital website, at the Patient Accounts office (750 W. D Ave., Kingman), or by calling 620-532-3147.

What you'll need

• Application for Financial Assistance
• Previous year income tax return
• Pay stubs for the previous three months
• Proof of Social Security, VA benefits, pension, child support, alimony or rental income
• Bank statements
• If self-employed: income and expense records for the previous three years

Where to apply

What to say when you call

"Hello, I'm calling to ask about Hospital financial assistance (Kingman Healthcare Center) — Kingman. 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 application for Financial Assistance, previous year income tax return, pay stubs for the previous 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)