How to apply for Hospital financial assistance (Coffeyville Regional Medical Center) — Montgomery in Kansas

Who it's for

Coffeyville Regional Medical Center (CRMC) gives care for free or at a lower charge to people who qualify. Uninsured and underinsured people who live in Montgomery County, Kansas, or within 50 miles of CRMC can apply. CRMC Financial Advisors check whether you can get Medicaid and help you apply. They also help you apply for CRMC's Financial Assistance Programs, which may lower or forgive part or all of your CRMC bills. To qualify, you must be found not eligible for Medicaid (or be denied), fill out the application with supporting papers, and have household income at or below the federal poverty guidelines for your family size. To get the policy or an application, call a Financial Advisor at 620-252-1549 or visit Admissions at 1400 West 4th, Coffeyville.

What you'll need

• Completed Financial Assistance Program application with supporting documentation (call to ask what to include)

Where to apply

What to say when you call

"Hello, I'm calling to ask about Hospital financial assistance (Coffeyville Regional Medical Center) — Montgomery. 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 Financial Assistance Program application with supporting documentation (call to ask what to include) — 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)