Financial Assistance

Financial Assistance

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Iron County Medical Center  is committed to ensuring our patients get the health care they need regardless of their financial situation. We are staffed by a team ready to answer questions about the process of applying for Medicaid coverage or Financial Assistance. 

 

How to apply:

Any patient may apply to receive financial assistance care by submitting an application and providing income verification.

If you have questions, need help, or would like to receive a Financial Assistance Application please contact Tracy Larson at 573-546-8115

 

Payment Plans: Any balance for amounts owed by you is due within 30 days. The balance can be paid by cash, check, and credit card as well as by equal payments over a limited time. You must contact us to set up a payment plan if your balance cannot be paid in full within 30 days. If you will require a payment plan, please call Tracy Larson at 573-546-8115.

Uninsured discounts: We offer a discount for patients who do not have health insurance. Please contact Tracy about our discount program.

Emergency Care: Iron County Medical Center has a dedicated emergency department and provides care for emergency medical conditions (as defined by the Emergency Medical Treatment and Labor Act) without discrimination consistent with available capabilities, without regard to whether or not a patient has the ability to pay or is eligible for financial assistance. Thank you for trusting us with your care

 

Tracy Larson – Financial Counselor at Iron County Medical Center

Office Number: 573-546-8115   Office Hours: 9am-3pm

Apply to Medicaid Online

Financial Assistance

We're ready to help you get the care you need.

Medicaid Application

Tracy is happy to help with your Medicaid application process, please contact her  at 576-546-8115 with any questions.

Download Application

Federal Income Guidelines

If you wish to apply for financial assistance you may be required to provide the following information in order for us to determine your eligibility, without this information your eligibility may not be able to be determined:

COMPLETED FINANCIAL ASSISTANCE APPLICATION FORM

DOCUMENTATION TO SUPPORT FAMILY SIZE AND ANNUAL INCOME:

This may include all pages of your tax return, schedule and forms.  If you did not file a return we may request that you contact the IRS at 1-800-829-1040 and request a verification of non- filing for the previous two years. Also accepted are determination letters qualifying for the WIC (Women’s, Infant, and Children programs), Food Stamp Assistance and other federal funded benefit programs.

PROOF OF CURRENT INCOME Three most recent check stubs, copy of checks, etc. Statement of child/alimony support.  If you are drawing Social Security please enclose a copy of the last letter you received from Social Security stating your check amount for the coming year.

DETERMINATION APPLICATION or DENIAL FROM MO HEALTHNET (Medicaid), if Applicable.

Your information must be returned within thirty days.  We may not be able to process your application without all of the information.  If you do not have all of the requested information, please call the Financial Counselor at 573-546-8115 for instructions.  Failure to comply will result in automatic denial.

You may qualify for full or partial assistance on your open accounts with Iron County Medical Center.  Consideration for assistance is based on your financial status in comparison with the Federal Income Guidelines.  This assistance program is separate from any other provider or government agency.

All other sources of payment must be used before financial assistance is approved.  Examples of payments would be all medical insurance, Medicare, Medicaid, third party and/or liability claims.

Please see attached guidelines to see if your monthly income and family size would qualify you for assistance

Financial Income Guidelines

Health Care Services at ICMC