Ellsworth County Medical Center: Financial Assistance & Charity Care

Can't afford a bill from Ellsworth County Medical Center? You may not have to pay all of it. Nonprofit hospitals must offer financial assistance — here are this hospital's actual income limits and how to apply, taken from its own published policy.

Quick facts

125%of the federal poverty level — the free-care income limit

Free care: Free care if your household income is at or below 125% of the federal poverty level.

Discounted care: A 50% discount may be available if your income is above 125% of the federal poverty level and you face medical hardship; patients also must have under $5,000 in available assets.

How to apply: Ellsworth County Medical Center: Financial assistance

Phone: 785-472-3111 — Patient financial services (call to have an application mailed to you).

How to apply

  1. Check the income limits above — the hospital also requires you to be a Kansas resident and have under $5,000 in available assets.
  2. Fill out the financial assistance application (available at the hospital's admissions desk, patient financial services office at 1604 Aylward Ave., or on the hospital website) and gather proof of income, a photo ID for each household member, and your tax return.
  3. Submit the signed application with all documents within 10 days of the request, or mail it to Ellsworth County Medical Center, PO Box 87, Ellsworth, KS 67439.
  4. The hospital reviews your application and sends you a written decision — you can also call 785-472-3111 for help completing it.

Good to know

See what Ellsworth County Medical Center charges

Check if you qualify at other hospitals

Sources