Republic County Hospital: Financial Assistance & Charity Care

Can't afford a bill from Republic County Hospital? 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

How to apply

1. Check the income limit above — your household income must be less than 200% of the federal poverty level to qualify for free care.
2. Fill out the financial assistance application and attach your most recent federal income tax return, two months of bank statements, and two months of pay stubs.
3. Return the application to the Billing Office at 2420 G Street, Belleville, KS 66935.
4. Your situation will be evaluated and you will be notified whether your application was approved.

Good to know

• You can apply up to 240 days after your first bill — even if the bill already went to collections.
• A new bill means a new application — you can apply more than once. More in our guide You Might Not Have to Pay That Hospital Bill.
• Whatever remains after assistance can still be negotiated: How to Negotiate a Hospital Bill.
• Free help applying: Dollar For walks you through it at no cost.

See what Republic County Hospital charges

Check if you qualify at other hospitals

Sources

• Policy details above come from the hospital's own published materials, linked below. Policies change — if a link breaks or a number looks off, call the hospital and please tell us.
• Republic County Hospital: Plain Language Summary of Financial Assistance Policy
• Republic County Hospital: Financial Assistance application