HELP FOR THOSE IN NEED
As part of its contribution of resources, advocacy and community support to promote the health status of the community it serves, Yoakum Community Hospital provides financial assistance to patients with a demonstrated inability to pay for medically necessary services in accordance with the hospital’s Financial Assistance Policy.
How to Apply
All patients (including those with insurance) may apply for financial assistance by submitting a completed financial assistance application by following the instructions on the application. Hospital personnel will evaluate the patient’s situation according to relevant circumstances, such as income, assets, available resources and the amount of the outstanding balance. It is ultimately the patient’s responsibility to provide the necessary information to qualify for financial assistance. There is no assurance that the patient will qualify for financial assistance.
Established eligibility criteria and discount guidelines will be used to determine what amount, if any, of an outstanding patient account balance qualifies for financial assistance. Patients whose yearly household income is at or below 200% of the Federal Poverty Guidelines (FPG) will receive a 100% discount. Patients whose yearly household income is above 200% but not more than 400% of FPG are eligible to receive services at a discounted rate. Patients whose outstanding balance, after payment by all third parties, is at or above 10% of their yearly household income are eligible to receive services at a discounted rate.
No patient who qualifies for financial assistance will be charged more for emergency or other medically necessary care than amounts generally billed to patients with insurance.
The hospital’s financial counselors are available to answer questions and provide information about the Financial Assistance Policy and to assist with the financial assistance application process. The hospital’s financial counselors may be reached between the hours of 7:30 a.m. and 5:00 p.m. Monday through Thursday by calling (361) 293-2321.
Free copies of this Plain Language Summary (Spanish Translation), the Financial Assistance Policy, and the Financial Assistance Application are available below or at the hospital’s admissions area and emergency department registration area. They can also be obtained by calling (361) 293-2321, or requesting by mail at 1200 Carl Ramert Drive, Yoakum, TX 77995. Translations will be available upon request.
Financial Assistance Policy
Spanish Translation of Financial Assistance Policy
Excluded Services from the Financial Assistance Program
Financial Assistance Application
Spanish Translation of Financial Assistance Application
Spanish Translation of Financial Assistance Plain Language Summary