It is the policy of Phelps Memorial Health Center to provide financial assistance to qualifying patients with their outstanding bills for medically necessary and emergency care provided at the hospital.
Patients that Qualify for Financial Assistance
To receive financial assistance under the Financial Assistance Policy, you must be Financially Indigent or Medically Indigent. To qualify as Financially Indigent you must be uninsured or underinsured and have a household income equal to or less than 200% of Federal Poverty Level. Patients who qualify for financial assistance as Financially Indigent are eligible for 100% financial assistance on their balance as set forth in the policy. To qualify for financial assistance as Medically Indigent the patient must be Uninsured or Underinsured with medical bills that exceed 12% of their Household Income. Any remaining amount will be considered financial assistance under this policy.
How to Apply
Phelps Memorial encourages patients who may qualify to apply for financial assistance. Patients can apply for financial assistance by completing and submitting a Financial Assistance Application (English Version) // Financial Assistance Application (Spanish Version) to Patient Financial Services at 1215 Tibbals Street, Holdrege, NE 68949.
A copy of the policy and financial assistance application may be obtained at no charge by mail, by calling 308.995.2211, by emailing firstname.lastname@example.org , or in person at the emergency room, any admission areas, or Patient Financial Services located at the front entrance of the hospital.
Further Information & Assistance with Applying
If you have questions about financial assistance or need assistance with applying for financial assistance, you may contact Patient Financial Services at
1215 Tibbals Street
Holdrege, Nebraska 68949
Download the Full Version of the Financial Assistance Policy (English) // Financial Assistance Policy (Spanish)(Adobe Reader Required) and list of Covered and Non-Covered Providers (English) // Covered and Non-Covered Providers (Spanish)