Financial Assistance

Our Policy


    In order to be eligible for free care or care at a reduced rate, the patient and/or family must apply by completing a short questionnaire. Families applying for financial assistance will not be denied based upon race, color, religion, sex, age, national origin, or marital status. The decision to provide financial assistance will be based on a review of the family’s income. Additional information may be requested and ultimately may affect HCMC’s decision.

    The necessity for medical treatment of any patient will be based on the clinical judgment of the healthcare provider without regard to the financial status of the patient and/or parent. All patients will be treated for emergency medical conditions without discrimination and regardless of their eligibility for free or discounted care.

    Financial assistance is generally determined by a sliding scale of total household income based on federal poverty guidelines. When total household income is less than 150% of the federal poverty guideline, a 100% discount from gross charges applies. When total household income is between 150% and 300% of the federal poverty guideline, a partial discount applies.  No person eligible for financial assistance will be charged “gross charges”. Discounts based upon the sliding scale will be deducted from HCMC’s Accounts Generally Billed (AGB). HCMC determines an AGB percentage on an annual basis. For further information on how HCMC calculates the AGB percentage contact the HCMC Business Office at (308) 754-4421. If an individual has sufficient insurance coverage or assets available to pay for care, he/she may be deemed ineligible for financial assistance. Please refer to the full policy for a complete explanation and details.


    There are numerous ways that an individual may obtain information about the financial assistance policy application process, or obtain copies of the financial assistance policy or the application form:

  • Request the information by calling the HCMC Business Office
    at (308)-754-4421

  • Request the information by mail or in person: 
    Howard County Medical Center, Attn: Business Office
    PO Box 406
    Saint Paul, NE 68873

You are using an outdated browser. Please upgrade your browser to improve your experience.