Financial Assistance Summary
Howard County Medical Center (HCMC) provides medically necessary services to patients regardless of their ability to pay. HCMC provides assistance to patients who apply and meet the federal poverty guidelines. HCMC works with Early Out Services, a business partner, which handles private pay billing and collection practices. Financial assistance forms are available upon request.
To apply for financial assistance, please:
1. Complete the form by either typing or legibly printing ;
2. Attach copies of your verification of income;
3. Sign and date the form;
4. Send the completed form to:
Howard County Medical Center, Attn: Business Office
PO Box 406
St. Paul, Nebraska 68873
Upon receipt of the information, HCMC will review the application, and you will be notified of the determination. Failure to submit all requested information will result in denial of financial assistance benefits.
For more information, contact the HCMC business office at (308) 754-4421.