Smith County Memorial Hospital Financial Assistance Program (FAP) exists to provide eligible with assistance in meeting their financial responsibilities for emergent or medically necessary care. Patients seeking financial assistance must apply for the program, which is summarized below.
Eligible Services – Emergent and/or medically necessary healthcare services provided by Smith County Memorial Hospital and Smith County Family Practice.
Eligible Patients – Patients receiving eligible services, who submit a Financial Assistance Application (including related documentation/information), and who are determined eligible for financial assistance by Smith County Memorial Hospital.
How to Apply – Financial Assistance Application may be obtained/completed/submitted as follows:
Obtain an application at Smith County Memorial Hospital’s admissions desk or the Financial Counselor.
Request to have an application mailed to you by calling 785-282-6845
Request an application by mail at Smith County Memorial Hospital, 921 E Hwy 36, PO Box 349, Smith Center, KS 66967
Determination of Financial Assistance Eligibility – Generally, patients are eligible for financial assistance based on their income level. (See Appendix A of the Financial Assistance Program Policy). Eligible patients will not be charged more for emergency or other medically necessary care than amounts generally billed for those patients who have insurance.
Any questions contact the Financial Counselor at 785-282-6845.