Financial Assistance

Financial Assistance

Summary of Financial Assistance Policy

Bates County Memorial Hospital has a commitment to and respect for each person’s dignity with a special concern for those who struggle with barriers to access healthcare services. Bates County Memorial Hospital has an equal commitment to manage its healthcare resources as a service to the entire community. To fulfill our commitment, Bates County Memorial Hospital provides financial assistance for certain individuals who receive emergency or other medically necessary care from Bates County Memorial Hospital.

Providers covered by our financial assistance policy are listed here.
Please note that a few visiting providers at BCMH are not included in coverage for our financial assistance policy.

Who Qualifies for Financial Assistance?

You may be able to get financial assistance.

• Assistance is available for medically necessary services per our policy guidelines in the hospital setting, surgical clinic and outpatient specialty clinics only to residents of Bates County. Family Care Clinics, as rural health clinics, have no geographical restrictions.
• Financial assistance is generally determined by your total household income as compared to the Federal Poverty Level.
  • If your gross income is less than or equal to 200% of the Federal Poverty Level, you will receive a 100% financial assistance write-off on the portion of the charges for which you are responsible, except for a $20 copay that may be assessed for Family Care Clinic, Outpatient Specialty Clinic and BCMH Surgical services, and a $50 copay for Emergency Room services.
  • If your income is above 200% of the Federal Poverty Level you will not be eligible for financial assistance. Patients who are eligible for financial assistance will not be charged more for eligible care than the amounts generally billed to patients with insurance coverage.

How to Apply

To apply for financial assistance, complete a written application and provide supporting documentation, as described in the Financial Assistance Policy and the Financial Assistance Policy application.

Download a printable copy of the policy and application forms:

• Financial Assistance Policy and Application – English
• Política de Asistencia Financiera – Español
• Solicitud de Asistencia Financiera – Español

The Financial Assistance Policy and Application is also available upon request at the time of service, or you can request a copy by mail. To request a copy of the documents by mail, call our Financial Services office at 660-200-7312, write to the address below.

Get Help with an Application

For help with a Financial Assistance application, call 660-200-7312, or send your request by mail to:

Bates County Memorial Hospital
Attention: Financial Assistance
P.O. Box 370
Butler, Missouri 64730

What If I Am Not Eligible?

If you do not qualify for financial assistance under the Financial Assistance Policy, a reasonable payment plan can be set up by request. For more information, please contact our Financial Services office at 660-200-7312.