FINANCIAL ASSISTANCE
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The Ellinwood Hospital & Clinic's Financial Assistance Program (FAP) exists to provide eligible patients partially or fully discounted emergent or medically-necessary hospital care. Patients seeking Financial Assistance must apply for the program, which is summarized below.
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Click here to view our Financial Assistance Policy.
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Eligible Services – Emergent and/or medically necessary healthcare services provided by Ellinwood Hospital & Clinic
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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 Ellinwood Hospital & Clinic.
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Determination of Financial Assistance Eligibility - Generally, patients are eligible for financial assistance based on their income level and assets (See Appendix A of the Financial Assistance Program). Eligible patients will not be charged more for emergency or other medically necessary care that Amounts Generally Billed (AGB) than those patients who have insurance.
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Financial Assistance Resources
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Financial Assistance Policy - Appendix A
Financial Assistance Policy - Appendix B
Financial Assistance Policy - Appendix C
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How to Apply
Financial Assistance Application may be obtained, completed, and submitted as follows:
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Obtain an application at Ellinwood Hospital & Clinic’s admissions desk or at patient financial services.
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Request to have an application mailed to you by calling 620-564-2548.
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Request an application by mail at Ellinwood Hospital & Clinic, 300 N. Park Ave, Ellinwood, KS 67526
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Download an application below.