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The Ellinwood District Hospital 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.

Click here to view our Financial Assistance Policy.

Eligible Services – Emergent and/or medically necessary healthcare services provided by Ellinwood District Hospital.

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 District Hospital.

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.

How To Apply

Financial Assistance Application may be obtained, completed, and submitted as follows:

  • Obtain an application at Ellinwood District Hospital’s admissions desk or at patient financial services.

  • Request to have an application mailed to you by calling 620-564-2548.

  • Request an application by mail at Ellinwood District Hospital, 605 N Main St. Ellinwood, KS 67526

  • Download an application here.

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