PLAIN LANGUAGE SUMMARY/FREQUENTLY ASKED QUESTIONS
If you need assistance paying your medical bills, we may be able to help. If you qualify for Financial Assistance, you can get help for your full payment or part of your bill.
Am I eligible for Financial Assistance?
This is determined on patient, guarantor and household income criteria defined by Federal Poverty Guidelines. The Hospital also considers the balance of your assets, such as checking accounts, savings accounts, IRAs, CDs, retirement savings, and investments. Also, you must live in one of the following counties, which comprise the Hospitals service area; Clay, Caldwell, Carroll, Clinton, Daviess, Grundy, Harrison, Livingston, Platte or Ray.
If you qualify for assistance, you will not be billed for more than the amount that a patient with insurance/Medicare generally would be billed.
What happens if I have a catastrophic medical event?
In situations such as serious medical illnesses or accidents requiring costly treatment, patients who might normally not qualify for Financial Assistance may be approved for partial assistance.
If you qualify, your responsibility will be whichever is lower:
When can I apply for assistance?
A patient may apply any time - before, during or up to 240 days after you receive your first post-discharge billing statement for your care.
How do I apply?
A patient needs to complete a (free) Financial Assistance Application form and provide any requested documentation.
To receive the form:
If you have questions while completing the form, please call us at 816-792-7110.
What services are included in Financial Assistance?
Our Financial Assistance Policy covers patient bills for services that are provided in our emergency room, except as indicated below and other medically necessary services.
This policy does not cover independent physicians, surgeons, anesthesiologists, pathologists, emergency physicians, radiologists, or any other physicians employed by the New Liberty Hospital Corporation.
For additional information about Financial Assistance, please contact Liberty Hospital’s Business Office at 816-792-7110, Monday-Friday, 8:00 a.m. - 4:30 p.m.
For physician bills, contact the Physician Billing Office: