Liberty Hospital Financial Assistance Policy


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.

View Frequently Asked Questions in: Arabic, French, German, Spanish or Vietnamese.

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:

  • 25 percent of your yearly household income; or
  • The amount a patient with insurance/Medicare generally would be billed.

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:

  • Download the English form now.
    • Copies of the form, available in Arabic, French, German, Spanish or Vietnamese, can be downloaded below or obtained through the Hospital Business Office or Patient Registration/Admitting Office.
  • Call the Hospital Business Office at 816-792-7110 or 816-407-4861.
  • Visit the Patient Registration/Admitting Office at the hospital, located at 2525 Glenn Hendren Drive, Liberty, MO, 64068.

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. 

Contact us

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:

  • Alliance Radiology (Radiologist): 855-410-3198
  • EMCare/Deer Valley Emergency Physicians:  800-355-2470
  • MAWD Pathology (Pathologist) McKesson Billing Services : 866-932-6216
  • Professional Anesthesia Care/Northland Pain Consultants: 913-642-4900
  • Liberty Hospital Urgent Care Shoal Creek: 816-415-3369

View the complete Financial Assistance Policy in English OR

Arabic, French, German, Spanish or Vietnamese

Liberty Hospital | 2525 Glenn Hendren Drive | Liberty, MO 64068 | 816.781.7200