Liberty Hospital Financial Assistance Policy

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.

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

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 full or partial payment of your bill.

Am I eligible for financial assistance?
This is determined on patient, guarantor, and household income criteria as defined by federal poverty guidelines. We also consider the balance of your assets; such as checking accounts, savings accounts, IRAs, CDs, retirement savings, and investments.  You must also live in one of the following counties within the Hospital’s service area: Clay, Caldwell, Carroll, Clinton, Davies, 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 would generally be billed, view Amounts Generally Billed (PDF).

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
  • The amount a patient with insurance/Medicare would generally be billed

When can I apply for assistance?
At 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?
You will need to complete a (free) Financial Assistance Application form and provide any requested documentation.

To receive the form:

  • Download the form here. 
    • Copies of the form are available in African, Arabic, German, Spanish or Vietnamese and can be obtained through the Hospital Financial Counselor or Patient Registration/Admitting Office
  • Call the Hospital Financial Counselor at 816-407-4861 or 816-792-7052.
  • 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 816-407-4861 or 816-792-7052. 

What services are included in financial assistance?
Our Financial Assistance Policy covers patient bills for services that are provided in our emergency room and other medically necessary services, except as indicated below.

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 informational about financial assistance, please contact Liberty Hospital’s Financial Counselor at 816-407-4861 or 816-792-7052, M-F 8:00 a.m.-4:30 p.m.

For physician bills, contact the Physician Billing Office:

  • Alliance Radiology (Radiologist): 855-410-3198 M-F 7:30 a.m.-5:00 p.m.
  • EMCare/Deer Valley Emergency Physicians: 800-355-2470 M-F 930 a.m. - 4:00 p.m.
  • Liberty Hospital Clinics: 816-407-4200 M-F 8:00 a.m.-5:00 p.m.
  • MAWD Pathology (Pathologist) McKesson Billing Services : 866-932-6216 M-F 9:00 a.m.-10:00 p.m.
  • Professional Anesthesia Care/Northland Pain Consultants: 913-642-4900 M-F 8:00 a.m.-4:30 p.m.
  • Liberty Hospital Urgent Care Shoal Creek: 816-415-3369 M-F 8:30 a.m.–4:30 p.m.

View the complete Financial Assistance Policy in English OR

Arabic, French, German, Spanish or Vietnamese

© 2018 Liberty Hospital

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