Financial Assistance
Citizens Memorial Hospital (CMH) gives financial assistance to those that qualify.
Plain Language Summary of CMH Financial Assistance Program
We share details about our Financial Assistance Policy on our statements, collection letters, website and through signs at registration. The Patient Accounts/Cashier Office, Financial Assistance Office, Registration and Social Services also give out applications and tell patients that help is available. These offices are all located at the main Hospital at 1500 N. Oakland Ave., Bolivar, MO. View our complete Financial Assistance Policy.
If you need help completing the application for assistance or have questions about the documents needed, visit our Patient Accounts/Cashier office near the main lobby of the Hospital at 1500 N. Oakland Ave., Bolivar, MO, or call CMH Customer Service at 800-326-0508 or 417-328-6508
We use current federal poverty guidelines (see table below) as a part of the calculations to determine how much help each patient will receive. We may not include services that are not medically necessary. Co-pays will be due at the time of service.
The necessity for medical treatment of patients is based on the clinical judgment of the provider without regard to the patient's financial status. Patients will be treated with respect and fairness regardless of their ability to pay.
If a patient is approved for financial help, that patient must set up a payment plan if the balance due cannot be paid in full. If a patient does not make the payments as agreed, we may send that patient’s accounts to a collection agency.
Patients approved for Financial Assistance will not be required to pay more than what is generally billed to insurance payers.
Download the Application For Financial Assistance.
Federal Poverty Guidelines
| Family Size | Income - 100% FPL | 101% to 249% FPL | 250% FPL |
|---|---|---|---|
| 1 | $15,060 | $15,061 to $37,649 | $37,650 |
| 2 | $20,440 | $20,441 to $51,099 | $51,100 |
| 3 | $25,820 | $25,821 to $64.549 | $64,550 |
| 4 | $31,200 | $31,201 to $77,999 | $78,000 |
| 5 | $36,580 | $36,581 to $91,449 | $91,450 |
| 6 | $41,960 | $41,961 to $104,899 | $104,900 |
| 7 | $47,340 | $47,341 to $118,349 | $118,350 |
| 8 | $52,720 | $52,721 to $131,799 | $131,800 |
| Additional Person | $5,380 | $5,380 | $5,380 |
| % of discount | 90% | 89% to 1% | 0% |
Updated annually based on guidelines published by the U.S. Department of Health and Human Services.
Contact
Still have questions about the Financial Assistance program or application? Call CMH Customer Service at 800-326-0508 or 417-328-6508. You also can visit our Patient Accounts/Cashier Office located just off the main lobby of the Hospital located at 1500 N. Oakland Ave., Bolivar, MO.
Health Insurance Marketplace
Medicare Assistance
Medicaid Assistance
With health insurance through MO HealthNet, you can get the care you need when you need it. MO HealthNet covers doctor visits, yearly checkups, mental health care, dental care, well-woman visits, prescription medicines and more. Are you worried about your health? Has it been a long time since you've seen a doctor? With health insurance, you can have peace of mind and take care of yourself and your family.
You can get free help to understand your health insurance options, including Medicaid through MO HealthNet. Call the Family Support Division at 855-373-9994, call 800-466-3213 or visit CoverMissouri.org/help to set up a free appointment with a trained expert. Cover Missouri assisters can help you determine if you qualify for Medicaid and help you understand your health insurance options.
Get FREE, local help to apply by calling the Family Support Division at 855-373-9994, calling 800-466-3213 or visiting CoverMissouri.org/help. To apply, visit mydss.mo.gov.