HMH Financial Assistance
You may apply for Financial Assistance as soon as possible after presenting
for services or indicating an inability to pay for services at the Hospital
or Clinic.
Your application for Financial Assistance will include screening by a third
party eligibility vendor for the following benefits/programs:
Existing Healthcare Insurance or Ability to Purchase Healthcare Insurance
and/or Other Liability - At or below 8% of total annual income (<8%) and/or Other Liability
Self-Pay Discounted Programs - Means tested Federal Poverty Level (FPL)
at or above 401% (
>401%)
Texas Medicaid and/or Medicare and/or SSI; Other Government Programs; Workers
Compensation - Meets all Federally Mandated Criteria
Walker County Indigent Care Program - Means tested Federal Poverty Level
(FPL) at or below 100%. (0% to
<100%)
If you are approved for Financial Assistance, you will be notified by mail,
no later than 14 days after the date your fully completed application
and all required documents are submitted. Financial Assistance is approved
for a 6 month period from the first date of service. You are required
to reapply for Financial Assistance at the end of the 6 month qualification
period. Services covered include only medically necessary services as
defined by the Centers for Medicare and Medicaid Services. Financial Assistance
approvals extend only to services provided by Huntsville Memorial Hospital
and Clinic (see HMH Billing Disclosure).
For a copy of the hospital’s
Financial Assistance policies and Plain Language Summary, click
here.
Financial Assistance Application and Other Documents:
Please contact the Financial Counseling Department at 936-293-4464 if you
need assistance.
If you need an appointment to meet with a Financial Counselor, please call
and schedule in advance.
Appointments are available Monday through Thursday from 8:00 am to 5:00
pm, on a first call, first scheduled basis.