Financial Assistance Policy - Plain Language Summary

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Financial Assistance Offered

Hutchinson Regional Medical Center offers financial assistance through its Financial Assistance Policy to patients unable to pay for emergency and medically necessary care.

Eligibility Requirements and Assistance Offered

Eligibility for financial assistance is based on multiple factors, including the nature of the condition and care required, insurance coverage or other sources of payment (including personal injury claims), income (Federal Poverty Level guidelines used to determine the amount of financial assistance offered), family size, assets, and any special consideration the patient or physician would like to have considered.

Financial assistance is offered to patients who are uninsured and underinsured. Partial or full financial assistance will be granted based on a patient’s ability to pay the billed charges.

Patients must fully comply with the application process, including submitting tax returns, bank statements and pay stubs, as well as, completing the application process for all available sources of assistance, including Medicaid or Medical Assistance.

How to Apply for Financial Assistance with HRMC

The patient or any person involved in the care of the patient, including a family member or provider, may express financial concerns at any point during the patient’s care. The patient or responsible party will then be encouraged to complete the financial assistance application.

Financial assistance is limited to medical care provided at HRMC and by HRMC personnel. Expenses such as travel, food, lodging, durable medical equipment and prescriptions are not covered under the Financial Assistance Policy. HRMC will uphold the confidentiality and dignity of each patient and any information submitted for consideration of financial assistance will be treated as protected health information under the Health Insurance Portability and Accountability Act (HIPAA).

Where to Obtain Copies of Forms for Assistance from HRMC

HRMC’s Financial Assistance Policy and Application are available and free to the public. You may obtain a copy at any front desk of the hospital or by calling Patient Accounts at 620-665-2024. You may also request a copy by email at patient_accounts_queries@hutchregional.com. You may also print them from our website:

Financial Assistance Policy / Política de Asistencia Financiera

Financial Assistance Application / Solicitud de Asistencia Financiera

Point of Contact for Information and Assistance

Additional information about the Financial Assistance Policy and assistance with the application process can be obtained from Patient Account Services at 1701 East 23rd St, Hutchinson, KS 67502 or you may call one of our knowledgeable staff members at 620-665-2024. You may also email our Financial Counselors at patient_accounts_queries@hutchregional.com.

For Non-English Speaking Patients

Translation services are available onsite at Hutchinson Regional Medical Center at 1701 East 23rd St, Hutchinson, KS 67502 or via phone at 620-665-2024.

No More than Amount Generally Billed

A patient determined to be eligible for financial assistance may not be charged more than amounts generally billed for emergency or other medically necessary care to patients who have insurance for such care.

Provider List

Providers affiliated with Hutchinson Regional Medical Center who will provide emergency and Medically Necessary care at HRMC under the terms of HRMC’s Financial Assistance Policy:

Radiology Professionals of Hutchinson, LLC
c/o Physician Billing Network (Radiologists)
866-815-9776
Clinical Colleagues (Anesthesiologists) 866-902-4406
VEP Hutchinson Emergency Medical Group, LLC
c/o Emergency Group Office (ED Physicians’ billing service)
877-346-2455
Hutchinson Physicians, PA & South Sound Inpatient Physicians, PLLC
c/o Hospitalists (Physician billing service)
620-694-2084
Reno Pathology Associates, P.A. (Pathologists) 316-612-0556
Horizons Mental Health Center
c/o Trajectory RCS (Behavioral Health)
316-831-1500

Providers affiliated with Hutchinson Regional Medical Center who do not provide emergency and Medically Necessary care at HRMC under the terms of our Financial Assistance Policy:

Hutchinson Clinic, PA (all physicians and other providers)