Financial Assistance

Stacy Taylor, CFO.jpg

Stacy Taylor

Chief Financial Officer

Download Financial Assistance Application

Nemaha County Hospital has developed an option to ensure a fair and comprehensive system of providing financial assistance to those with special needs.

 

Eligibility will be determined by income level based on the current poverty guidelines established by the Department of Health and Human Services that are published in the February Federal Register, and will go into effect on May 1.  Nemaha County Hospital will expand the eligible income level up to 150% of the current poverty guidelines in order to provide assistance to patients in need.  Income determination will be based on either 12 month or 3 month income information.  For qualifying individuals, the amount of financial assistance will be provided for 100% of the billed charges for a 6 month time frame from the date of application approval.

 

Determination of eligibility for financial assistance will be completed by the Financial Services Representative and the Chief Financial Officer upon receipt of the following:         

  • Completed application from patient or guarantor
  • Verification of income in the form of copies of paycheck stubs, copies of most recent income tax returns, and/or an employer’s statement.
  • Application to Social Services for medical assistance when applicable.

 

All services offered by Nemaha County Hospital will be eligible for Financial Assistance. 

Please review the attached application and call our Financial Services Representative for further information at 402-274-4366, ext. 6459.