Self Pay Collections
Self pay patients and those having no insurance, will be infomed of the facility’s self pay 50% discount if the patient pays their portion that day or within 30 days of service.
If the patient is unable to pay in a full at the time of service or within 30 days, a payment will be requested.
Patients will be informed of the facilities charity or discounted care and how to apply.
When appropriate, offer patients the option of payment plans or payment books. Try to arrange a plan that would pay off the account in a minimum of time, but would not put the patient in a financial hardship.
Explain our payment methods: Cash, Check, Money Order, Credit Card, and Debit Card.
Cimarron Memorial Hospital and Rural Health Clinic is commited to meetinf the health care needs of those within the community who are unable to pay for medically necessary or emergency care, including the uninsured, underinsured, and those ineligible for government programs and otherwise unable to pay.
Cimarron Memorial Hospital will always provide emergency care regardless of the patient’s ability to pay.
To be considered for free or discounted care you will need to fill out an application and provide supporting documentation about you and your family’s financial circumstances. Financial assistance is only applied to your services that are in a self pay status and after all insurance and third parties pay. With updated information you can update your application every 3 months.
Financial Assistance Programs
50% self pay Discount:
- Eligibility requirements: Must be self pay and declare at time of service you do not have insurance or insurance will not be filed.
- Assistance: The Patient will receive a 50% discount if they pay their half within 30 days of service given. Upon receipt of the 50%, Cimarron Memorial Hospital and Rural Health Clinic will write off the other 50%.
Sliding Scale Charity:
- Eligibility requirements: Claims must have reached a self pay status with all forms of insurance and third party payers exhausted. Must fill out an application and supply supporting documentation as requested.
- Assistance: The patient may receive a discount or complete write off based on Federal Poverty guidelines and income information supplied.
If you receive discounted care or free care you will not be charged more than the amount we generally bill patients who have insurance coverage.
Note: Service not normally covered by insurance such as weight loss programs, or procedures considered to be costmetic are not covered by the Financial Assistance Program.
You can obtain a free copy of the CMH Financial Asisstance Policy and application at the Business Office, the hospital and clinic registration areas, the Emergency Room area located at 101 South Ellis Boise City OK 73933. Please call 580-544-2501 for more information or to have us mail you a financial assistance application or download them from below.