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Charity Care Program Information


CHARITY CARE NOTICE

As a condition of participation in the Medicaid "Disproportionate Share Program," this hospital will provide care to persons who are unable to pay for their medical care.
In order to be eligible for charity care, you must:
• Have no other source of payment, for example: insurance, government assistance, or savings
• Have hospital bills beyond your financial resources
• Provide proof about income and resources
• Complete an application and provide information required by the hospital
Forms and information about applying for charity care are available upon request.


Financial Assistance Policy

Financial Assistance Application



NOTICIA DE SERVICIOS DE CARIDAD

Como condicion de participacion en un programa de Medicaid, llamado "Disporportionate Share Program," este hospital ofrece servicios a personas que no pueden pagar por su atencion medica.
Para tener derecho a servicios caritativos, se necesita tener los siguientes requisitos:
• No contar con otro medico de pagar, por ejemplo: seguro medico, asistencia del gobierno federal, o sus propios ahorros o bien
• Tener cuentas de hospital que esten mas alla de sus recursos economicos
• Presentar pruebas de sus ingresos y recursos economicos
• Llenar la solicitud de servicio y dar la informacion que le pida el hospital
A pedido de los interesados, se proveeran formularios e informacion y datos tocante a la solicitacion de servicios caritativos.

Pecos County Memorial Hospital District does not and shall not discriminate based on race, color, religion (creed), gender, gender expression, age, national origin (ancestry), disability, marital status, sexual orientation, or military status, in any of its activities or operations. Pecos County Memorial Hospital District is an equal opportunity employer.

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