We are Here for You
We understand unexpected healthcare costs are probably not in your household budget. Eligible patients may qualify for discounted emergent or medically-necessary hospital care, based on the Citizens Health Financial Assistance Policy.
For questions regarding Financial Assistance please contact:
As a non-profit organization, Citizens Health (CH) is committed to providing financial assistance to those with health care needs who are uninsured, under-insured, ineligible for a government program, or otherwise unable to pay for emergency or other medically necessary care, based on their individual financial situation.
Citizens Health will not discriminate against any patient seeking emergent care, including those in the provision of emergency medical treatment, those eligible for financial assistance under the FAP policy, or those eligible for government assistance. Patients seeking financial assistance must apply for the program, which is summarized below:
How to Apply
The Financial Assistance Application may be obtained, completed, and submitted as follows.
- Obtain an application at CMC Admissions or FCHC Front Office
- Request an application be mailed or emailed to you by calling 785-460-177 or email: firstname.lastname@example.org
- Request an application by mail at Family Center for Health Care at 310 E. College Drive, Colby KS 67701
- You may download the Financial Assistance Application, policy (politica), and addendum.
Determination of Financial Assistance Eligibility
Financial assistance is generally determined by a sliding scale of total household income based on the Federal Poverty Level (FPL).
- Patients/Guarantors with a total income at or below 130% FPL, will qualify for a 100% discount.
- Patients/Guarantors with a total income at or below 131-200% FPL, will qualify for a 50% discount.
- Patients/Guarantors with a total income at or below 201-300% FPL, will qualify for a 30% discount.
The discount will be in effect for one year from the application being submitted. After that, you must reapply to remain eligible.
Eligible patients will not be charged more for emergency or other medically necessary care than Amounts Generally Billed (AGB) to those patients with insurance coverage. CH uses the “lookback” method, which is based on actual past claims paid to CH by Medicare and other private insurers.
Adam Horinek, PA-C
Alexandra Keller, PA-C
Amanda Reid, PA-C
Andrea Kittrell, MD
Angelia Relph, CRNA
Brady Gilson, PA-C
Brenda M. Kopriva, MD
Brewster A. Kellogg, DO
Brian Unruh, PA-C
Christopher Friedly, CRNA
Courtney McCarty, Dietitian
Daniel P. Kuhlman, MD
Darren Matchell, DO
Dereck Totten, MD
Jennifer Haag, PA-C
Jenny Niblock, APRN
Jerome Molstad, PA-C
John Evans, CRNA
Kamau Gitau, CRNA
Kara S. Kuhlman, MD
Kelly B. Gabel, DO
Kristina Benson, APRN
Luetta Flanagin, APRN
Philip Fitzpatrick, MD
Rachel Schiferl, Dietitian
Regina Taylor, PA-C
Richard Kilgore, CRNA
Robert Erwin, CRNA
Robert Hieger, APRN
Ryan Borne, MD
Sarah M. Gabel, DO
Tricia Carney, APRN
Our Standard Charges
In fiscal year 2019, Hospital Inpatient Prospective Payment System final rule, the Center for Medicaid and Medicare Services (CMS) requires hospitals to provide a list of standard charges via the internet [CMS-1694-F Section X). CMS updated their guidelines to require hospitals to make available a list of their current standard charges via the internet in a machine-readable format and to update this information at least annually, or more often as appropriate. This could come in the form of the chargemaster itself or another form of the hospital’s choice, as long as the information is in machine-readable format.” (42 CFR Pars 412, 413, 424, and 495 [CMS-1694-F]).
Please note the following:
- Charges are subject to change at any time
- The list of charges does not constitute a contract.
- While this document outlines standard base charges, these are not necessarily charges a patient will see.
- Every patient is unique and actual patient payment is highly dependent upon a combination of factors.
- Even for similar procedures at the same facility, what a patient actually pays may differ based on their insurance plan and other factors.
- During your visit, you may have other charges related to physician services that will be billed separately by those service providers. Some of those services could include physician services, anesthesia, pathology, and laboratory.
- Cost is only one factor consumers should review when making healthcare decisions. Outcomes, quality/safety data and experiences should also be considered.
Uninsured or underinsured patients may qualify for charity care or financial assistance. For more information on financial assistance, call Financial Services at (785) 460-4881.