Jerold Phelps Community Hospital — 经济援助与慈善医疗

您是否符合免费医疗的条件？

Jerold Phelps Community Hospital 为收入在联邦贫困线 400% 或以下的患者提供免费（慈善）医疗。如果您的家庭年收入在对应家庭人数的金额或以下，您很可能符合 100% 免费医疗的条件：

申请时您需要准备的材料

• Documentation of income
• Documentation of health insurance coverage
• Proof of income limited to pay stubs (if working in the 12 months prior to date of service) OR income tax returns (if not working at all in the prior 12 months)
• For discounted/extended payment plans: documented proof of essential living expenses (rent/house payment, maintenance, food, household supplies, utilities, telephone, clothing, other medical/dental payments, insurance, school or childcare, child/spousal support, transportation and auto expenses, installment payments, laundry, cleaning, and other extraordinary expenses)

如何申请

拨打电话时，您可以说：“我想为一笔医院账单申请经济援助（慈善医疗）。您能把申请表发给我，并告诉我需要哪些文件吗？”

基于这家医院的政策，生效日期为 06/17/2026。