Financial Assistance Program

Prairie Lakes Healthcare System is committed to providing excellent quality medical care to our patients without regard to their ability to pay. If you think that you may have difficulty paying your bill, we encourage you to discuss financial assistance options with one of our Patient Account Specialists. For persons who qualify, care may be provided free of charge or at a discounted rate. Interest free payment terms are also available for those who qualify.

An application for financial assistance may be obtained:

  • by inquiring in person at the hospital information desk in the hospital's main lobby,
  • by calling a Patient Account Specialist at 882-7887 or 1-800-298-6638, 8:00 am - 4:30 pm, Monday - Friday.
  • by downloading and printing the application (see below)

Eligibility for assistance is based on income, assets, medical bill obligations and other criteria as listed on the Financial Assistance Application. Individuals who qualify for assistance will not be charged more for emergency or medically necessary care than the amount generally billed to insured individuals.

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Financial Assistance Policy - download  

Financial Assistance Application - download

Póliza de Asistencia Financiera - descargar

Declaracion Para Asistencia Financiera - descargar