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Glendive Medical Center Financial Assistance Policy - Plain Language Summary


Read the Financial Assistance Policy here.

Overview

Glendive Medical Center (GMC) is committed to offering financial assistance to people who have health care needs and are not able to pay for care. You may be able to get financial assistance if you are not insured, underinsured, not eligible for a government program, do not qualify for governmental assistance (for example Medicaid or Medicare). GMC strives to make sure that the financial capacity of people who need health care services does not prevent them from seeking or receiving care. This is a summary of GMC's Financial Assistance Policy (FAP). The full policy can be found at the bottom of this page.

Availability of Financial Assistance

You may be able to get financial assistance if you do not have insurance, are underinsured, or if it would be a financial hardship to pay in full the expected out of pocket expenses for services at GMC. Please note that there are certain services exclusions that are not typically eligible for financial assistance, including by not limited Nursing Home.

Eligibility Requirements

Financial assistance is generally determined by a sliding scale of total household income based on the Federal Poverty Level (FPL). If you and/or the responsible party's income combined are at or below 200% of the federal poverty guidelines, you will have no financial responsibility for the care given at GMC. If you fall between 200 and 400%, you may get discounted rates for the care given by the provider. No person eligible for financial assistance under the FAP will be charged more for emergency or other medically necessary care than amounts generally billed to individuals who have insurance covering such care. If you have sufficient insurance coverage or assets available to pay for your care, you may not be eligible for financial assistance. Please refer to the full policy for a complete explanation and details.

Where to Find Information

There are many ways to find information about the FAP application process, or get copies of the FAP or FAP application form. To apply for financial assistance you may:
Download the full policy information here
Download the application here
Request the information in writing by mail or by visiting the Patient Financial Services department at 202 Prospect Drive, Glendive, MT 59330
Request information by calling our direct line at (406)345-3354.

How to Apply

The application process involves filling out the financial assistance form and submitting the form along with the supporting documentation to GMC for processing. You may also apply in person by visiting the Patient Financial Services department at the address listed below. Financial assistance applications are to be submitted to the following office:

Glendive Medical Center
Attn: Patient Finance
202 Prospect Drive
Glendive, MT 59330