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Financial Assistance

Haywood Regional Medical Center recognizes that healthcare is expensive and often unexpected.  Team members are available to assist with potential eligibility for North Carolina Medicaid, other state and federally funded healthcare programs and the Financial Assistance Program. 

For potential Medicaid eligibility please contact Haywood Regional Medical Center at 828-452-8101 or 828-452-8295 

To reach a Patient Financial Advocate about our Financial Assistance Program please call 828-452-8914 or 828-452-8192

Financial Assistance Program

Financial Assistance Policy

Haywood Regional Medical Center provides free or discounted emergency and other medically necessary care to patients who do not have insurance and who qualify for assistance under its Financial Assistance Policy.  Certain exclusions apply, including, for example, elective services, balances covered by other funding sources, and failure to cooperate in securing alternative funding sources.

This document is only a summary.  Please refer to the Financial Assistance Policy for complete details.

Eligibility Requirements and Assistance Offered Under the Financial Assistance Policy

Patients who qualify for assistance are eligible for income-based, sliding scale discounts for emergency and other medically necessary care.  In general:

  • Uninsured patients whose family income is equal to or less than 200% of the Federal Poverty Guidelines are generally eligible for free emergency and medically necessary care.
  • Uninsured patients whose family income is between 200% and 300% of the Federal Poverty Guidelines generally receive a sliding scale discount ranging from 60% to 90% for emergency and other medically necessary care.

A patient who qualifies for assistance under the Financial Assistance Policy will not be charged more for emergency or medically necessary care than amounts generally billed to patients having insurance covering such care.

Referral for Financial Assistance may be made by any member of Haywood Regional Medical Center staff, medical staff, nurses, financial counselors, social workers, case managers, chaplains, family members, patients, guarantors and any other person.

For patients that do not qualify for financial assistance our Patient Financial Advocate is available to help determine potential opportunities for partial assistance with catastrophic medical bills.

The following healthcare services are eligible for Financial Assistance:

  1. Emergency medical services
  2. Services for which if not treated promptly would lead to an adverse change in  health status
  3. Non-elective services provided in response to life-threatening circumstances in a non-emergent setting
  4. Medically necessary services evaluated on a case by case basis
  5. Services at Haywood Regional Medical Center  and physician practices owned and operated by Haywood Regional Medical Center.

This policy is not applicable to physicians, immediate family members of physicians (as defined in 42 C.F.R. 417.351, as amended) or to any patient who is a referral source to a Haywood Regional Medical Center entity. Haywood Regional Medical Center  reserves the right to grant financial assistance to patients in extraordinary circumstances who do not satisfy the guidelines stated above.

Haywood Regional Medical Center Financial Assistance Program Application

Financial Assistance Application
Financial Assistance Supporting Documents

Please print and mail your application to:

Haywood Regional Medical Center
Attn: ADMITTING- CAP APP
262 Leroy George Drive
Clyde, NC 28721


OR

Call a Patient Financial Advocate at 828-452-8938 or 828-452-8914

Please include all requested information and documentation to avoid delay in processing.

Financial need will be determined in accordance with procedures that involve an individual assessment. The assessment may involve full supporting documentation of eligibility. 

Patients shall be notified in writing of financial assistance approval or denial within 30 days of receipt of all required information. Determination letters shall be mailed to inpatients. Notification for outpatient and physician services will be provided on the billing statement or upon request. 

How to Obtain Copies of the Financial Assistance Policy and Financial Assistance Application

Copies of the Financial Assistance Policy, this Plain Language Summary, and the Financial Assistance Application and associated instructions are available free of charge upon request by writing to Patient Financial Services at 262 Leroy George Drive, Clyde, NC 28721.  Copies can also be found in the emergency room and admission areas of the hospital.  These documents may be found online below.

Translations of these documents to Spanish are available upon request from Patient Financial Services.

Further information about the Financial Assistance Policy and assistance with the application process are available from a Financial Counselor via phone at 828-452-8938 or in person at Haywood Regional Medical Center, 262 Leroy George Drive, Clyde, NC 28721.

How to Apply for Assistance Under the Financial Assistance Policy

To apply for financial assistance, please submit a complete Financial Assistance Application with supporting documents to Haywood Regional Medical Center– Financial Counselor at 262 Leroy George Drive, Clyde, NC 28721.