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How-to · Health care

Apply for McKenzie-Willamette hospital financial assistance

You may qualify for free or reduced-price hospital care based on family size and income, even if you have health insurance.

Steps

5 steps
  1. Get the application formOn the hospital's Billing & Insurance page, open the Financial Assistance Application Form.
  2. Fill in your household and incomeList everyone in your household and your family's gross monthly income before taxes. A Social Security number is optional.
  3. Attach proof of incomeIf you have no documents, attach a signed written statement describing your income, or an explanation if you have no income.
  4. Sign, date and send it inMail or fax it to the hospital's Financial Counseling Department (fax 541-744-6168), or deliver it in person. Keep a copy.
  5. Wait for the decisionThe hospital says it will notify you of its decision within 14 calendar days of a complete application with income documents.

Bring

  • Proof of household income
  • List of household members
Providers that bill separately, such as emergency or radiology, may not be covered.

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