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Financial Assistance Policy Information

Glendive Medical Center offers Financial Assistance to patients that do not have the ability to pay part or all of their hospital bills. Financial Assistance is calculated on a sliding scale based on the Federal Poverty Guidelines published in the Federal Register each year, and number of household sharing the same income. The patient is requested to complete the following application and provide evidence of income.

Patients that do not qualify for 100% Financial Assistance, may qualify for partial. Qualification is determined by a patient's medical expenses exceeding the families total gross annual income and total household assets that are not sufficient to cover the expense without the liquidation of assets critical to living or earning a living (home, car, retirement).

Contact Information
Patient Financial Services

Financial Assistance Policy

Payment Plan Application

Uncompensated Care Application

target=_new>Poverty Income Levels

GMC ACH Debit Authorization

GMS ACH Debit Authorization