NRMC Financial Assistance Program
Eligibility
- Patients who do not have health insurance, Medicaid, or Medicare and whose annual family income does not exceed a set percentage of the federal poverty guidelines.
- Patients who have insurance and whose medically-related, out-of-pocket expenses within the last twelve months exceed a set percentage of their annual family income and whose annual family income does not exceed a set percentage of the federal poverty guidelines.
Steps to Follow to Discuss Eligibility Qualifications
If you have questions about eligibility,
Call 417-667-3355
and request to speak to a Patient Account Advocate.
- Download the NRMC Financial Assistance Application.
- Submit a completed financial assistance application along with the following documentation by email, fax (417) 448-3668, mail or in person at 800 S. Ash, Nevada, MO 64772:
- Copy of most recently completed and signed income tax return. If you have not filed income tax returns, you will need a statement of earnings from the Social Security Office.
- 3 months of bank statements for each bank account in which you are the owner.
- Proof of past 12 months of income which includes and is not limited to:
- Child Support
- Social Security Income
- Disability Income,
- Employment Income
- Unemployment Compensation
- Income from parents or others
- Wages (Latest Pay Stub)
Please note: Financial assistance applies only to treatment and services provided by NRMC. Physicians and other providers’ fees are the sole responsibility of the patient.
