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

    1. Do you qualify? You can check the federal poverty guidelines at http://www.aspe.hhs.gov/poverty/13poverty.cfm. If you have questions about eligibility, please call our Financial Counselors at (417) 448-3694.
    2. Download the NRMC Financial Assistance Application.
    3. 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.