Memorial Hospital of Converse County and its affiliate clinics will provide emergency and medically necessary healthcare services to all patients including individuals with financial limitations or ability to pay. We are committed to providing financial assistance to legal residents who have health care needs, and are uninsured or under-insured and otherwise unable to pay. Patients who have household/family incomes under 350% of the Federal Poverty Guidelines may be eligible for part or all of their financial responsibility to be discounted.
To be considered, patients must apply for Financial Assistance by completing a Financial Assistance Application. Copies of the application and the policy may also be requested by mail, by calling 307-358-2122, ext. 1113 or 1990. Copies may also be obtained in person at Memorial Hospital of Converse County business office at 129 North 4th Street, Douglas WY 82633.
Completed Financial Assistance Applications and required supporting materials may be submitted by mail to: Memorial Hospital of Converse County Business Office, PO Box 1450, Douglas WY 82633, or delivered directly to the Business Office at 129 North 4th Street, Douglas WY 82633.
Anyone seeking any additional information or needing assistance in completing the application may call one of Memorial Hospitals’ Financial Counselors at 307-358-2122, ext. 1113 or 1990.
A qualified applicant/patient for financial assistance will not be charged more than the amounts generally billed by the facility for the same services provided to individuals who have insurance covering the same care.