In our mission to serve the healthcare needs of residents of Norton County, Norton County Hospital (NCH) is committed to making care affordable. NCH offers discounts, payment options and financial assistance to people who cannot afford to pay for medical care, including Emergency Department services. NCH offers medically necessary services in our facility at a discounted rate or free of charge if you are an eligible candidate under the Financial Assistance Program (FAP).
The financial assistance program applies to all medically necessary hospital inpatient, outpatient and Emergency Department services that are billed by NCH. The applicant must demonstrate an inability to pay in accordance with the income criteria as established by the current Federal Poverty Guidelines (FPG).
Approved applicants of the financial assistance program will receive discounts for services received based on their annual income and family size under the following conditions:
NCH asks applicants to provide proof of annual income and family size by including a copy of the prior year federal tax return and twelve-month earnings history, such as W-2 or paystubs, with the completed application. A balance sheet or profit and loss statement may also be requested.
A patient or guarantor may download a financial assistance application below. Applications are also available for pickup at any registration point of NCH and Norton Medical Clinic and in the business office. Applications may also be mailed to a patient or guarantor by contacting the business office at the phone number or mailing address listed below. A patient or guarantor may also seek assistance in completing the application by contacting a representative at the business office or by calling the phone number below between the hours 8 a.m. to 5 p.m., Monday through Friday (excluding holidays). Completed applications and supporting documentation may be turned in to the business office either in person or by mail at the address listed below.
Click here for the Financial Assistance Application.
A copy of the full Financial Assistance Policy is available by clicking on the links below or upon request to the business office.
Financial Assistance Policy: Appendix A, Provider List
Financial Assistance Policy: Appendix B, Amounts Generally Billed
Norton County Hospital
Physical address: 102 E Holme St, Norton, KS 67654
Mailing address: P.O. Box 250, Norton, KS 67654-0250
Phone number: 785-877-3351