Baxter Regional Financial Assistance Program
Helping Patients Make Their Payments
At Baxter Regional Medical Center, we are as concerned about your financial
health as we are about your physical and mental health. For that reason,
we offer a variety of programs to help patients who may be unable to pay
their medical bills, including discounted care as well as help with loans
to pay for medical care.
We are committed to serving patients regardless of their ability to pay.
Our financial assistance program is based on financial need and never
on any protected characteristic like race, ethnicity, sex, employment
status, immigration status, sexual orientation, gender identity, or religious
Baxter Regional Medical Center Financial Assistance Program
Baxter Regional has adopted a policy that allows certain low-income patients
discounted care for covered services.
The following information summarizes our financial assistance policy:
Eligible patients: Patients receiving covered care from a covered provider may apply for
financial assistance. Eligibility is based on the ability to pay and includes
factors like family income, lack of insurance, catastrophic medical need,
or physical or mental incapacitation. Eligibility is primarily based on
how family income compares to National Poverty Guidelines.
Covered care: Medical care is covered care when it (1) is considered emergency or other
medically necessary care, and (2) is provided in Baxter Regional’s
hospital, in a department of the hospital, or in a provider-based clinic.
Examples include hospital admission for treatment, surgery, treatment
in the Cline Emergency Center, and treatment at the Wound Healing Center
or Pain Clinic, so long as that care is emergent or medically necessary.
Elective care is not covered care.
Covered providers: If covered care is provided by a Baxter Regional hospital provider (such
as hospital doctors and nurses) or a medical provider who works in a clinic
related to the hospital (such as the Acute Inpatient Rehabilitation Center,
Baxter Regional Comprehensive Women’s Clinic, or Baxter Regional
Wound Healing Center), the patient’s treatment is eligible for financial
assistance in the form of discounted care.
How to apply: The application form for financial assistance will be given to all patients
upon request, free of charge. All patients will receive a copy of the
plain language summary upon admission to or discharge from the hospital.
Download digital versions of the Financial Assistance Application Form,
the full Financial Assistance Policy, and this Plain Language Summary
using the links below.
Financial Assistance Application Form
Financial Assistance Policy
Financial Assistance Policy – Plain Language Summary
Completed forms and documentation can be submitted in person to any member
of Patient Financial Services in Baxter Regional Main Admissions or mailed to:
Baxter Regional Medical Center
ATTN: Patient Financial Services
624 Hospital Drive
Mountain Home, AR 72653
Determinations of qualification for financial assistance: Eligibility for financial assistance is determined using the Department
of Health and Human Services’ National Poverty Guidelines. Patients
whose family income is lower than 300% of those guidelines may qualify
for care at reduced cost.
For more information or help applying for financial assistance, please
contact Baxter Regional Patient Financial Services at (870) 508-1080 between
8:00 a.m. and 4:00 p.m., Monday through Friday.