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 affiliation.

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.