DOWNLOAD FORMS
Financial Assistance at Mid Valley Hospital and Clinic
In keeping with our mission and core values, Mid Valley Hospital and Clinic cares for people and their health needs regardless of their ability to pay. State law requires hospitals to provide free and discounted care to eligible patients. We are committed to working with our patients through any financial challenges, including finding ways to make medical care more affordable. You may qualify for discounted care based on family size and income, regardless of insurance status.
Mid-Valley does not discriminate patients based on race, color, sex, religion, age, marital status, national origin, or the presence of any sensory, mental or physical handicap.
If you feel you may have trouble paying for your health care, please talk with us. When possible, we encourage you to ask for financial help before receiving any medical treatment.
Patient Accounts Department
Monday through Friday
8:00am – 4:30pm
810 Jasmine Street
Omak, Washington, 98841
(509) 861-2520
Patient Financial Counselors are available:
8:00am – 4:30pm
What Is Covered? For emergency and other medically necessary hospital-based and clinic services, we provide financial assistance to eligible patients on a sliding fee scale basis, with discounts ranging from 37% to 100%. In addition, patients eligible for financial assistance will not be invoiced or charged more than amounts generally billed to insured patients.
How to Apply: Any patient may apply to receive financial assistance by submitting an application and providing supporting documentation. You can download the application by clicking on the links above. If you have questions or need help, don’t hesitate to get in touch with us:
Documents can also be mailed to you free of charge.
Asistencia en español disponible.
Completed applications can be mailed to:
Attn: Patient Accounts Department
Mid Valley Hospital
PO Box 793 Omak, WA 98841
Or faxed to (509) 826-7631