Patient Financial Assistance

Our Commitment to You

At Yuma Hospital & Clinics, we believe that everyone deserves access to quality healthcare. We are committed to providing financial assistance to qualified patients and working with you to find affordable payment solutions. No one will be denied emergency medical care based on their inability to pay.

We treat all patients with dignity and respect from registration through billing. We do not discriminate in the determination of financial assistance eligibility on the basis of race, color, ethnic origin, sexual orientation, marital status, creed, age, sex, disability, or immigration status.

Who Qualifies for Financial Assistance?

Free Care (100% Discount)

Patients with household income at or below 250% of the Federal Poverty Guidelines (FPG) may qualify for free care for emergency and medically necessary services.

For reference: 250% FPG for a family of four is approximately $80,000 per year.

Discounted Care

Patients with household income between 251% – 400% of FPG may qualify for sliding scale discounts based on income and family size.

What Services Are Covered

• All emergency medical care
• Medically necessary hospital services
• Inpatient care, observation visits, and same-day surgery
• Outpatient services
• Most physician services provided at our facilities

Colorado Hospital Discounted Care Law

Yuma Hospital & Clinics is in full compliance with Colorado’s Hospital Discounted Care Law (Senate Bill 24-116). Under this law:

• All uninsured patients are automatically screened for financial assistance
• Insured patients may request to be screened
• Payment plans are limited to 4% of monthly household income for hospital services and 2% for physician services
• 36-month maximum: After 36 payments, any remaining balance is forgiven
• No residency requirements: You do not need to be a Colorado resident to qualify

How to Apply for Financial Assistance

Application Process

1. Contact our Financial Counselor at (970) 848-4815
2. Complete the application within 90 days of service
3. Provide required documentation (see list below)
4. Receive determination within 14 business days

Required Documentation

To complete your application, please provide:

For All Household Members:

• Government-issued photo identification
• Social Security cards (if applicable)

Income Documentation:

• Pay stubs for the most recent 4 weeks
• Most recent tax return (W-2, 1099, or complete tax filing)
• Unemployment benefits statement
• Social Security/disability benefits statement
• Self-employment profit/loss statement or business ledger

Asset Documentation:

• Bank statements for all checking and savings accounts (most recent 2 months)
• Investment account statements

Additional Information (if applicable):

• Insurance cards and explanation of benefits
• Divorce decree or child support documentation
• Documentation of extraordinary expenses (medical bills, etc.)

Payment Options and Support

• Interest-Free Payment Plans
  • We offer flexible, interest-free payment plans for patients who do not qualify for full financial assistance but need help managing their healthcare costs.
• Assistance with Public Programs
• Our Financial Counselor can help you apply for:
  • Health First Colorado (Medicaid)
    • Health First Colorado
      The Colorado Department of Health Care Policy & Financing offers Health First Colorado and Child Health Plan Plus—public health insurance programs for Coloradans who qualify. Basic information is available at the state website about eligibility and benefits. For the most accurate and up-to-date information on eligibility and benefits, please visit the official Health First Colorado website: https://www.healthfirstcolorado.com/.
  • Child Health Plan Plus (CHP+)
  • Medicare
  • Emergency Medicaid
  • Colorado Indigent Care Program (CICP)

Amounts Generally Billed (AGB)

Patients eligible for financial assistance will not be charged more for emergency or other medically necessary care than the amounts generally billed to insured patients. Information regarding AGB percentages and calculations may be obtained free of charge by contacting our Financial Counselor at (970) 848-4815.

Appeals Process

If you disagree with a financial assistance determination, you have the right to appeal:

1. Submit your appeal in writing within 30 days of receiving your determination
2. Contact methods: Mail, email, or call (970) 848-4815
3. Review process: We will acknowledge receipt within 3 business days and provide a redetermination within 15 calendar days

Frequently Asked Questions

Q: Do I need to be a Colorado resident to qualify?
A: No, our Financial Assistance Program has no residency requirements.

Q: What if I have insurance?
A: Insured patients may still qualify for assistance with copays, deductibles, and out-of-network charges. You must request to be screened.

Q: How long does the approval last?
A: Financial assistance determinations are generally valid for one year or until your financial circumstances change significantly.

Q: What happens if I’m already in collections?
A: Contact our Financial Counselor immediately. We work with collection agencies and can halt collection activities if you qualify for assistance.

Q: Can I apply for assistance after I’ve already been billed?
A: Yes, you can apply for financial assistance up to 240 days after receiving your first billing statement.

Contact Information

Yuma Hospital & Clinics
Financial Counselor
(970) 848-4815

Mailing Address:
Financial Services Department
Yuma Hospital & Clinics
1000 West 8th Avenue
Yuma, CO 80759

Office Hours:
Monday – Friday, 8:00 a.m. – 5:00 p.m.

Additional Resources

Download Forms

Hospital Discounted Care – English
Hospital Discounted Care – Spanish

Notice of Privacy Practice – English
Notice of Privacy Practice – Spanish

Language Services

We provide interpreter services in multiple languages at no cost to you. Please let us know your language preference when you call.

Yuma Hospital & Clinics is committed to providing transparent, compassionate financial assistance while maintaining the highest standards of patient care. All financial assistance applications are kept strictly confidential and processed promptly to ensure you can focus on your health and recovery.