Financial Assistance

Patients who qualify for assistance are eligible for discounts for emergency and other medically necessary care based on multiple factors, including, income, household size, and other available assets. In general:

• Patients whose household income is at or below 200% of the Federal Poverty Level are generally eligible for free emergency and medically necessary care.
• Patients whose household income is between 200% and 300% of the Federal Poverty Level are generally eligible for a 75% discount for emergency and other medically necessary care.

A patient who qualifies for assistance under SoutheastHEALTH's Financial Assistance Policy will not be charged more than amounts generally billed to patients with insurance, for emergency or medically necessary care.

To apply for financial assistance, please submit a completed Financial Assistance Application and supporting documentation to your local Patient Financial Services office. To be considered complete, an application must include:

• Completed Financial Assistance Application
• Approval/denial letter from Medicaid
• Copies of most recent Federal Tax Return, including all schedules
• Two months of complete bank statements, both checking and savings accounts
• Verification of current income, if applicable: examples include the two most recent pay stubs, pension and retirement income, Social Security income, unemployment compensation, workers' compensation, veterans' payments, etc.
• Proof of income from interest, dividends, rents, royalties, income from estates, trusts, educational assistance, alimony, child support, and any other miscellaneous income sources

Other documentation may be requested to verify information on the Financial Assistance Application.

Copies of the Financial Assistance Policy, a plain language summary and the Financial Assistance Application are available free of charge upon written request, in the admitting/registration areas of the hospital, or online.

Further information and complete details about the Financial Assistance Policy may be obtained by contacting any of our Patient Financial Services offices listed below:

Southeast Hospital
573.651.5511
301 S. Broadview St.
Cape Girardeau, MO 63703

Southeast Health Center of Stoddard County
573.624.5566
1200 N. One Mile Road
Dexter, MO 63841

Southeast Hospital

• Financial Assistance Policy
• Financial Assistance Application
• Plain Language Summary
• Billing and Collection Policy
• Providers Covered under SoutheastHEALTH Financial Assistance
• Provider Not Covered under SoutheastHEALTH Financial Assistance

Southeast Health Center of Stoddard County

• Financial Assistance Policy
• Financial Assistance Application
• Plain Language Summary
• Billing and Collection Policy
• Providers Covered under SoutheastHEALTH Financial Assistance
• Provider Not Covered under SoutheastHEALTH Financial Assistance