NRMC Financial Assistance Program

Eligibility

• Patients who do not have health insurance, Medicaid, or Medicare and whose annual family income does not exceed a set percentage of the federal poverty guidelines.
• Patients who have insurance and whose medically-related, out-of-pocket expenses within the last twelve months exceed a set percentage of their annual family income and whose annual family income does not exceed a set percentage of the federal poverty guidelines.

Steps to Follow to Discuss Eligibility Qualifications

First, do you qualify? To view the 2021 federal poverty guidelines, click here.

If you have questions about eligibility, Call 417-667-3355, and request the extension according to your last name:

Last names beginning with A-J: extension 1558

Last names beginning with K-Z: request extension 3694

1. Download the NRMC Financial Assistance Application.
2. Submit a completed financial assistance application along with the following documentation by email, fax (417) 448-3668, mail or in person at 800 S. Ash, Nevada, MO 64772:

• Copy of most recently completed and signed income tax return. If you have not filed income tax returns, you will need a statement of earnings from the Social Security Office.
• 3 months of bank statements for each bank account in which you are the owner.
• Proof of past 12 months of income which includes and is not limited to:
• Child Support
• Social Security Income
• Disability Income,
• Employment Income
• Unemployment Compensation
• Income from parents or others
• Wages (Latest Pay Stub)

Please note: Financial assistance applies only to treatment and services provided by NRMC. Physicians and other providers’ fees are the sole responsibility of the patient.