Financial Assistance

It is the policy of Knoxville Hospital & Clinics (KHC) to offer financial assistance or insurance premium support to customers that are residents of Iowa who meet our financial need criteria. These include customers that have:

  • no insurance.
  • inadequate insurance coverage (high deductible health plan).
  • exhausted all other payment sources (e.g. state assistance, county relief, Medicaid, etc.)
  • etc.

Financial assistance discounts may be applied to all outstanding patient liability amounts, except for insurance co-payments due between the amounts of $15 and $100 dollars.

View Financial Assistance Policy Link

Financial assistance applies to these providers

Our financial assistance program applies to medical services rendered by those providers who are affiliated with KHC; whereby, KHC is responsible for billing various sources on behalf of the ancillary department or professional provider who performed the services and subsequently issues statements to customers directly under KHC letterhead. It includes all medical services provided in the ancillary departments of the hospital; whereby, a facility charge is generated along with the medical services rendered by the following professional providers;

  • Martin Aronow, DO (Cardiology)
  • Angela Beckel, ARNP (Pulmonary Medicine)
  • Brandi Booth, ARNP (Family Medicine)
  • Eman Boulis, MD (Rheumatology)
  • Brian Clarke, (Nuclear Medicine, Cardiac Stress Lab)
  • Paul A. Conte, MD (General and Thoracic Surgery)
  • Jennifer Coxe, ARNP (Acute Care)
  • David Chew, MD (Vascular Surgery)
  • Heidi Curtis, DCNP (Dermatology)
  • Rachel Davis, ARNP (Family Medicine)
  • Laci Dykstra, ARNP (Family Medicine)
  • Abdelaziz ElHaddad, MD (Oncology and Hematology)
  • Allen Eckhoff MD (Pain Management)
  • Martha Errthum, DO (Family Medicine)
  • Mark D. Fish, DO  (Orthopaedics)
  • Stephen Griffith, MD (Otolaryngology)
  • Brent Hoehns, MD (Family Medicine)
  • Cynthia Hoque, DO (Family Medicine)
  • Neil Horning, MD (Pulmonology)
  • Danise Hyatt, ARNP (Acute Care and Family Medicine)
  • Bhama Jayaveerapandian, MD (Family Medicine)
  • Darryl Johnson, DO, (OB/GYN)
  • Steven Johnson, MD, Wolfe Eye Clinic (Applies to facility charges only.)
  • Samantha Keady, DO (Emergency and Med Surg)
  • Ryan Laughlin, DO (Family Medicine)
  • James (J.B.) Law, DO (Family Medicine)
  • Michael Lee, DPM (Orthopaedics)
  • Dylan Lowe, MD (Emergency)
  • Timothy P. Mayfield, MD (General Surgery)
  • Logan Miller, DO (Emergency Department)
  • Daniel Moyse, MD (Pain Management)
  • Todd Peterson, DO (Orthopaedics)
  • Shannon Remington, DO (Family Medicine)
  • Jared Rietveld, DO (Family Medicine)
  • Kate Ripperger, ARNP (Acute Care)
  • Natalie Rowley, PA (Family Medicine)
  • Jolene Runkel, ARNP, Iowa Heart Center
  • Timothy Simplot, MD (Otolaryngology)

2021 KHC Financial Assistance Discount Scale

Federal Poverty Level Percent Discount
134 to 159% 70%
160 to 179% 65%
180 to 199% 60%
200 to 219% 55%
220 to 239% 50%
240 to 259% 45%
260 to 279% 40%
280 to 300% 35%

Financial Assistance Application

Financial assistance applications are widely available throughout the hospital and clinics or can be completed online at www.knoxvillehospital.org. The application for financial assistance remains good for one year and must be completed and refiled annually. Completed applications must be received within two weeks of the initial request and KHC staff will respond within two weeks of receiving the completed application to let you know if you qualify along with the discount percentage.

Once a financial assistance discount determination has been made for those who qualify and the discount has been applied, the patient is responsible to work with KHC to make arrangements to pay the remaining balance on the bill(s). In the event that a remaining balance due after a financial assistance discount has been applied does not remain in good standing, KHC reserves the right to suspend or revoke the financial assistance discount. In addition, an outside collection agency may be engaged to deal with the matter.

 

For a “Plain Language Version of the Financial Assistance Policy,” view/download here. Or you may call Customer Service at 641-842-1423 and they will mail you a copy; or you can speak to a member of our registration staff at any of our business locations and they will provide you with a copy.