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, but are not limited to, 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.).

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;

  • Tawnya Bauch, ARNP (Oncology)
  • Brandi Booth, ARNP (Family Medicine)
  • Eman Boulis, MD (Rheumatology)
  • Brian Clarke, (Nuclear Medicine, Cardiac Stress Lab)
  • Jennifer Coxe, ARNP (Acute Care)
  • Rachel Davis, RN (Wound Care Clinic)
  • Laci Dykstra, ARNP (Family Medicine)
  • Martha Errthum, DO (Family Medicine)
  • Mark D. Fish, DO  (Orthopaedics)
  • Jill Frerichs, DPM, FACFAS (Orthopaedics)
  • Brian Folkers, DO, Bergman Folkers Plastic Surgery
  • Teresa Glesener, RN (Allergy Services)
  • Tomas Gonzales, PhD (Psychology)
  • Stephen Griffith, MD (Otolaryngology)
  • Brent Hoehns, MD (Family Medicine)
  • Cynthia Hoque, DO (Family Medicine)
  • Amy Hughes, DO (Oncology)
  • Bhama Jayaveerapandian, MD (Family Medicine)
  • Darryl Johnson, DO, (OB/GYN)
  • Steven Johnson, MD, Wolfe Eye Clinic (Applies to facility charges only.)
  • Ryan Laughlin, DO (Family Medicine)
  • James Law, DO (Family Medicine)
  • Earl McKeever, MD (Family Medicine)
  • Logan Miller, DO (Emergency Department)
  • Roy Molina, MD (Oncology)
  • Anne Nelson, ARNP, Bergman Folkers Plastic Surgery
  • Todd Peterson, DO (Orthopaedics)
  • Justin Plum, PT, DPT, OCS, Cert MDT  (Physical and Occupational Therapy)
  • Shannon Remington, DO (Family Medicine)
  • Jordan Reiner, PA (Orthopaedics)
  • Kate Ripperger, ARNP (Acute Care)
  • Terry Rose, RN (Anticoagulation Clinic)
  • Natalie Rowley, PA (Family Medicine)
  • Jolene Runkel, ARNP, Iowa Heart Center
  • Timothy Simplot, MD (Otolaryngology)
  • Michael Van Natta, DO (Family Medicine and Allergy Services)
  • William Wickemeyer, MD, Iowa Heart Center

Financial assistance excludes these providers

Our financial assistance program excludes visiting specialty service providers who are not affiliated with KHC, perform their own billing activities and issue their own separate statements to customers. Services rendered by these providers may be covered under a separate financial assistance policy administered by their businesses. Providers that are excluded include:

  • Megan Gerjets, MS, CCC-SLP, Central Rehabilitation
  • Michael Hatfield, C.Ped., L.C. Ped, American Prosthetics & Orthotics
  • Steven Johnson, MD, Wolfe Eye Clinic (professional charges)
  • Dean Kayser, Aud, FAAA, Kayser Hearing Aid and Audiology Centers
  • Cyndi Lister, HAS, Woodard Hearing Centers
  • Douglas Massop, MD, The Iowa Clinic
  • Adam McFarlane, CPO, LPO, American Prosthetics & Orthotics
  • Kyle Saddoris, Central Rehabilitation

 


2019 KHC Financial Assistance Discount Scale

Federal Poverty Level Percent Discount
140 to 150% 70%
151 to 170% 65%
171 to 190% 60%
191 to 210% 55%
211 to 230% 50%
231 to 250% 45%
251 to 270% 40%
271 to 300% 35%
Online Application Link

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 is 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.