1200 North 7th Street, Chariton, Iowa 50049
Phone: (641) 774-3201 | Toll-free: (800) 404-3111
We understand that healthcare costs can sometimes be difficult to navigate. We want you to have a clear understanding of your financial responsibility and the options available to you. Our financial policy outlines our billing and payment practices, including insurance, patient balances, payment arrangements, and financial assistance.
We also believe financial concerns shouldn’t keep you or your family from getting the care you need, close to home. Eligible individuals and families may qualify for assistance through our Financial Assistance Program.
If you have questions about your bill, insurance, payment options, or financial assistance, please reach out to our team. We’re happy to help you understand your options and find the information you need.
Forms & Documents
Click on links to view, save, or print documents.
English:
- Financial Assistance Policy
- LCHC’s Financial Policy – Plain Language Summary
- LCHC Financial Assistance Application (PDF – print and mail)
- LCHC Financial Assistance Application (submit online)
Russian/русский
- LCHC’s Financial Policy – Plain Language | Политика оказания финансовой помощи — краткое изложение простым и доступным языком
- LCHC Financial Assistance Application | Заявление на участие в программе финансовой помощи
Spanish/Español
- LCHC’s Financial Policy – Plain Language | Política de ayuda económica (resumen en lenguaje sencillo)
- LCHC Financial Assistance Application | Solicitud del programa de ayuda económica
Ukrainian/українець
