Financial Assistance

Great Plains Regional Medical Center is dedicated to being responsive to and working with the members of our community to provide and support preventative, acute, chronic, and terminal care for the benefit of the people of Beckham County and surrounding areas. The hospital also recognizes the patient’s right to considerate and respectful care regardless of age, race, creed, color, national origin, sex, handicap, or ability to pay.

Great Plains Regional Medical Center is committed to offering financial assistance to those who have health care needs and are not able to pay for care. This would include those that are not insured, underinsured, not eligible for a government program, or do not qualify for governmental assistance (for example Medicare and Medicaid). The Hospital strives to ensure that the financial capacity of those who need health care does not hinder them from seeking or receiving care. The following is a summary of the Hospital’s Financial Assistance Policy (FAP).

Availability of Financial Assistance

Financial assistance is available for those that do not have insurance, are underinsured, or if it would be a financial hardship to pay for the expected out of pocket expenses for services rendered by any department of Great Plains Regional Medical Center.

Eligibility Requirements

Financial assistance is determined by analyzing the household gross income with the most current Federal Poverty Level (FPL) guidelines. Parameters have been established to allow for an assistance adjustment if the household gross income is at or below 200% of the federal poverty guidelines. No person eligible for financial assistance under the FAP will be charged more for emergency or other medically necessary care than Amounts Generally Billed (AGB) to individuals who have insurance covering such care. Those with sufficient insurance coverage or assets available to pay for the care may not be eligible for financial assistance.

Where to Find Information

There are several ways to find information regarding our FAP application process, or obtaining copies of the FAP or FAP application form. To apply, please choose one of the following options:

  • Download the information online from www.gprmc-ok.com
  • Request the information in writing by mail
  • In person at the Admission Department of Great Plains Regional Medical Center
    • 1801 W 3rd Street, Elk City OK 73644 –
    • Calling our Business Office Monday – Friday 8a-5p at: (580) 821-5519 or (580) 821-5507

How to Apply

The application process involves filling out the financial assistance form and submitting the form along with the supporting documents to the Hospital for processing. You can also speak with our Patient Financial Representative who is located in our Great Plains Regional Medical Center (GPRMC) Admission Department. Financial assistance applications can be submitted to the Patient Financial Representative at the following address:

Great Plains Regional Medical Center
Attn: Business Office
PO Box 2339
Elk City, OK 73648

Financial Assistance Policy
4th Quarter 2018 Addendum A List of physician for FAP
Exhibit B Federal Poverty Guideline
Exhibit C AGB Calculation Method