Financial Assistance Information

Johnson County Healthcare Center

Financial Assistance Policy Plain Language Summary

Johnson County Memorial Hospital, a not for profit critical access hospital, and the Family Medical Center, were established to serve the needs of the residents of Johnson County and surrounding areas.  The hospital and clinic are committed to providing medical services to patients regardless of their ability to pay.  Johnson County Memorial Hospital and the Family Medical Center recognize that not all patients have the financial resources to pay their hospital or clinic bills.  This Plain Language summary provides basic information about our policy.


JCHC Financial Assistance Policy Overview


The Financial Assistance Program offers emergency and other medically necessary services at low or no cost to qualified patients.  Whether patients are uninsured or underinsured, they can apply for financial assistance.  Our Financial Assistance staff will assist individuals in applying for eligible government health insurance programs and completing the financial assistance application, free of charge.  Upon approval, patients may receive the following assistance:

Federal Poverty LevelAmount of Assistance
120% or less100%


Patients who qualify cannot be charged more than the amount generally billed (AGB).


Please return your Financial
Assistance Package to:


Johnson County Healthcare Center
ATTN:  Financial Assistance
497 W. Lott St
Buffalo, Wyoming    82834





How to obtain copies of our Financial Assistance Program Policy and Application


It is found on the Financial Information page of the JCHC website:


Visit Diana at our Financial Counseling Office located at JCHC   (497 W. Lott St.  Buffalo, WY  82834)

Request copies to be mailed or sent electronically by calling 307-684-6270


The financial Assistance Policy, Application and Plain Language Summary are Available in English.  Alternate translations are available upon request.



Patients/guarantors may apply for financial assistance at any time up to one hundred twenty (120) days after the first post-discharge billing statement is available.



The following charges are not covered under our Financial Assistance Policy:

Out of Network Copays.   Coinsurance and Deductibles are not eligible for Financial Assistance

Account balances that are currently in collections.