402-564-7118
Financial assistance program
Columbus Community Hospital provides financial assistance to qualifying patients for medically necessary and emergency care provided at CCH.
To receive financial assistance, you must be uninsured or underinsured and have a household income equal to or less than 200% of the federal poverty level, and/or you must have medical bills from CCH that exceed 30% of your annual household income.
How to apply
If you would like to apply for financial assistance to cover your medical bills, please click on the Financial Assistance Application link below, print and complete the application.
Then return the completed form to:
Patient Accounts Department
Columbus Community Hospital
4600 38th St.
Columbus, NE 68601
If you are eligible for financial assistance, you will not be charged more than amounts generally billed to patients who have health insurance. This policy is explained in the following documents:
- Calculation of Amounts Generally Billed (AGB) - English.pdf
- Calculations of Amounts Generally Billed (AGB) - Spanish.pdf
For more information on CCH’s financial assistance policy, please read below:
- CCH Financial Assistance Policy Summary - English.pdf
- CCH Financial Assistance Policy Summary - Spanish.pdf
- Financial Aid/Charity Program Policy - English.pdf
- Financial Aid/Charity Program Policy - Spanish.pdf
The Financial Assistance Program applies to Columbus Community Hospital and its affiliates. For a list of these providers, see these documents:
- Columbus Community Hospital (CCH) & CCH-Employed Physicians, Practitioners & Clinics - English.pdf
- Columbus Community Hospital (CCH) & CCH-Employed Physicians, Practitioners, & Clinics - Spanish.pdf
CCH’s Financial Assistance Program does not apply to care provided by independent community physicians and other independent service providers. For a breakdown of these providers, see the documents below:
- Independent Community Physicians & Other Independents - English.pdf
- Independent Community Physicians & Other Independents - Spanish.pdf
Contact us
If you have any questions regarding the Financial Assistance Program, please contact CCH’s patient accounts department at 402-562-3159.
For additional information on CCH’s patient accounts department, please visit the Patient Financial Information page of our website or email patientaccounts@columbushosp.org.
Patient accounts department
Columbus Community Hospital
4600 38th St.
Columbus, Nebraska 68602-1800
402-562-3159
patientaccounts@columbushosp.org