If you’re uninsured or have trouble paying for healthcare, Ascension may be able to help through our financial partnerships and resources.
Financial aid for your hospital bill
At Ascension Via Christi Hospitals, patients receive necessary medical care, regardless of their ability to pay. Services are provided without regard to culture, age, gender, sexual orientation, spiritual beliefs, socioeconomic status, language or disability. Trained financial counselors are available to discuss individual needs. We will review your eligibility for financial assistance and assist you in making payment arrangements.
If you feel you need financial assistance, please print and complete the financial assistance application form. Please mail completed application to:
Ascension Via Christi
Attn: Financial Counseling Department
P.O. Box 3870
Wichita, KS 67201
Additional income, asset and expense information may be requested upon review of the completed financial assistance application.
Financial counselors are available Monday through Friday 8 am – 4:30 pm. For additional assistance please contact a counselor associated to the location where services were performed.
Financial assistance application
- Financial Assistance Application (PDF)
- Aplicación de Asistencia Financiera (PDF)
- Đơn Xin Trợ Giúp Tài Chánh (PDF)
Financial assistance policies
- Financial Assistance Policy (PDF)
- Chính sách hỗ trợ tài chính (PDF)
- Política de Asistencia Financiera (PDF)
- Summary of Financial Assistance Policy (PDF)
- Tóm Lược Chính Sách Trợ Giúp Tài Chánh (PDF)
- Resumen de la Política de Asistencia Financiera (PDF)
- Providers covered by the financial assistance policy (PDF)
- Nhà cung cấp bao phủ bởi các chính sách hỗ trợ tài chính (PDF)
- Proveedores cubiertos por la póliza de asistencia financiera (PDF)
8 am-4:30 pm
Via Christi Hospitals in Wichita
316-268-5178, option 2
Via Christi Hospital in Manhattan
785-565-4794, option 2
Via Christi Hospital in Pittsburg
620-232-0198, option 2
Wamego Health Center
785-458-7000, option 2