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Financial Assistance

Roundup Memorial Healthcare's mission and values encourage reaching out to people in the community we serve to provide care to all persons, including individuals and families with financial limitations. We are committed to provide financial assistance to persons who have health care needs and are uninsured, under-insured, ineligible for a government program, or otherwise unable to pay, for medically-necessary care based on their individual financial situation.

If you are unable to pay for your medical bills, please apply for our financial assistance program.

  • We can help you with the application.
  • All personal information is kept confidential.
  • The amount of financial assistance is different for each person or family, depending on your financial circumstances.
  • You may apply for financial assistance for co-pays and deductibles.

Free and Discounted Care Guidelines

Financial Assistance is available to those who qualify, with gross household income up to 400% of the Federal Poverty Levels. For more information or to request financial assistance please download and print the following application:

Financial Assistance Form

RMH Financial Assistance Policy

Plain Language Summary of Financial Assistance Policy

Patient Assistance

The Patient Assistance Program provides medications (like asthma-albuterol and insulin) for patients from pharmaceutical companies that meet the eligibility criteria at free or discounted rates. The criteria is based upon the pharmaceutical company and they will ask for certain documentation to determine eligibility, which could take up to three weeks. A program with similar eligibility criteria, Rx Outreach, is a low-income alternative for medications that are not available through the regular pharmaceutical companies. They are relatively inexpensive and are usually for 3- 6 months depending on the medication. If you have questions, please do not hesitate to call the clinic at (406) 323-3337 ext. 4906.

To see the poverty guidelines, click here!

For more information see our Patient Rights page.


Roundup Memorial Healthcare will work out an affordable payment plan with you, based on your income. If your accounts are currently past due or you need further assistance setting up a payment plan, please reach out to a Patient Account Representative in the Business Office at (406) 323-3337. Our knowledgeable staff will be happy to work with you on any questions you may have.

If a patient/guarantor is having financial difficulties, they may qualify for financial assistance. You may find our Financial Assistance application under Free And Discounted Care Guidelines. If you have any questions, please reach out to a Patient Account Representative at (406) 323-3337.

Patient/Guarantor Bill Repayment Plan