Patient Assistance Program

Onslow Memorial Hospital (OMH) is committed to providing financial assistance through the Patient Assistance Program. Assistance is available for necessary hospital services. Some services such as physician fees, anesthesiology fees and radiology interpretation are separate from hospital charges and are not eligible for assistance.

If you have no health coverage or have coverage that pays only for part of the bill, are ineligible for any private or governmental sponsored coverage (such as Medicaid), and meet the income criteria, you may request an application for financial assistance. Please contact us to determine if help is available to you. An application must be completed and all requested documentation received (Medicaid denial letter and verification of income for the past twelve (12) months) before determination will be made.

If your application is approved, you may receive an Onslow Community Care Card valid for six months from effective dates of the card. If you have questions, please contact the Patient Financial Services Department at 910-577-4703 or toll free 866-735-1595 from 8:00 a.m. to 5:00 p.m. Monday through Friday.

Click below to download:

  • Patient Assistance Policy (English Spanish)
  • Patient Assistance Policy - Plain Language Summary (English | Spanish)
  • Patient Assistance Application (English | Spanish)
  • Prompt Pay Discount Policy (English | Spanish Coming Soon)
  • Point of Service Cash Collections Policy (English | Spanish Coming Soon)
  • Emergency Department Cash Collection Policy (English | Spanish Coming Soon)
  • Credit and Collection Policy (English | Spanish Coming Soon)
  • Bad Debt Policy (English | Spanish Coming Soon)