Patient Financial Resources

Financial Assistance Application - KDMC - Brookhaven, MS

Health Insurance Exchange Program


King's Daughters Medical Center recognizes that there are times when patients in need of care will have difficulty paying for the services provided. Our Financial Assistance Program provides discounts to qualifying individuals based on their income. In addition, we can help you apply for free or low-cost insurance if you qualify. Contact our Financial Counselors at 601-823-5320 or go to the Business Services Building across from the hospital for free confidential assistance.

KDMC accepts most major insurance carriers.

Frequently Asked Questions

Who qualifies for a discount?

  • Financial Assistance is available for patients with limited incomes and no health insurance or who are underinsured.
  • Patients who need Emergency Services can receive care and get a discount if they meet the income limits.
  • Patients can get discount non-emergency, medically necessary services at KDMC if they meet income limits.
  • All patients presenting for medically necessary emergency care will be served regardless of residence or ability to pay.

How do I get the discount?

The confidential Financial Assistance Questionnaire must be completed. As soon as we have proof of your income, we can process your application for a discount based on your income level.

You can apply for a discount before you have an appointment, when you come to the hospital to get care, or when the bill comes in the mail.

Where do I send my completed application?

Send or bring the completed application to:

Financial Counseling Services
P.O. Box 5440
Brookhaven, MS 39603


Patient Financial Resources
510 Highway 51 North
Brookhaven, MS 39306

You have up to 240 days after receiving services to submit the application.

How will I know if I was approved for the discount?

KDMC will send you a letter within 30 days after completion and submission of documentation, telling you if you have been approved and the level of discount received.

What if I receive a bill while I'm waiting to hear if I can get a discount?

You cannot be required to pay a hospital bill while your application is being considered. If your application is turned down, the hospital will tell you why in writing.

What if I do not meet the income limits?

If you cannot pay your bill, KDMC offers a payment plan to those patients that meet the income limits. The amount you pay depends on the amount of your income.

Can someone explain the discount? Can someone help me apply?

Yes. Free, confidential help is available. Call our Financial Counseling Services Department at 601-823-5320.