• Valley View Hospital offers assistance with Medicaid and other public assistance program applications.  Please call 970-384-6899 with questions or to schedule an interview.

  Download/View Application forms in English
  Download/View Application forms in Spanish

• Valley View Hospital participates with the Colorado Indigent Care Program.  This is a Colorado taxpayer-supported program.  Applicants must be Colorado residents and establish lawful presence in the United States. Please call 970-384-6892 with questions or to schedule an interview.

  Income and household size guidelines:

Required documents include:

• Documentation of U.S.citizenship and Colorado residency
• Copies of all income sources (self-employed business ledger or profit and loss statement)
• Copies of personal and business checking and savings bank statements
• Verification of vehicle registration and assets that can be converted to cash without penalty
• Copies of all medical bills incurred during the past year
• Medicaid and/or CHP+ denial letter for every family member who may be eligible

Co-payments for services range from $0 to $630 depending on approved level assigned.

• Valley View Hospital also offers help through our Financial Assistance Program.  This program is solely funded by Valley View Hospital.  There are no residency requirements.  Please call 970-384-6892 with questions or to schedule an interview.

  Income and household size guidelines:

Required documents include:

• Documentation of identification for all members of the household
• Copies of all income sources (self-employed business ledger or profit and loss statement)
• Copies of personal and business checking and savings bank statements
• Copies of all expenses      
• Verification of assets
• Income tax statement for prior year

Co-payments for services range from $0 to 70% of balance depending on approved level assigned.