Patient Financial Assistance - Mayo Clinic Health System - Fountain Centers
404 Fountain Street, Albert Lea, MN 56007
Open to all Mayo Clinic Health System patients
Application form statement describing need for financial assistance tax returns for previous 2 years W-2 or unemployment status
Vary by site
Patient Account Services
- Call - Mail application form and supporting documents to 200 first street SW, Rochester, MN 55905: https://mcforms.mayo.edu/mc4200-mc4299/mc4244-15.pdf - Submit application and supporting documents through Patient Online Services: https://onlineservices.mayoclinic.org/content/staticpatient/showpage/patientonline
Blue Earth County, MN Freeborn County, MN Martin County, MN Mower County, MN Olmsted County, MN Rice County, MN Steele County, MN Wabasha County, MN Waseca County, MN
Other Information
Program Fees
Patients who need to speak with a financial counselor, need cost of care estimates or determine if they may qualify for financial assistance to pay for procedures may reach out about options. Financial counselors can help individuals understand patients' responsibilities and may offer no-interest payment plans. Other options may include: ?- Discount Program: Individuals who are uninsured or underinsured and have incomes less than 250% of the Federal Poverty Guideline may be eligible for getting help to pay their medical bill ?- Elevate Patient Financial Solutions: Help patients without medical insurance find resources to help pay for medical bills
02/11/2026
Mayo Clinic Health System - Fountain Centers
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