HealthPartners Clinics Financial Assistance Program - HealthPartners - Blaine Dental Clinic
Offers a discount program for eligible patients and a payment plan option for any balance not covered by the discount. The program cannot be used for dental and pharmacy bills and charges. Program assistance is based on: - Assets, such as property or savings accounts - Family size - Income - Liabilities, such as bills or regular payments due Individuals may apply even if they have insurance coverage.
Last assured
08/21/2024
Physical Address
10961 Club West Parkway NE, Suite 240, Blaine, MN 55449
Hours
8 am - 5 pm Monday - Wednesday and Friday; 9 am - 5 pm Thursday
Voice
Voice
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(800)627-3529
Fax
(651)265-1825
Website
https://www.healthpartners.com/hp/doctors-clinics/billing-financial/financial-assistance/index.html
Application process
Visit website for application/registration form. After the application is received, a letter is sent to the applicant within 10-14 days by mail notifying them if they qualify for the program or not. If they qualify, the amount the bill is discounted is included in the letter. The program qualification lasts three months from the approval date. Individuals need to apply again after three months to see if they qualify for the program.
Required documents
Application/registration form; last Federal Tax Return or Income Earnings Statement from Social Security Administration if you did not file taxes last year; Copies of your last 60 days of pay stubs; Latest financial statement supporting liquid asset holdings and Social Security letter or unemployment benefit letter, if applicable
Eligibility
-Patients of HealthPartners Clinics; individuals must first apply for and use all government program assistance and if denied, they may still qualify for the Health Partners Clinics Financial Assistance Program; statewide
Service area
MN
Agency info
HealthPartners - Blaine Dental Clinic
Outpatient dental clinic