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411 West Main, Kasson, MN 55944

Mayo Clinic provides support for individuals unable to pay for medically necessary care. This includes: - Fair and consistent billing and collection practices, including charitable care and financial assistance policies and a standard application process - Providing extended payment plan options and medically necessary services at reduced rates or at no cost for patients eligible for financial assistance - Provides emergency care, regardless of ability to pay

8559 Edinbrook Parkway, Suite 100, Minneapolis, MN 55443

Financial Assistance Program: Provides financial assistance (charity care) to low-income, uninsured, or underinsured individuals who need help paying for all or part of their medical care. Patients are eligible when their family income is at or below 300% of the Federal Poverty Level (FPL) income guidelines. Patients must apply for financial assistance within 240 days after the date of their first post-services billing statement. Applicants are notified of financial assistance eligibility in writing within 30 days of receipt of the application. Uninsured Discount: Offers a discount to customers who are not eligible for financial assistance and income is less than $125,000 Senior Partners Care: Partner with Senior Community Services to waive clinic co-insurance and deductibles for customers who are members of Senior Partners Care AblePay: Program allows patients to save up to 13% on deductibles, coinsurance, and copays at no cost to the patient Extended Payment Plan through ClearBalance: Provides an affordable patient financing program with flexible repayment terms to help consumers pay out-of-pocket hospital expenses, including deductibles and insurance co-payments

1101 9th Street North, Virginia, MN 55792

- Financial Assistance Program: For patients whose insurance coverage and/or ability to pay medical bills is limited. Provides a discount on bills for emergent and medically necessary care. The program may cover current and outstanding bills and may remain in effect for 12 months after enrollment. - Uninsured Discounts: Patients without insurance coverage are eligible for a discount for medically necessary services

204 First Street NW, Aitkin, MN 56431

- MA-QWD is for employed people under age 65 with disabilities who lost their RSDI benefits because their income exceeds Substantial Gainful Activity (SGA) limits - QWD Program pays for Medicare Part A premium if eligible. This is the only benefit provided by QWD - Can apply online at www.mnbenefits.mn.gov

Provides information about patient's financial responsibility, rates, billing, services provided, and payment options. Services may include: - Discount rates based on household size and income limits - Financial Assistance program for the uninsured and underinsured - Insurance plans accepted and billing information - Request for an estimate of services NOTE: This policy does not apply to skilled nursing facility and independent living apartments.

515 South Moore Street, Blue Earth, MN 56013

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: - Our Charity Care: Patients who are unable to pay for all or part of their health care services may apply for financial assistance by completing and returning this form. Patients and families who meet certain income requirements may qualify for free care or reduced-price care based on their family size and income, even if they have health insurance.

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 what their responsibilities will be, and may offer no-interest payment plans. Other options may include: - Elevate Patient Financial Solutions: Help patients without medical insurance find resources to help pay for medical bills - 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

1720 Highway 59 South, Thief River Falls, MN 56701

Offers financial assistance for any emergency and any other medically necessary services provided and billed through the centralized Patient Financial Services. Financial assistance can range from a reduction amount of the balance up to complete forgiveness of the balance outstanding, for patients demonstrating a financial need. Sanford partners with Elevate Patient Financial Solutions to provide financial assistance for uninsured patients who have incurred or will incur medical expenses at Sanford. Elevate provides a patient-focused approach identifying the most appropriate assistance from a variety of resources. Services provided are free.

2621 Greenhaven Road, Anoka, MN 55303

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.

400 East 3rd Street, Duluth, MN 55805

- Financial Assistance Program: For patients whose insurance coverage and/or ability to pay medical bills is limited. Provides a discount on bills for emergent and medically necessary care. The program may cover current and outstanding bills and may remain in effect for 12 months after enrollment. - Uninsured Discounts: Patients without insurance coverage are eligible for a discount for medically necessary services

404 Fountain Street, Albert Lea, MN 56007

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

212 10th Avenue NE, New Prague, MN 56071

- Billing, Insurance Questions, and Patient Account Service: To find out information about billing, payments, and financial responsibility, those experiencing financial hardships can speak with a Patient Account Service Specialist to request an application and complete a Financial Assistance Application - Financial Clearance: To request financial counseling, prepayment requests, or discuss payments

2805 Dodd Road, Suite 100, Eagan, MN 55121

Patients who need help paying their bill or prescriptions can call to discuss special circumstances or request a payment plan - Allina Partners Care Program: Provides assistance to patients who do not qualify for Medical Assistance or MinnesotaCare in Minnesota, or BadgerCare in Wisconsin, and whose annual incomes are at or below 275 percent of the federal poverty level - Uninsured Discount Program: Provides a discount on medically necessary hospital charges for individuals who do not qualify for Medicaid or Allina Health Partners Care - MedCredit Financial Services: Provides a financing option to patients who can't afford to pay high monthly payments for their medical bills over a short period of time - Prescription Assistance Program: Patients can speak to staff or contact an Allina Health health care provider to send a referral letter to the program

450 Eastvold Avenue, Ortonville, MN 56278

Offers a variety of payment plans: discount for patient's without insurance, financial assistance, prompt pay discount to all self-pay when paid in full within 30 days of statement due date.

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

325 11th Avenue, Two Harbors, MN 55616

Provides a few options for patients who have received services through a Lake View Clinic and/or Hospital. Options offered: - Financial Assistance Program: Helps individuals who are unable to pay all or part of their Lake View medical bills and have questions regarding a bill - Elevate Patient Financial Solutions: Lake View partners with Elevate to provide free help to uninsured patients to find the most appropriate assistance from a variety of resources to help pay for medical bills - Zero Interest Patient Financing: A payment plan option to help patients with their cost of service. The program provides a zero-interest revolving credit account with flexible payment terms and manages out-of-pocket expenses, deductibles, and insurance co-payments.

245 1st Street SW, Plainview, MN 55964

Patients who need help paying their medical bills and are in need of financial counseling: - Financial Clearance Call Center: Patients may request financial counseling to get an explanation on payment options, evaluate financial needs, and inform about government assistance - Patient Account Services: Patients who are experiencing financial hardship can reach out to Patient Account Services to see what options they may have to qualify for Financial Assistance Application program and other local grants and/or charities

110 County Road 82 East, Ashby, MN 56309

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

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: - AblePay: Patients can save up to 13% on their out-of-pocket medical expenses, including copays, deductibles, and coinsurance - ClearBalance: Revolving credit account available to make payments over an extended period of time* for your medical expenses - Discount Program: Individuals who are uninsured or underinsured and have incomes less than 250% of the Federal Poverty Guideline may be eligible for help to pay their medical bills

715 South 8th Street, Minneapolis, MN 55404

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: Contracts with Change Healthcare to assist patients with Minnesota Healthcare Program or Hennepin Healthcare Charity Care applications. 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 - MNsure Enrollment: On the MNsure marketplace, individuals can find, compare, and choose healthcare coverage, including commercial health insurance plans and low-cost or free plans through government programs. A financial counselor can help complete the online application. If eligible for a government program such as Medical Assistance or Minnesota Care, individuals may enroll through MNsure year-round.

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: - AblePay: Patients can save up to 13% on their out-of-pocket medical expenses, including copays, deductibles, and coinsurance - ClearBalance: Revolving credit account available to make payments over an extended period of time* for your medical expenses - Discount Program: Individuals who are uninsured or underinsured and have incomes less than 250% of the Federal Poverty Guideline may be eligible for help to pay their medical bills

Provides information about patient's financial responsibility, rates, billing, services provided, and payment options. Services may include: - Discount rates based on household size and income limits - Financial Assistance program for the uninsured and underinsured - Insurance plans accepted and billing information - Request for an estimate of services

2714 Highway 88, Saint Anthony, MN 55418

Contracts with Change Healthcare to assist patients with Minnesota Healthcare Program or Hennepin Healthcare Charity Care applications. Representatives can be accessed at the Clinic & Specialty Center, Whittier Clinic, or Brooklyn Park Clinic. MNsure Enrollment On the MNsure marketplace, individuals can find, compare, and choose healthcare coverage, including commercial health insurance plans and low-cost or free plans through government programs. A financial counselor can help complete the online application. If eligible for a government program such as Medical Assistance or Minnesota Care, individuals may enroll through MNsure year-round. Uncompensated Care Enrollment If not eligible for coverage through MNsure, individuals may qualify for the Uncompensated Care discount program. The program provides discounted care based on family size and annual household income. A financial counselor can answer program questions and help complete the application. Find a list of individual Hennepin Healthcare providers covered by the HHS FAP here. The following list of Clinics/Providers are not covered by the HHS FAP. This list is subject to change. Non-Covered Clinics/Providers Associated Nephrology Consultants Colon and Rectal Surgery Associates, Ltd. University of Minnesota Physicians (pediatric trauma services, neuro-interventional radiologic services)

1400 Jefferson Road, Northfield, MN 55057

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 their responsibilities and may offer no-interest payment plans. Other options may include: - Partners Care Program: Individuals who are uninsured or underinsured and have incomes less than 275% of the Federal Poverty Guideline may be eligible for help to pay their medical bill - Payment plans - Uninsured Discount Program: Individuals who do not have health insurance and do not qualify for Medicaid or Partners Care receive a discount on medically necessary charges. Patients with insurance who receive medically necessary services that are not covered by their insurance may also be eligible.

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 what patients' responsibilities will be, 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 help to pay their medical bills - Elevate Patient Financial Solutions: Help patients without medical insurance find resources to help pay for medical bills