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• Charity Care: Offers financial help to patients who cannot pay all or part of their medical bills. 50-100% of the bill may be paid.

• Pharmacy Assistance Fund: Provides one-time (once a year) prescription assistance to patients experiencing financial hardship. Request must not exceed $500.

• Uninsured Discount: Provides a discount on medically-needed services for uninsured patients

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.

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 Health: Help patients without medical insurance manage 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

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

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' responsibility 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 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:

• 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 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 275% of the Federal Poverty Guideline may be eligible for getting help to pay their medical bill

• WelliaCare Charity Care: Assists persons with medical expenses incurred at Welia Health with limited ability to pay

Provides the Customer Assistance Program that can be applied to most services on patient's medical bills. The program is provided when care is deemed medically necessary, after meeting income criteria. Offers both free care and discounted care, depending on individuals' family size and income. Medical expenses not covered under this program are insurance co-pays, Department Transportation physicals, Lakewood Care Center, Care Van, Lakewood Pines, or Manor Accounts, and In Vitro Fertilization services.

Financial resource services include:

• Billing and insurance program

• Patient assistance program: Assistance with payment for medications not covered by insurance or high co-pays

• Sliding fee scale program: Fee reduction program for medical and dental is available to patients based on income guidelines, regardless of other coverage. Transportation assistance may be available for Sliding Fee Scale patients who need help with the cost of getting to the clinic.

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.

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.

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

• Charity Care: Offers financial help to patients who cannot pay all or part of their medical bills. 50 - 100% of the bill may be paid.

• Pharmacy Assistance Fund: Provides one-time (once a year) prescription assistance to patients experiencing financial hardship. Request must not exceed $500.

• Uninsured Discount: Provides a discount on medically-needed services for uninsured patients.

Patients who need to speak with a financial counselor, need cost of care estimates, or determine if they 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: Community Care Program: Individuals who are uninsured or underinsured and have incomes less than 200% of the Federal Poverty Guideline may be eligible for help to pay their medical bills

• Partners Care Program: Assists patients who do not qualify for Medical Assistance or Minnesota Care, and whose annual incomes are at or below 275% of the federal poverty level

• 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.

Provides the following services:

• 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

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 help to pay their medical bill

• Elevate Patient Financial Solutions: Help patients without medical insurance find resources to help pay for medical bills

• Financial Assistance Program: For patients whose insurance coverage and/or ability to pay medical bills are 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

Assists patients in resolving their account balance if they cannot be paid in full.

• Bank Loan: Co-signed by Olmsted Medical Center and provided at 0% interest. Balance owed must be greater than $250. Loan cannot be applied to cosmetic services.

• Extended Payments: Monthly payments based upon the total balance

• Financial Assistance: Offered to individuals who are unable to pay for their medical services. Eligibility is based upon household income and assets as well as the number of people in the household against current guidelines.

Patients who need help paying their medical bills and need financial counseling:

• Financial Clearance Call Center: Patients may request financial counseling to get an explanation on payment options, evaluate financial needs, and be informed 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 the Financial Assistance Application program and other local grants and/or charities

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)

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:

• Allina Partners Care Program: Assists 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

• 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

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• Uninsured Discount Program: Provides a discount on medically necessary hospital charges for individuals who do not qualify for Medicaid or Allina Health Partners Care

Offers financial assistance to families.

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.

• Charity Care: Offers financial help to patients who cannot pay all or part of their medical bills. 50-100% of the bill may be paid.

• Pharmacy Assistance Fund: Provides one-time (once a year) prescription assistance to patients experiencing financial hardship. Request must not exceed $500.

• Uninsured Discount: Provides a discount on medically-needed services for uninsured patients