Charity Care

Charity Care offers assistance to all who qualify.
Our hospital Credit Counselors assist patients in
exploring all options for financial assistance.

All patients are welcome to apply for Charity Care to determine if they meet guidelines established by the Charity Care Committee. These guidelines are not meant to discourage anyone from seeking charity care, but they are designed to ensure hospital resources are used by people who qualify.

To Apply for Charity Care:

Applicants can call Patient Financial Services at (715) 717-7444 to make an appointment or for more information.

Patient Financial Services staff will assist the applicant in completing the Charity Care Application form.

The applicant will be required to furnish proof of income and information on assets and on possible future income. A tax return, bank statements and payroll stubs for the past 90 days must also be submitted for proof of income.

The Charity Care Committee will review the application and supporting documents and determine if the applicant meets the guidelines.

 

 

ELIGIBILITY

Any patient or responsible party (i.e. head of household, spouse, parent, grandparent, etc.) who feels they may be in need of financial assistance can apply. The Hospital's Charity Care Guidelines will determine level of need and who qualifies for financial assistance.

QUALIFICATION

Applicants will be notified in writing or by phone if they are eligible and what percentage of their account will be credited. Patient Financial Services will subtract the approved charity care amount from the patient's bill and confirm payment arrangement on any remaining balance. A notation will be placed in the patient's file regarding what portion of their bill was forgiven through the Charity Care program.

If you do not qualify for Charity Care, you will be sent a letter explaining why they are not eligible. Ineligible applicants must make arrangements to pay their account by calling Patient Financial Services at (715) 717-7444 within 14 days.

Applicants are eligible to reapply at any time for charity care if their financial situation changes.

FOR MORE
INFORMATION

Download application.

View brochure.

Send Charity Care an email.

Call (715) 717-7444