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Financial Assistance

Financial Assistance

You may be eligible for financial assistance if you meet the guidelines outlined in our financial assistance policy. Eligible patients must submit a completed financial assistance application, including all necessary documentation, such as verification of income and address.

Determination of Financial Assistance Eligibility: Generally, uninsured patients are eligible for financial assistance based on their family income level as noted in the criteria below.

100% Discount: Patients with a family income of 200% or less of the federal poverty income level are eligible for a discount of 100% of gross charges.

To qualify for financial assistance, all third-party payment sources must be exhausted. Our patient account representatives are here to help you learn more, they will ask whether you have insurance of any kind to help pay for your care. You may also be asked to show that insurance or a government program will not pay for your care.

Find Out if You are Eligible for Insurance Through the Affordable Care Act

This site features:

  • Information on insurance
  • Resources to help you manage your healthcare billing questions
  • Answers to frequently asked questions (FAQ's)

Information and Documents Regarding Our Financial Assistance Program

Find out if you are eligible for insurance through the affordable healthcare marketplace.

Below, you will find our Financial Assistance Policy, Application, as well as several helpful, related documents.


Amounts Generally Billed

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Application and Instructions for Financial Assistance

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Application Mailing Addresses

(English)

Billing and Collections Policy

(English) (Español) (Français)

Financial Assistance Plain Language Summary

(English) (Español) (Français) (Oromo (Cushite)) (Chinese) (Vietnamese) (Tagalog (Filipino)) (Cambodian (Khmer)) (Russian) (Arabic) (German) (Korean) (Thai) (Nilotic (Dinka)) (Japanese) (Polish)

Non-Covered Services List

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Northern Light Financial Assistance Policy

(English)

Provider List

(English) (Español) (Français)

Frequently Asked Questions
No Surprises Act

You have the right to receive a good faith estimate explaining how much your medical care will cost.

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