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The Patient Assistance Program (PAP) provides free or reduced-cost medicines to patients with limited income for purchasing prescribed medicines. Eligible patients include those who are: Uninsured and not eligible for any public health program. Medicare-insured without prescription benefits.

Cleveland Clinic Health System's policy is to provide Emergency Care and Medically Necessary Care on a non-profit basis to patients without regard to race, creed, or ability to pay.

Call Cleveland Clinic We're here to answer your questions and help you find the best care. You can reach us toll-free at 800.223. 2273.

HCAP covers only basic, medically necessary hospital level services. In some cases, qualified HCAP recipients may be eligible for financial assistance under this Policy for Medically Necessary Care provided by a CCHS employed-physician that is not covered by HCAP.

Healthcare Financial Assistance provides assistance to individuals who are uninsured for emergent medical and medically necessary healthcare. Patients who wish to apply for this program must be an Ohio resident and have income at or below 250% of the established annual federal poverty guide.

Charity care and medical financial assistance is offered to patients with limited or no resources and inadequate medical insurance coverage. Eligibility is determined by family income.

Questions about your medical bill If you have questions about your bill, contact the OhioHealth Customer Call Center at (614) 566.5594 or (800) 837.2455.

For patients whose income is at or below (0 to 100 percent of) the Federal Poverty Guidelines (FPG), UH participates in Ohio's Hospital Care Assurance Program (HCAP). Through HCAP, UH provides basic, medically necessary hospital services free of charge to Ohio residents.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Cleveland Clinic Financial Assistance Form
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2023 Cleveland Clinic PWO 13998
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  • 2023 Cleveland Clinic PWO 13998
  • 2020 Cleveland Clinic Financial Assistance Form
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