All hospitals offer discounts or bill forgiveness based on income. On average, a family of 4 earning less than $100,000 a year will qualify. You can apply for financial assistance before or at the time of your hospital treatment or service.

A medical hardship letter is used by a person to request partial or full forgiveness of medical debt from a hospital or healthcare provider.

Unfortunately, my circumstances are unlikely to improve in the foreseeable future and I have no assets to sell to help clear my debt. I am therefore asking you to consider writing off my debt as I can see no way of ever repaying it. If you are unable to agree to this, please explain your reasons.

- Briefly introduce yourself and state the purpose of the letter. - Explain your situation and why you need financial support. - Provide any relevant details, such as your financial circumstances, goals, and how the funds will be used. - Thank the recipient for considering your request.

State social services agencies provide direct assistance to people with limited access to health care. They can offer referrals to local health centers and organizations that may be able to help. If you are eligible for Medicare, you can get help paying for your prescriptions through Medicare Part D.

The NYSDOH guidance states that patients cannot be denied admission or medically necessary treatment due to unpaid medical bills.

If you receive assistance from or live in a home with a family or friends, please have them complete the attached form labeled “Letter of Support.” This will not make them responsible for your medical bills. This will help show how you are able to afford living expenses.

More info

Enclosed is a copy of my completed application for financial assistance. The document provides two sample request letters asking for financial assistance to pay hospital bills.To write a letter requesting help with hospital bills, start with a polite greeting and introduce yourself, mentioning your situation briefly. Please send this completed application along with proof of income and all expenses to the address below. Northside Hospital Business Office. You can use our sample financial assistance hardship letter below as a template. Copy and paste our template letter and fill in your details. If you can't afford your medical debt, you may have some options that can really help, like charity care, financial counseling, and payment plans. Morgan Medical Center participates in the Georgia Indigent Care Trust Fund. Nonprofit hospitals are required to offer financial assistance to people who need it.

Sample Letter Requesting For Help With Medical Bills In Georgia

Description

Related forms

Show more info

Form Rating

Form popularity

FAQ

Can my medical debt be forgiven?

What is a letter of forgiveness for medical bills?

What is an example of a debt forgiveness letter?

How to write a letter asking for financial assistance for medical bills?

How to get a grant for medical bills?

How to get funding for medical bills?

What is a letter of support for medical bills?

More info

Trusted and secure by over 3 million people of the world’s leading companies