This form is a sample letter in Word format covering the subject matter of the title of the form.
Sample Letter Requesting For Help With Medical Bills In Los Angeles
Category:
State:
Multi-State
County:
Los Angeles
Control #:
US-0009LTR
Format:
Word;
Rich Text
Instant download
Description
Form popularity
FAQ
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.
In the body of your letter, explain your financial need in detail and how the assistance you are requesting will help you overcome your financial difficulties. Provide specific examples of how the funds will be used and how they will make a difference in your life.
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.
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.
Who is eligible? Qualify for Medi-Cal if your income is up to 138 percent of the Federal Poverty Level (FPL) for adults, and up to 266 percent FPL for children. Check Shop and Compare to see if you qualify. Learn more on the Department of Health Care Services website.
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. You do not need to wait for a bill.
More info
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.Need help getting the application, filling it out or turning it in? The debt is being relieved as a gift to you with no strings attached. If your bill is already past due or sent to a collection agency, reach out to the hospital's billing service provider and request a Charity. I hope you find my letter in the best health. To write a letter requesting help with hospital bills, start with a polite greeting and introduce yourself, mentioning your situation briefly. Please know that I would be so immensely grateful for any charity care you can extend to cover the costs incurred. I have filled out the.
