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.Clearly state the reason for your request, including details about your hospital bills and any financial challenges you're facing. Some payers may require that the prescriber documents a patient's medical necessity for treatment to get insurance coverage for a pharmaceutical product. If you do not have health insurance or you are unable to pay your hospital bill, you may qualify for Medical Assistance, Medicare or Financial Assistance. The Pennsylvania Health Law Project (PHLP) has a new resource for health care providers that explains how to write a strong letter of medical necessity. This is a sample letter seeking a reduction in a medical lien. Fill out the first part of the application online or you may call (215) 685-6300 to request an application be mailed to you. This resource from Children's Hospital of Philadelphia describes how to apply for PA medical assistance as secondary insurance. Thank you for offering a financial assistance program.