Application for Financial Assistance Mountain States Health Alliance Form
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People also ask
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Is there financial assistance for medical bills in Ohio?
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. -
What does Cleveland Clinic HCAP cover?
HCAP provides funding for hospitals that provide a disproportionate share of basic medically necessary hospital level services to qualified patients. -
Is Wellmont and Ballad Health the same?
KINGSPORT — Ballad Health will be the new name of the health care system created by the planned merger between Mountain States Health Alliance and Wellmont Health System, the two systems announced on Wednesday. -
How to apply for HCAP Ohio?
Patients can apply for HCAP up to 3 years after the date of the first follow-up notice sent to a patient (not the date of service). Patients should contact the hospital's billing department about prior bills and ask to apply for HCAP, even if the bill has already been sent to collections. -
What is Ohio's Healthcare Assurance Program HCAP?
The Hospital Care Assurance Program, or HCAP, offers help with unpaid hospital bills to Ohioans at or below the federal poverty level and who are ineligible for Medicaid coverage. -
How do I write a financial assistance request?
The body of the letter should clearly state your current financial situation; what caused the hardship; and what you would like the school, camp, or mortgage company to do about it. If possible, you should include financial statements or other paperwork that proves your claim of financial hardship. -
How do you qualify for HCAP in Ohio?
To be eligible for HCAP: You should be an Ohio resident. You are not a recipient of the Medicaid program. Your family income is at or below the current Federal Poverty Guidelines OR you are covered by the Disability Assistance Program.
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