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Video instructions and help with filling out and completing Patient Financial Assistance Application Form
Instructions and help about Patient Financial Assistance Application
Find and fill out the correct patient financial assistance application
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People also ask
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What is the income limit for HCAP in Ohio?
2025 Federal Poverty Guideline Family Size Up To*(HCAP) 2025 Federal Poverty Income LevelCC Financial Assistance Program (Family income up to 400% of Federal Poverty Level) 3 $26,650 $106,600 4 $32,150 $128,600 5 $37,650 $150,600 6 $43,150 $172,6004 more rows
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How do I request financial assistance?
5 Tips for Asking for Financial Help Figure out Your Needs. You'll feel more comfortable asking for help when you have a clear picture of your needs. ... Ease into It. Explain the Stakes. What will happen if you don't get financial help? ... Have a Plan. ... Be Gracious.
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Who qualifies for HCAP in Ohio?
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.
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Who is eligible for medical assistance in Ohio?
Very low-income families (i.e families with incomes below 50% of area median income) and a few specific categories of families with incomes up to 80% of the area median income.
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Who is eligible for financial assistance at the Cleveland Clinic?
Income-based financial assistance may be available for uninsured and certain other patients with Annual Family Incomes up to 400% of the FPG. Patients experiencing financial or personal hardship or special medical circumstances also may qualify for assistance.
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What do you do when patients cannot pay?
Have the money conversation. Get creative with your scheduling. Offer a payment plan. Create a sliding fee scale. Accept what they can offer. See them pro bono. Refer them or help them find assistance. Barter.
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Who qualifies for cash assistance in Ohio?
The Medicaid program in Ohio provides medical coverage for certain qualifying individuals and families with limited income. To qualify for Medicaid a person must be a U.S. citizen or meet Medicaid citizenship requirements, be an Ohio resident, have or obtain a Social Security number, and meet financial requirements.
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