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New York Methodist Hospital Policies and Procedures Manual Number: Page 1 of 6 TITLE: COLLECTION POLICY AND PURPOSE: The purpose of the Collection Policy (Policy) is to promote patient access to quality
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How to fill out charity care financial aid

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How to fill out charity care financial aid

01
Gather all the necessary financial documentation including income tax returns, paycheck stubs, and bank statements.
02
Contact the charity care department of the healthcare facility where you received or plan to receive services.
03
Schedule an appointment with a financial counselor at the healthcare facility.
04
Attend the appointment and provide the necessary financial documentation.
05
Fill out the charity care application form accurately and completely.
06
Submit the application form along with all the required documentation.
07
Wait for the charity care department to review your application.
08
If approved, you will receive a notification explaining the level of financial assistance you qualify for.
09
Follow any additional instructions provided by the charity care department.
10
If denied, you may have the option to appeal the decision or explore other financial assistance options.

Who needs charity care financial aid?

01
Individuals or families with low income who cannot afford the cost of necessary medical services.
02
Uninsured individuals who do not have coverage for medical expenses.
03
Underinsured individuals who have limited coverage and high out-of-pocket expenses.
04
Individuals facing unexpected medical expenses that exceed their financial capacity.
05
People who do not qualify for Medicaid or other government healthcare programs.
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Charity care financial aid is a program that provides financial assistance to individuals who are unable to pay for their medical expenses.
Individuals who are seeking financial assistance for their medical expenses are required to file charity care financial aid.
To fill out charity care financial aid, individuals need to provide information about their income, expenses, and medical bills.
The purpose of charity care financial aid is to help individuals who are facing financial hardship to cover their medical expenses.
Information such as income, expenses, and medical bills must be reported on charity care financial aid.
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