UPMC encourages patients to apply for financial assistance if they believe that they are unable to pay all or part of their UPMC bill. To Apply: Complete the UPMC Financial Assistance Application form (formulario de Solicitud de Asistencia Financiera). Attach supporting documents, listed on the application, to prove your income.
Full Answer
What is the UPMC financial assistance program?
UPMC’s Financial Assistance Program may be able to assist with expenses for medical care, including UPMC hospital and physician services. You can fill out a single UPMC Financial Assistance Application form for any of these services. If you need the application in a non-English language, you can either:
How can UPMC help me pay my medical bills?
In any case, UPMC staff may be able to help establish a payment plan that helps patients pay their balance over time. While UPMC's Financial Assistance Program covers most services, there are some exclusions, such as, but not limited to: Financial Assistance is not typically available for:
What benefits can I get with UPMC?
You may be eligible for some type of insurance benefits (such as worker’s compensation, automobile insurance, and Medical Assistance). You should explore these options before you can receive financial assistance from UPMC.
How does UPMC determine a reasonable and fair level of assistance?
In determining a reasonable and fair level of assistance, UPMC applies a sliding scale. If a patient's income is below 400 percent of the federal poverty guidelines, the patient may receive some form of Financial Assistance. If a patient's income is at or below 250 percent of the federal poverty guidelines:
How to determine if you are eligible for free UPMC?
Where to get financial assistance form?
Does UPMC provide financial assistance?
Does UPMC charge for emergency care?
Is UPMC financial assistance confidential?
Is financial assistance available for insurance copayments?
Is UPMC fee waived?
See 4 more
About this website
Who are eligible for the charity program?
Charity Care means the ability to receive "free care." Patients who are uninsured for the relevant, medically necessary service, who are ineligible for governmental or other insurance coverage, and who have family incomes not in excess of 300 percent of the Federal Poverty Level will be eligible to receive "free care." ...
Does UPMC offer payment plans?
UPMC offers payment plans to help you pay over a period of time. You do not need to owe a large amount of money to qualify for a payment plan. Here are the great things about our payment plan: No interest – meaning we will not charge you more than you originally owed.
Is there charity care in Pennsylvania?
OVERVIEW: Pennsylvania has no free care requirement per se. Its Uncompensated Care Program, which partially reimburses participating hospitals for the uncompensated care they provide, contains some minor notification and reporting requirements as a condition of reimbursement.
What does UNC charity care cover?
The Charity Care Program insures that all eligible individuals receive medically necessary care at participating UNC Health Care entities regardless of their ability to pay. The program is available for patients with a household income of at or below 250% of the Federal Poverty Guideline for their family size.
How long does a hospital have to bill you in Pennsylvania?
Section 127.208 - Time for payment of medical bills (a) Payments for treatment rendered under the act shall be made within 30 days of receipt of the bill and report submitted by the provider.
Does UPMC report to credit bureaus?
UPMC does send bills to a collection agency if they haven't been paid within 120 days of the initial statement, but that agency operates under the same policy as the health system, meaning no lawsuits, no liens, no credit reporting, said Kathleen Whalen, director of patient advocacy in the academic health system's ...
Why is UPMC tax exempt?
UPMC is classified as a nonprofit, so it doesn't have the same taxes as corporations. This includes UPMC avoiding paying property taxes to municipalities and school districts. UPMC operates several hospitals and facilities across Pennsylvania, Western New York and Western Maryland.
What is charity program?
Charity care is free or discounted medically necessary health care that many hospitals offer to people who cannot afford to pay for treatment otherwise. It includes both inpatient and emergency room services.
Is Medicaid a insurance?
Medicaid is the nation's public health insurance program for people with low income. Medicaid is the nation's public health insurance program for people with low income. The Medicaid program covers 1 in 5 Americans, including many with complex and costly needs for care.
Where does charity care money come from?
Over half of all government reimbursement for uncompensated care comes from the federal government; most of that is provided through Medicare and Medicaid. These federal funds are a primary source of support for health care providers that serve the uninsured.
Does North Carolina have free healthcare?
Free health insurance in North Carolina is offered by Medicaid. The federal government as well as Department Health/Human Services pay for this service. It provides medical care, prescription drugs, basic dental or eye care to the low income and those in poverty who are currently uninsured.
Does WakeMed have charity care?
WakeMed categorizes charity care as care given to patients who have no third party coverage of any kind and are at poverty levels which prohibit them from paying for their care.
Who qualifies for UPMC for Life?
Be age 65 or older, or. Be under age 65 with certain disabilities, or. Have permanent kidney failure requiring dialysis.
What type of plan is UPMC for Life?
UPMC Health Plan offers Medicare beneficiaries a line of health benefit plans called UPMC for Life. These Medicare Advantage plans, formerly known as “Medicare+Choice,” replace traditional Medicare coverage with managed care options.
How much is UPMC Life?
New! The UPMC for Life PPO Rx Choice plan has a $29 monthly premium and gives members affordable medical coverage with broad provider access, a low $250 out-of-network deductible, and low-costs for out-of-network services.
Does UPMC for Life cover gym memberships?
With the SilverSneakers health and wellness program, LifeUPMC for Life Complete Care members get free unlimited gym memberships to local participating fitness facilities.
UPMC Financial Assistance Application Information
Page 2 of 4. UPMC Financial Assistance – Documentation Checklist . Your application must include copies of any of the following documents that apply to you.
Charity Care & Financial Assistance | UPMC Harrisburg
UPMC Harrisburg provides charity care (free care) and financial help for people who can’t pay for the health care services they need. UPMC treats all patients with respect and dignity regardless of their ability to pay. Charity care means free care. Patients can receive charity care if they have a family income below 300% of the Federal Poverty Level.
What is UPMC financial assistance?
UPMC wants to provide medically necessary health care services to the residents in our facility’s communities, regardless of their financial status or ability to pay. We offer a program called UPMC Financial Assistance so that we can continue to care for our patients. You can request Financial Assistance at the time of service or billing.
How to pay UPMC bill?
5 Tips You Should Know About Paying Your Bill 1 Make sure you have your insurance cards with you at all times. Please bring them with you to your scheduled appointments. 2 Know your insurance benefits. If you have questions about what your insurance covers, please call your insurance company. 3 Make sure that your doctor and UPMC are covered by your insurance. 4 Check with your insurance company to see if you need referrals. 5 Ask your primary care doctor’s office for a referral authorization before you see a specialist. Pay a co-pay if your insurance requires a co-pay or out-of-pocket expense at the time of service.
How to set up payment plan with UPMC?
You can set up a payment plan via your MyUPMC account by clicking here or you can call the UPMC Customer Service Department at 1-844-591-5949 to speak to one of our specialists.
Where to find UPMC CDM file?
The UPMC Charge Description Master (CDM) file for each UPMC hospital is available online on the hospital’s website. In addition, upon written request, the CDM file for each hospital will be available for review on-site at the hospital to which the CDM file applies, or at the Corporate Revenue Cycle office in Pittsburgh. Individuals who wish to review a UPMC CDM file in person must contact the Director of Charge Management in writing to request an appointment, and must specify the hospital CDM file (s) being requested. UPMC will provide read-only access to the CDM file for review on-site during the scheduled appointment.
Does UPMC help with bills?
UPMC offers many different financial services to help with your bills, no matter how big or small they may be. Learn more about the following services and see if they may be helpful for you.
Does UPMC pay over time?
Need more time to pay your bill? No problem. UPMC offers payment plans to help you pay over a period of time. You do not need to owe a large amount of money to qualify for a payment plan.
Make a Gift to UPMC Hillman Cancer Center
There are many ways to support UPMC Hillman Cancer Center. All gifts — of any size — will support lifesaving, life-changing work.
Volunteering at UPMC Hillman Cancer Center
You don't have to give money to make a huge impact in the lives of people with cancer. At UPMC Hillman Cancer Center, we have plenty of opportunities to work with patients, at our facilities, or in our communities.
What is the phone number for UPMC Western Maryland?
If you have any questions about which UPMC Western Maryland diagnostic facility you should use based on your insurance coverage, please call our Insurance Hotline at 240-964-8111.
How long does it take to get a summary statement from UPMC?
The UPMC Western Maryland makes every effort to see that your accounts are properly billed, and you may expect to receive a uniform summary statement within 30 days of discharge. It is your responsibility to provide correct insurance information.
Does UPMC pay for urgent care?
UPMC Western Maryland provides care, regardless of your ability to pay. Your ability to pay is based on a review which is done by a member of the Health System’s Business Office. This review assures that if you seek emergency or urgent care, you receive those services regardless of your ability to pay.
Does UPMC Western Maryland accept financial aid?
Our patients may receive financial aid at UPMC Western Maryland with hospital services based on income and insurance. We are here to help you understand your patient rights and obligations, and answer your questions about financial assistance and insurance at your convenience.
Is a physician's fee included in hospital bill?
Physician services provided during your visit will be billed separately and their services are not included on your hospital billing statement. This includes the fees for emergency department physicians, primary care physicians, surgeons, cardiologists, radiologists, and other physicians who provide care during your visit.
Does UPMC Western Maryland have financial assistance?
In accordance with Maryland law, UPMC Western Maryland has a financial assistance policy. You may be entitled to receive financial assistance with the cost of medically necessary hospital services if you have a low income, do not have insurance or your insurance does not cover your medically necessary hospital care.
How to determine if you are eligible for free UPMC?
UPMC staff will determine if you are eligible for free or discounted health care services by looking at your income and family size. We also may help you set up a payment plan for your UPMC bills. This allows you to make payments within your means.
Where to get financial assistance form?
At the hospital or physician's office: Request a Financial Assistance Application form from your case manager, at the front desk in the hospital’s registration area, or at your doctor’s office.
Does UPMC provide financial assistance?
UPMC ’s Financial Assistance Program may be able to assist with expenses for medical care, including UPMC hospital and physician services. You can fill out a single UPMC Financial Assistance Application form for any of these services. If you need the application in a non-English language, you can either:
Does UPMC charge for emergency care?
UPMC will not charge an eligible individual for emergency or other medically necessary services more than the amount generally billed (AGB) to individuals who have insurance covering such care. In some cases, UPMC may recognize other financial or medical conditions that warrant Financial Assistance.
Is UPMC financial assistance confidential?
Applicants for financial assistance are treated with dignity and respect. We respect your privacy, and all of your information will remain confidential. See UPMC’s Notice of Privacy Practices.
Is financial assistance available for insurance copayments?
Other services, at UPMC's discretion. Financial Assistance is not typically available for: Insurance copayments. People who fail to reasonably comply with insurance requirements, such as obtaining authorizations or referrals.
Is UPMC fee waived?
The fees for UPMC services are completely waived.
