Primary Lateral Sclerosis (PLS) FactSheet-1page
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what you need to know about benefits during covid-19
what you need to know about benefits during covid-19 This guide points towards help during this difficult time This is not legal advice The guide does not cover every situation you may face If you need additional help, contact Pisgah Legal Services at (800) 489-6144 or apply online at pisgahlegal Food stamps (FNS): Put money for food in
UNDERSTANDING SEEDING RATES, RECOMMENDED PLANTING RATES AND
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Plain Languag Summary of Financial Assistance Policy (1793327
What if I Need Help with the Application? Our Financial Counselor can answer questions about the Financial Assistance Process Please call 360-704-4778 between 9 a m and 4 p m , Monday through Friday, excluding holidays Translations of the Financial Assistance Policy, Application and this Summary are also available
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North Memorial Health Financial Assistance Policy English
uninsured, or underinsured individuals who need help paying for all or part of their medical care NMH customers are eligible for NMH financial assistance when their family income is at or below 275 of the Federal Poverty Level (FPL) A financial assistance application must be completed to determine eligibility for these discounts
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North Memorial Health
Financial Assistance Policy
English - Plain Language Summary (PLS)
North Memorial Health (NMH) is committed to empowering our customers to achieve their best health. This commitment includes providing financial assistance to qualified uninsured and underinsured customers when their ability to pay for services is a barrier to accessing emergency and medically necessary care. Who is eligible for financial assistance and what are the requirements? NMHs Financial Assistance Policy provides financial assistance (charity care) to low-income, uninsured, or underinsured individuals who need help paying for all or part of their medical care. NMH customers are eligible for NMH financial assistance when their family income is at or below 275% of the Federal Poverty Level (FPL). A financial assistance application must be completed to determine eligibility for these discounts. Customers should consult with a financial counselor located at the following location to determine eligibility and for assistance with applying for financial assistance: North Memorial Health Hospital Financial Assistance, 3300 Oakdale Avenue North,Robbinsdale, MN 55422,
Or by calling (763) 581-4980 or (866) 358-2644.
Customers who are eligible for NMH financial assistance will not be charged more than amounts generally billed (AGB) by NMH for emergency or other medically necessary care to customers with insurance (AGB, as defined by IRS Section 501(r)). In addition, NMH participates in Senior Partners Care. For this program, NMH partners with Senior Community Services to waive clinic co-insurance and deductibles for customers who are members of Senior Partners Care. Eligibility for this program is determined by SeniorCommunity Partners.
NMH also offers an Uninsured Discount to customers who are not eligible for financial assistance and whose annual income is less than $125,000. If you need additional information on (763) 581-4980, or (866) 358-2644.What does the financial assistance program cover?
NMHFinancial Assistance Policy applies to emergency and medically necessary services provided by NMH hospital and clinic facilities within the NMH system, including both facility and professional services offered by North Memorial Health Hospital and Maple Grove Hospital, NMH hospice services, and NMH emergency transportation services. Refer to NMHs Financial Assistance Policy for additional information on covered and non-covered services. How can I obtain a copy of the Financial Assistance Policy or Application? Information about NMH financial assistance program, including copies of the NMHs Financial Assistance Policy and financial assistance application, are available to the public without charge. This information is available in any of the following ways: Electronic copies can be accessed on the North Memorial Health website at: Mailing request to: North Memorial Health Hospital Financial Assistance, 3300Oakdale Avenue North, Robbinsdale, MN 55422;
By calling: (763) 581-4980, or (866) 358-2644;
Upon request at the following locations:
o North Memorial Health Hospital Registration Department; o Maple Grove Hospital Registration Department; o North Memorial Health Financial Assistance, 3500 France Avenue North, Suite106, Robbinsdale, MN 55422;
o North Memorial Health Ambulance, 4501 68th Avenue North, Brooklyn Center,MN 55429.
How do I apply?
Completed applications including all required information and documentation should be submitted to one of the locations above or mailed to: North Memorial Health Hospital Financial Assistance, 3300 Oakdale Avenue North,Robbinsdale, MN 55422.
We will promptly review submitted applications with supporting documentation and notify you of financial assistance eligibility in writing within 30 days of receipt of a complete application. We will not consider incomplete applications, but will notify applicants by phone or mail of an incomplete application and provide you an opportunity to send in the missing documentation or information within 30 days from the date of notification.Is there language assistance?
Interpreters are available to you at no cost. The Financial Assistance Policy, application, and this
policy summary may be available in your language. For more information, call (763) 581-4980 or (866) 358-2644, or visit our website at www.northmemorial.com/financial-assistance.