FINANCIAL ASSISTANCE

Financial Assistance Resources:

Do you have questions about financial assistance? Read or download the Plan Language Summary below:
Financial Assistance Policy Plan Language Summary:

• Plan Language Summary – English
• Plan Language Summary – العربیة
• Plan Language Summary – Español
• Plan Language Summary – Hmoob
• Plan Language Summary – Русский
• Plan Language Summary – Polski
• Plan Language Summary – Tiếng Việt
• Plain Language Summary – 繁體中文
• Plain Language Summary – 简体中文

Financial Assistance Policy:

• Financial Assistance Policy – English
• Financial Assistance Policy – Spanish

Financial Assistance Application:

• Financial Assistance Application – English
• Financial Assistance Application – Spanish

Additional Resources:

• Participating Provider List
• Billing and Collections Policy