Hospital Bill Relief for the Uninsured

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Regular Member

Date Joined Oct 2009
Total Posts : 56
   Posted 1/2/2010 1:53 PM (GMT -6)   
One of the best-kept secrets in healthcare is the financial and charitable aid programs available to lighten the staggering burden caused by medical expenses. Believe it or not, that financial aid department can become your best friend. They have the power to make your bills more manageable…consolidate them…discount them…and work out a payment plan at reduced cost.

Lowering your hospital bill

Ask for an itemized bill. Often mistakes are made which can erase thousands of dollars from your bill. (Many hospitals don’t audit their bills unless a patient inquires.) So, before you begin to talk, make sure you know the exactly what you owe.

Then, see if there's a financial counselor at the hospital. Once you know what the actual figures, you can ask about negotiating the charges. Often you can lower the total bill amount – without interest -- by setting up a regular payment plan.

Another option is to ask for a discount for paying the bill off in full. But you need to pay it off by a certain time, to be eligible for this arrangement at most hospitals.

Remember, the financial counselor or cashier at the hospital is a living, breathing, human being. And although there’s only a certain amount they can do, they really want to help you! They’ll be much more amenable to helping you if you show good faith and if you are sincere about paying your bill. (No one, not even them, wants a collection agency sniffing around their door!)

But it’s essential that, if you set up a payment plan, you MUST honor it! If you're going to be late, or have to send only a partial payment, call and explain. In fact, start dealing with one particular person and develop a relationship with him or her. They could become a valuable friend and contact for the future.

Eliminating your hospital bill

This can take a considerable amount of jumping through hoops, but the time spent is well worth it.

The catch with receiving help from a hospital’s financial aid department is that you have to exhaust all other resources. First, you must apply for and use any other public medical benefits. If you still have medical bills, then the hospital’s financial aid department will consider your application.

To qualify for 100% elimination of your medical bills, most hospitals require that your annual income does not exceed 200% of the federal poverty level. You will usually be required to submit proof of income for the 12 months preceding your medical care. (This is how they calculate your “annual” income)

You’ll also be required to list your assets. The financial aid department will want to know whether you have money in savings, checking, a CD, IRAs, trust funds, or equity in real estate that isn't your primary residence. Most hospitals will require a statement from your financial institution detailing your assets.

If you don’t have a job or assets, you'll need to sign an affidavit indicating this.

Most states have a Charities Fund to pay unexpected medical expenses. It’s for those who have too much money for Medicaid, but can’t pay their bills without insurance. Tell the hospital business office to submit your bill to the State Charities Fund. If they say they’ve never heard of it, or no such fund exists, call your State Representative and make him earn his salary. He can find out for you.

If your income is low, there’s also a federal “magic wand” that can erase some, if not all, of your medical bills.

It’s called the "Hill-Burton" plan -- created to assist people with medical expenses, unable to pay them. It’s only for people of limited financial means.

However, if you Google “Hill-Burton Act” or go to you’ll find a gold mine of information about who qualifies, which facilities are obligated to provide free or reduced-cost health care and how to apply. The Hill-Burton Hotline is 1-800-638-0742 or 1-800-492-0359 in Maryland.

Post Edited By Moderator (Jeannie143) : 1/30/2010 3:19:39 PM (GMT-7)

Veteran Member

Date Joined Sep 2009
Total Posts : 1176
   Posted 1/2/2010 4:09 PM (GMT -6)   
Wow Phylis, this is wonderful information! I've passed it on to my daughter Cheryl who is unemployed due to severe chronic fatigue and syncope associated with lupus and adrenal insufficiency. She is fighting to get on SSI, but has been denied once...she's waiting for the ruling on her appeal.

She has no income and has LOTS of medical bills so the info in this post will be incredibly helpful to her!
Autoimmune hepatitis, Hashimoto's thyroiditis, lupus, fibromyalgia, rheumatoid arthritis, celiac disease, asthma, psoriasis, Raynaud's syndrome, hypertension, osteopenia, sleep apnea, restless leg syndrome, GERD.

PENDING DX: Lyme disease?? Lyme ELISA positive!

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Regular Member

Date Joined Oct 2009
Total Posts : 56
   Posted 1/2/2010 4:23 PM (GMT -6)   
Oh I do hope it helps her. (For example, I knew nothing about the "Hill-Buton" bill until I researched this article.) I think in these times of economic distress, hospitals will be happy to figure out some kind of work-out plan. Better some than none!

Good luck!


Post Edited By Moderator (Admin) : 1/6/2010 5:38:06 PM (GMT-7)

Stella Marie
Veteran Member

Date Joined May 2005
Total Posts : 601
   Posted 1/8/2010 12:23 AM (GMT -6)   
We need to get this added to our resource list. I'll ask peter how we can make this sticky or add it to an only list.
Any and all resources are welcome.

Stella Marie

Moderator for Chronic Pain and Epilepsy

Rare neurodegenerative /movement disorder called “Multiple System Atrophy”.  Mobility issues,, neuropathic pain,  spasticity, myoclonus, central apnea, collagenous colitis, joint and body pain, swallowing and respitory  involvement,  Implants: intrathecal pump & neurostimulator.  Extra features: O2 & wheelchair.



judie Ezper
New Member

Date Joined Jan 2010
Total Posts : 1
   Posted 1/21/2010 12:43 PM (GMT -6)   
Thank you for the helpful information. So, first we will see a financial counselor at the hospital first and tell them our situation and the possible solution to solve our financial health care problem. It is indeed wise to ask for breakdown of expenses to minimize errors. Angioplasty

Post Edited (judie Ezper) : 2/2/2010 7:25:24 AM (GMT-7)

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