April 8, 2025

How can you get medical bills forgiven through hospital financial assistance programs?

Navigating the complexities of medical bills can be overwhelming, especially for those without insurance.

Fortunately, many hospitals offer financial assistance programs, often referred to as "charity care," that can significantly reduce or even eliminate medical debt. Here’s how you can get your medical bills forgiven through these programs.

Understanding Charity Care

Charity care is a financial assistance program provided by many hospitals, particularly nonprofit ones, to help patients who cannot afford to pay their medical bills. This assistance is based on income and family size, and it can lead to substantial reductions in bills—sometimes from thousands of dollars down to zero.

Eligibility Criteria

Each hospital has its own set of guidelines for who qualifies for charity care. Generally, eligibility is determined by:

  • Income Level: Most hospitals consider household income relative to the Federal Poverty Level (FPL). For example, families earning below 204% of the FPL may qualify for free care, while those earning up to 322% may qualify for discounted care.
  • Household Size: The number of people in your household will also be considered when assessing eligibility.
  • Bill Age: Hospitals typically require that applications for charity care be submitted within a certain timeframe, often within 240 days of receiving the bill, even if it has gone to collections.

Read: What are the 5 most common mistakes to avoid when negotiating medical debt?

Steps to Apply for Financial Assistance

1. Request an Itemized Bill

Before applying, ask for an itemized bill that details all charges. This will help you identify any errors and understand exactly what you're being billed for.

2. Gather Required Documentation

Prepare the necessary documents to support your application. This usually includes:

  • Proof of income (pay stubs, tax returns)
  • Identification (driver’s license or ID)
  • Any other documentation required by the hospital’s financial assistance program.

3. Complete the Application

Most hospitals have a financial assistance application available online. Fill it out thoroughly and ensure that all required documents are attached. Submit your application via fax, email, or mail as specified by the hospital’s guidelines.

4. Follow Up

After submitting your application, follow up with the hospital’s billing department to check on the status of your request. This shows your commitment and can help expedite the review process.

5. Understand Your Rights

If approved for charity care, hospitals are required by law to refund any payments made toward that bill. Additionally, if you are denied assistance, you have the right to appeal the decision or seek clarification on why your application was not approved.

Additional Considerations

  • Multiple Bills: If you received services from different providers (e.g., doctors or specialists) during your hospital visit, you may need to apply separately for each provider's financial assistance program.
  • Insurance Considerations: Some hospitals may offer charity care even if you have insurance but cannot afford your copays or deductibles. Always inquire about this possibility.
  • Seek Help: Organizations like Dollar For can assist you in applying for charity care and navigating the process at no cost. They provide resources and support to ensure you understand your options and rights.

Getting medical bills forgiven through hospital financial assistance programs is a viable option for many uninsured patients. By understanding the eligibility criteria and following the application process diligently, you can alleviate some of the financial burdens associated with healthcare costs.

Remember that hospitals offer these programs not only as a service but also as a way to fulfill their community benefit obligations—so don’t hesitate to advocate for yourself and seek the assistance you deserve.

Read: How do you negotiate a hospital bill without insurance?