Financial Assistance Program

Need Help Paying Your Bill?

In an effort to meet the community’s healthcare needs, financial assistance is available to patients/guarantors (person that is financially responsible) who have limited or no resources to pay for emergent or medically necessary services rendered at Aspire Health Partners facilities.

How Do I Qualify for Financial Assistance?

Financial assistance is based on information that considers your yearly income and family size. Based on current Federal Poverty Guidelines, you may qualify for assistance with all of your hospital bill through a review of your income, assets, and other resources. Federal Poverty Guidelines can be found at https://aspe.hhs.gov/poverty-guidelines

If a validated financial statement application reflects an income at or below 150% of the most current Federal Poverty Level for the stated family size, the account will qualify for financial assistance in its entirety.

How Can I Apply for Financial Assistance?

To apply for financial assistance, please review our financial assistance policies, and complete an Application for Financial Assistance

Financial Assistance Policy
Client Billing and Collection Policy

Click below for our Application for Financial Assistance

Application for Financial Assistance – English
Application for Financial Assistance – Spanish
Application for Financial Assistance – Haitian-Creole