Technical audit report for www.uhhospitals.org
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On line 730, column 95 <!DOCTYPE html> <html lang="en"> <head> <meta charset="utf-8"> <meta content="IE=edge" http-equiv="X-UA-Compatible"> <meta name="viewport" content="width=device-width, initial-scale=1"> <meta name="google-site-verification" content="zInPOGJxxqieeM5_iFMkS7QGKZks5AQC2qnB6Lm2mO4" /> <link rel='stylesheet' href='/FrontEnd/Styles/uh.foundation.theming.min.css?v=466203b1b065' /> <link rel='stylesheet' href='/FrontEnd/Styles/uh.feature.genericcontent.min.css?v=f6886bf8584c' /> <link rel='stylesheet' href='/FrontEnd/Styles/uh.feature.scheduling.min.css?v=0592171897a2' /> <link rel='stylesheet' href='/FrontEnd/Styles/uh.feature.navigation.min.css?v=75ed3b8b033b' /> <link rel='stylesheet' href='/FrontEnd/Styles/uh.feature.identity.min.css?v=1af3cf568e3b' /> <link rel='stylesheet' href='/FrontEnd/Styles/uh.feature.search.min.css?v=6ce8aa37c7a9' /> <link rel='stylesheet' href='/FrontEnd/Styles/uh.feature.accountmanagement.min.css?v=0982a64ad425' /> <link rel='stylesheet' href='/FrontEnd/Styles/uh.feature.pagecontent.min.css?v=42cf907126e1' /> <link rel='stylesheet' href='/FrontEnd/Styles/uh.feature.callouts.min.css?v=d41d8cd98f00' /> <link rel='stylesheet' href='/FrontEnd/Styles/uh.project.common.min.css?v=6cb57e9efbea' /> <link rel='stylesheet' href='/FrontEnd/Styles/uh.project.uhhospitals.min.css?v=d41d8cd98f00' /> <title>Financial Assistance | Pricing, Insurance &amp; Billing | University Hospitals | Cleveland, OH | University Hospitals</title> <meta name="description" content="Learn about how to apply for and access financial assistance for services at University Hospitals in Cleveland, Ohio. " /> <link rel="canonical" href="https://www.uhhospitals.org/patients-and-visitors/billing-insurance-and-medical-records/pay-your-bill/financial-assistance" /> <meta name="VIcurrentDateTime" content="638495718552540077" /> <script type="text/javascript" src="/layouts/system/VisitorIdentification.js"></script> <script src='/FrontEnd/Scripts/Head/uh.foundation.theming.min.js?v=23f5bcb28dcc'></script> <script> (function (d) { var config = { kitId: 'uqg3jzf', scriptTimeout: 3000, async: true }, h = d.documentElement, t = setTimeout(function () { h.className = h.className.replace(/\bwf-loading\b/g, "") + " wf-inactive"; }, config.scriptTimeout), tk = d.createElement("script"), f = false, s = d.getElementsByTagName("script")[0], a; h.className += " wf-loading"; tk.src = 'https://use.typekit.net/' + config.kitId + '.js'; tk.async = true; tk.onload = tk.onreadystatechange = function () { a = this.readyState; if (f || a && a != "complete" && a != "loaded") return; f = true; clearTimeout(t); try { Typekit.load(config) } catch (e) { } }; s.parentNode.insertBefore(tk, s) })(document); </script> <script src="https://assets.adobedtm.com/b41b10febb33/b58aa2b57d00/launch-cb62158726ea.min.js" async></script> <link rel="apple-touch-icon" sizes="192x192" href="/FrontEnd/Images/PWA-Icon-192x192.png"> <meta name="apple-mobile-web-app-capable" content="yes" /> <meta name="mobile-web-app-capable" content="yes" /> <meta name="apple-touch-fullscreen" content="yes" /> <link href="/FrontEnd/Images/White-2048x2732.png" sizes="2048x2732" media="screen and (device-width: 1024px) and (device-height: 1366px) and (-webkit-device-pixel-ratio: 2) and (orientation: portrait)" rel="apple-touch-startup-image" /> <link href="/FrontEnd/Images/White-1668x2224.png" sizes="1668x2224" media="screen and (device-width: 834px) and (device-height: 1112px) and (-webkit-device-pixel-ratio: 2) and (orientation: portrait)" rel="apple-touch-startup-image" /> <link href="/FrontEnd/Images/White-1536x2048.png" sizes="1536x2048" media="screen and (device-width: 768px) and (device-height: 1024px) and (-webkit-device-pixel-ratio: 2) and (orientation: portrait)" rel="apple-touch-startup-image" /> <link href="/FrontEnd/Images/White-1125x2436.png" sizes="1125x2436" media="screen and (device-width: 375px) and (device-height: 812px) and (-webkit-device-pixel-ratio: 3) and (orientation: portrait)" rel="apple-touch-startup-image" /> <link href="/FrontEnd/Images/White-1242x2208.png" sizes="1242x2208" media="screen and (device-width: 414px) and (device-height: 736px) and (-webkit-device-pixel-ratio: 3) and (orientation: portrait)" rel="apple-touch-startup-image" /> <link href="/FrontEnd/Images/White-750x1334.png" sizes="750x1334" media="screen and (device-width: 375px) and (device-height: 667px) and (-webkit-device-pixel-ratio: 2) and (orientation: portrait)" rel="apple-touch-startup-image" /> <link href="/FrontEnd/Images/White-640x1136.png" sizes="640x1136" media="screen and (device-width: 320px) and (device-height: 568px) and (-webkit-device-pixel-ratio: 2) and (orientation: portrait)" rel="apple-touch-startup-image" /> <link href="/FrontEnd/Images/White-828x1792.png" sizes="828x1792" media="screen and (device-width: 414px) and (device-height: 896px) and (-webkit-device-pixel-ratio: 2) and (orientation: portrait)" rel="apple-touch-startup-image" /> <link href="/FrontEnd/Images/White-1242x2688.png" sizes="1242x2688" media="screen and (device-width: 414px) and (device-height: 896px) and (-webkit-device-pixel-ratio: 3) and (orientation: portrait)" rel="apple-touch-startup-image" /> </head> <body class="UH-Project-UHHospitals-Default"> <div class="UH-Project-UHHospitals-Default-Accessibility-Links" role="navigation"> <a href="#UH-MainContent" tabindex="1">Skip to main content</a> </div> <a class="UH-Project-UHHospitals-Default-Top" id="top" role="navigation"></a> <div id="UH-MainMenu" class="UH-Project-UHHospitals-Default-Wrapper"> <div class="loading-indicator" role="status" aria-live="assertive"> <div class="loading-indicator-content">Loading Results</div> </div> <div class="UH-Feature-Navigation-PrimaryMenu" role="navigation"> <div class="UH-Feature-Navigation-PrimaryMenu-Header"> <div class="UH-Feature-Navigation-PrimaryMenuButton UH-Feature-Navigation-PrimaryMenuButton-Close"> <button class="UH-Feature-Navigation-PrimaryMenuButton-Link-Close" aria-label="Close the Main Menu">Close</button> </div> </div> <a id="UH-MainMenu-Nav-Top" tabindex="-1"></a> <div class="UH-Feature-Navigation-PrimaryMenu-SubHeader"> <ul class="UH-Feature-Navigation-LinkMenu horizontal"> <li class="UH-Feature-Navigation-LinkMenu-Label">Find</li> <li class="UH-Feature-Navigation-LinkMenu-Item active"> <a class="UH-Feature-Navigation-LinkMenu-Link " href="/doctors" target="_self" aria-label="Doctors"><span>Doctors</span></a> </li> <li class="UH-Feature-Navigation-LinkMenu-Item divider-before"> <a class="UH-Feature-Navigation-LinkMenu-Link " href="/services" target="_self" aria-label="Services"><span>Services</span></a> </li> <li class="UH-Feature-Navigation-LinkMenu-Item "> <a class="UH-Feature-Navigation-LinkMenu-Link " href="/locations" target="_self" aria-label="Locations"><span>Locations</span></a> </li> </ul> </div> <nav class="UH-Feature-Navigation-PrimaryMenu-Nav" aria-label="Primary Navigation"> <ul class="UH-Feature-Navigation-PrimaryMenu-Nav-List"> <li class="UH-Feature-Navigation-PrimaryMenu-Nav-Item "> <div class="UH-Feature-Navigation-PrimaryMenu-Nav-Wrapper"> <a class="UH-Feature-Navigation-PrimaryMenu-Nav-Link" href="/patients-and-visitors" aria-label="Patients &amp;amp; Visitors" target="_self"> Patients &amp; Visitors </a> </div> </li> <li class="UH-Feature-Navigation-PrimaryMenu-Nav-Item "> <div class="UH-Feature-Navigation-PrimaryMenu-Nav-Wrapper"> <a class="UH-Feature-Navigation-PrimaryMenu-Nav-Link" href="/for-clinicians" aria-label="Medical Professionals" target="_self"> Medical Professionals </a> </div> </li> <li class="UH-Feature-Navigation-PrimaryMenu-Nav-Item "> <div class="UH-Feature-Navigation-PrimaryMenu-Nav-Wrapper"> <a class="UH-Feature-Navigation-PrimaryMenu-Nav-Link" href="/uh-research" aria-label="Research Community" target="_self"> Research Community </a> </div> </li> <li class="UH-Feature-Navigation-PrimaryMenu-Nav-Item "> <div class="UH-Feature-Navigation-PrimaryMenu-Nav-Wrapper"> <a class="UH-Feature-Navigation-PrimaryMenu-Nav-Link" href="/medical-education" aria-label="" target="_self"> Medical Learners </a> </div> </li> <li class="UH-Feature-Navigation-PrimaryMenu-Nav-Item "> <div class="UH-Feature-Navigation-PrimaryMenu-Nav-Wrapper"> <a class="UH-Feature-Navigation-PrimaryMenu-Nav-Link" href="/about-uh/volunteer-services" aria-label="" target="_self"> Volunteers </a> </div> </li> <li class="UH-Feature-Navigation-PrimaryMenu-Nav-Item "> <div class="UH-Feature-Navigation-PrimaryMenu-Nav-Wrapper"> <a class="UH-Feature-Navigation-PrimaryMenu-Nav-Link" href="https://www.uhgiving.org" aria-label="" target="_self"> Donors </a> </div> </li> <li class="UH-Feature-Navigation-PrimaryMenu-Nav-Item "> <div class="UH-Feature-Navigation-PrimaryMenu-Nav-Wrapper"> <a class="UH-Feature-Navigation-PrimaryMenu-Nav-Link" href="/for-employees" aria-label="" target="_self"> Employees </a> </div> </li> <li class="UH-Feature-Navigation-PrimaryMenu-Nav-Item "> <div class="UH-Feature-Navigation-PrimaryMenu-Nav-Wrapper"> <a class="UH-Feature-Navigation-PrimaryMenu-Nav-Link" href="http://careers.uhhospitals.org" aria-label="" target="_self"> Job Seekers </a> </div> </li> </ul> </nav> <div class="UH-Feature-Navigation-PrimaryMenu-Footer"> <ul class="UH-Feature-Navigation-LinkMenu vertical"> <li class="UH-Feature-Navigation-LinkMenu-Label">Quick Links</li> <li class="UH-Feature-Navigation-LinkMenu-Item "> <a class="UH-Feature-Navigation-LinkMenu-Link " href="/make-an-appointment" target="_self" aria-label=""><span>Make An Appointment</span></a> </li> <li class="UH-Feature-Navigation-LinkMenu-Item "> <a class="UH-Feature-Navigation-LinkMenu-Link " href="/services" target="_self" aria-label="Our Services"><span>Our Services</span></a> </li> <li class="UH-Feature-Navigation-LinkMenu-Item "> <a class="UH-Feature-Navigation-LinkMenu-Link " href="/mychart" target="_self" aria-label=""><span>UH MyChart</span></a> </li> <li class="UH-Feature-Navigation-LinkMenu-Item "> <a class="UH-Feature-Navigation-LinkMenu-Link " href="/patients-and-visitors/billing-insurance-and-medical-records/price-estimates" target="_self" aria-label=""><span>Price Estimate</span></a> </li> <li class="UH-Feature-Navigation-LinkMenu-Item "> <a class="UH-Feature-Navigation-LinkMenu-Link " href="/patients-and-visitors/billing-insurance-and-medical-records/cms-medicare-price-transparency-initiative" target="_self" aria-label=""><span>Price Transparency</span></a> </li> <li class="UH-Feature-Navigation-LinkMenu-Item "> <a class="UH-Feature-Navigation-LinkMenu-Link " href="/patients-and-visitors/billing-insurance-and-medical-records/pay-your-bill" target="_self" aria-label="Pay My Bill"><span>Pay Your Bill</span></a> </li> <li class="UH-Feature-Navigation-LinkMenu-Item "> <a class="UH-Feature-Navigation-LinkMenu-Link " href="/patients-and-visitors/patient-satisfaction-experience" target="_self" aria-label=""><span>Patient Experience</span></a> </li> <li class="UH-Feature-Navigation-LinkMenu-Item "> <a class="UH-Feature-Navigation-LinkMenu-Link " href="/locations" target="_self" aria-label="Locations Near You"><span>Locations</span></a> </li> <li class="UH-Feature-Navigation-LinkMenu-Item "> <a class="UH-Feature-Navigation-LinkMenu-Link " href="/about-uh" target="|Custom" aria-label=""><span>About UH</span></a> </li> <li class="UH-Feature-Navigation-LinkMenu-Item "> <a class="UH-Feature-Navigation-LinkMenu-Link " href="https://www.uhgiving.org:443/" target="_self" aria-label="Give to UH"><span>Give to UH</span></a> </li> <li class="UH-Feature-Navigation-LinkMenu-Item "> <a class="UH-Feature-Navigation-LinkMenu-Link " href="http://careers.uhhospitals.org" target="_self" aria-label="Careers at UH"><span>Careers at UH</span></a> </li> </ul> </div> <div class="UH-Feature-Navigation-PrimaryMenu-Closer"> <button>Close Menu</button> </div> </div> <div class="UH-Project-UHHospitals-Default-Cover"> <button aria-label="Close the Menu" class="UH-Project-UHHospitals-Default-Cover-Closer" tabindex="-1"></button> </div> <div class="UH-Project-UHHospitals-Default-Body"> <div class="UH-Feature-PageContent-TermsBanner" id="terms-banner"> <div class="terms-content"> We have updated our <a href="/terms-and-conditions">Online Services Terms of Use</a> and <a href="/privacy-policy">Privacy Policy</a>. See our <a href="/privacy-policy?#cookies">Cookies Notice</a> for information concerning our use of cookies and similar technologies. By using this website or clicking &ldquo;I ACCEPT&rdquo;, you consent to our <a href="/terms-and-conditions">Online Services Terms of Use</a>. </div> <div class="terms-action"> <button class="terms-action-button" id="accept-terms">I Accept</button> </div> </div> <header> <div class="UH-Project-Common-Header"> <a id="UH-MainMenu-Header-Top" tabindex="-1"></a> <div class="UH-Project-Common-Header-Wrapper"> <div class="header-top"> <!-- Feature/Scheduling/SchedulingBar --> <div class="UH-Feature-Scheduling-SchedulingBar"> <div class="schedulebar-title"> <h4><strong>Schedule an appointment today</strong></h4> </div> <div class="schedulebar-call"> <a href="tel:1-866-844-2273" class="UH-Icon-Phone" ><strong>Call to Schedule</strong><span>: 1-866-UH4-CARE</span> </a> </div> <div class="schedulebar-options"> <button class="schedulebar-options-button UH-Icon-Calendar" id="schedulebar-menu-button"> Schedule Online </button> <!-- This link is now a button using the following markup: <button class="schedulebar-options-button UH-Icon-Calendar" id="schedulebar-menu-button"> Other Scheduling Options </button> --> <!-- begin Other Scheduling options dropdown --> <nav class="schedulebar-menu" id="schedulebar-menu"> <div class="schedulebar-menu-container"> <!-- These links now need class="schedulebar-menu-item" added to them --> <a href="https://www.uhhospitals.org/doctors/search-results?q=Cardiology&amp;category=Specialty&amp;page=1&amp;sort=BestMatch&amp;self-scheduling=true" class="schedulebar-menu-item" >Cardiology</a><a href="https://www.uhhospitals.org/doctors/search-results?q=dermatology&amp;category=Specialty&amp;page=1&amp;sort=Closest&amp;self-scheduling=true" class="schedulebar-menu-item" >Dermatology</a><a href="https://www.uhhospitals.org/doctors/search-results?q=OB%2FGYN-Gynecology&amp;category=Specialty&amp;page=1&amp;sort=BestMatch&amp;self-scheduling=true" class="schedulebar-menu-item" >Gynecology</a><a href="https://www.uhhospitals.org/radiology-scheduling" class="schedulebar-menu-item" >Mammography</a><a href="https://www.uhhospitals.org/doctors/search-results?q=Orthopedics&amp;category=Condition&amp;page=1&amp;sort=BestMatch&amp;self-scheduling=true" class="schedulebar-menu-item" >Orthopedics</a><a href="https://www.uhhospitals.org/doctors/search-results?q=primary%20care&amp;category=Specialty&amp;page=1&amp;sort=Closest&amp;self-scheduling=true" class="schedulebar-menu-item" >Primary Care</a><a href="https://www.uhhospitals.org/make-an-appointment" class="schedulebar-menu-item" >More Options</a> <button aria-label="Close Menu" class="schedulebar-close-button"></button> </div> </nav> <!-- end Other Scheduling options dropdown --> </div> </div> </div> <div class="header-bottom"> <div class="header-left"> <!-- Feature/Identity/Logo --> <div class="UH-Feature-Identity-Logo"> <a href="/" aria-label="Return to the University Hospitals home page"> <img src="/-/media/Images/Logos/UH-LogoZoom2x.png?h=75&amp;w=360&amp;la=en&amp;hash=129AD76B6C8C9335490DD4AF8A969F119FCADF8A" class="logo-large" width="360" height="75" alt="University Hospitals Logo" /> <img src="/-/media/Images/Logos/UHLogos-V1-Color.svg?la=en&amp;hash=4A0F29BF599D367E646D478C2B2D3EA584AAF589" class="logo-medium" alt="University Hospitals Logo" /> <img src="/-/media/Images/Logos/logo-uh-shield-only.png?h=210&amp;w=150&amp;la=en&amp;hash=25E6C3F7297927AB37386F6A99B8D40C03DC01DC" class="logo-small" width="150" height="210" alt="University Hospitals Logo" /> </a> </div> </div> <div class="header-center"> <!-- Feature/Navigation/LinkMenuHorizontal --> <ul class="UH-Feature-Navigation-LinkMenu"> <li class="UH-Feature-Navigation-LinkMenu-Label">Find</li> <li class="UH-Feature-Navigation-LinkMenu-Item active"> <a class="UH-Feature-Navigation-LinkMenu-Link " href="/doctors" target="_self" aria-label="Doctors"><span>Doctors</span></a> </li> <li class="UH-Feature-Navigation-LinkMenu-Item divider-before"> <a class="UH-Feature-Navigation-LinkMenu-Link " href="/services" target="_self" aria-label="Services"><span>Services</span></a> </li> <li class="UH-Feature-Navigation-LinkMenu-Item "> <a class="UH-Feature-Navigation-LinkMenu-Link " href="/locations" target="_self" aria-label="Locations"><span>Locations</span></a> </li> </ul> </div> <div class="header-right"> <div class="header-right-subleft" data-container-title="header-right-subleft Placeholder"> <!-- Feature/AccountManagement/Toolbar --> <div class="UH-Feature-AccountManagement-Toolbar"> <ul class="toolbar-links"> <li class="toolbar-rainbow"> <a class="UH-Icon-Rainbow" href="/rainbow">Rainbow</a> </li> <li class="toolbar-account "> <a class="UH-Icon-MyChart" href="/mychart">UH MyChart</a> </li> <li class="toolbar-cart "> <a class="UH-Icon-Cart cart-url" href="/health-information/classes-and-events/event-cart">Cart</a> </li> </ul> </div> <script type="text/javascript"> extend('UH.Feature.AccountManagement.Toolbar.serverConfig', { isLoggedIn: 'False' }); </script> </div> <div class="header-right-subcenter"> <!-- Feature/Search/SiteSearchBox --> <div class="UH-Feature-Search-SiteSearchBox"> <form class="UH-Feature-Search-SiteSearchBox-Form"> <label class="UH-Feature-Search-SiteSearchBox-Label" for="08cdef938fe041458fb53ac7964986a9">Search</label> <input id="08cdef938fe041458fb53ac7964986a9" class="UH-Feature-Search-SiteSearchBox-Input filter-term" type="search" placeholder="Search Full Site" autocomplete="off" /> <input class="hidden first-name" type="text" id="myfirstname" name="myfirstname" /> <input class="UH-Feature-Search-SiteSearchBox-Submit" type="submit" value="Search" /> <button class="UH-Feature-Search-SiteSearchBox-Close">Close the search box</button> </form> </div> <script type="text/javascript"> extend('UH.Feature.Search.SiteSearchBox.serverConfig', { submitURL: '/search-results', noTypeAheadResults: 'Unable to find results that match the current query.', typeAheadResultsCount: 10, searchTokenUrl:'/api/search/GetSearchToken' }); </script> </div> <div class="header-right-subright"> <!-- Feature/Navigation/PrimaryMenuButton --> <div class="UH-Feature-Navigation-PrimaryMenuButton"> <button class="UH-Feature-Navigation-PrimaryMenuButton-Link UH-Feature-Navigation-PrimaryMenuButton-Link-Open" aria-controls="UH-MainMenu" aria-label="Open the Main Menu">Menu</button> </div> </div> </div> </div> </div> </div> </header> <main> <div class="UH-Feature-PageContent-SectionHeader container-fluid"> <div class="sectionheader-heading-wrapper"> <div class="sectionheader-heading"> Pay Your Bill </div> <div class="sectionheader-utility"> </div> </div> <div class="sectionheader-navigation"> <div class="UH-Feature-Navigation-SecondaryMenu"> <div class="UH-Feature-Navigation-SecondaryMenu-Container"> <nav class="UH-Feature-Navigation-SecondaryMenu-Wrapper" aria-label="Section Navigation"> <ul class="UH-Feature-Navigation-SecondaryMenu-List"> <li class="UH-Feature-Navigation-SecondaryMenu-Item "> <a class="UH-Feature-Navigation-SecondaryMenu-Link " href="/patients-and-visitors/billing-insurance-and-medical-records/pay-your-bill" target="_self" aria-label="">About</a> </li> <li class="UH-Feature-Navigation-SecondaryMenu-Item "> <a class="UH-Feature-Navigation-SecondaryMenu-Link " href="/patients-and-visitors/billing-insurance-and-medical-records/pay-your-bill/customer-requests-and-forms" target="_self" aria-label="">Customer Requests &amp; Forms</a> </li> <li class="UH-Feature-Navigation-SecondaryMenu-Item "> <a class="UH-Feature-Navigation-SecondaryMenu-Link " href="/patients-and-visitors/billing-insurance-and-medical-records/pay-your-bill/frequently-asked-questions" target="_self" aria-label="">FAQs</a> </li> <li class="UH-Feature-Navigation-SecondaryMenu-Item active "> <a class="UH-Feature-Navigation-SecondaryMenu-Link " href="/patients-and-visitors/billing-insurance-and-medical-records/pay-your-bill/financial-assistance" target="_self" aria-label="">Financial Assistance</a> </li> <li class="UH-Feature-Navigation-SecondaryMenu-Item "> <a class="UH-Feature-Navigation-SecondaryMenu-Link " href="/patients-and-visitors/billing-insurance-and-medical-records/pay-your-bill/legal" target="_self" aria-label="">Legal</a> </li> <li class="UH-Feature-Navigation-SecondaryMenu-Item "> <a class="UH-Feature-Navigation-SecondaryMenu-Link " href="/privacy-policy" target="_self" aria-label="">Privacy Policy</a> </li> <li class="UH-Feature-Navigation-SecondaryMenu-Item-More"> <a class="UH-Feature-Navigation-SecondaryMenu-Link-More" href="" target="_self"> <span class="UH-Feature-Navigation-SecondaryMenu-Link-More-Arrow"></span> <span class="UH-Feature-Navigation-SecondaryMenu-Link-More-DropDown">More</span> <span class="UH-Feature-Navigation-SecondaryMenu-Link-More-Menu">Pay Your Bill Menu</span> </a> <ul class="UH-Feature-Navigation-SecondaryMenu-DropDown"> </ul> </li> </ul> </nav> </div> </div> </div> <div class="sectionheader-breadcrumb"> <!-- breadcrumb optionally added here --> <nav class="UH-Feature-Navigation-Breadcrumb" aria-label="Breadcrumb"> <ol class="breadcrumb-container"> <li class="breadcrumb-node"> <a class="breadcrumb-link" href="/" aria-label="Home">Home</a> </li> <li class="breadcrumb-node"> <a class="breadcrumb-link" href="/patients-and-visitors" aria-label="Patients &amp; Visitors">Patients &amp; Visitors</a> </li> <li class="breadcrumb-node"> <a class="breadcrumb-link" href="/patients-and-visitors/billing-insurance-and-medical-records" aria-label="Pricing, Insurance &amp; Billing">Pricing, Insurance &amp; Billing</a> </li> <li class="breadcrumb-node"> <a class="breadcrumb-link" href="/patients-and-visitors/billing-insurance-and-medical-records/pay-your-bill" aria-label="Pay Your Bill">Pay Your Bill</a> </li> <li class="breadcrumb-node active"> <span class="breadcrumb-link" aria-label="Financial Assistance" aria-current="page">Financial Assistance at University Hospitals</span> </li> </ol> </nav> <div id="UH-MainContent"></div> </div> </div> <section class="UH-Project-Common-Section container-fluid"> <div class="UH-Utility-WidthGate"> <div class="UH-Project-Common-2-Column-9-3 row"> <div class="col-12 col-lg-8 pl-0 pr-0 pr-lg-3"> <div class="UH-Feature-PageContent-PageTitle"> <h1 class="UH-Feature-PageContent-PageTitle-Heading"> Financial Assistance at University Hospitals </h1> </div> <div class="" data-container-title="Schema Content Placeholder"> </div> <div class="UH-Feature-GenericContent-ContentBlock"> <ul> <li><a href="/-/media/Files/Patient-and-Visitors/Financial-Assistance/UH-Financial-Assistance-Overview.pdf?la=en&amp;hash=2E99279FD631030E02A4CFBE6D12CA27F2453BED">UH Financial Assistance Program Overview</a> (PDF)</li> <li><a href="/-/media/Files/Patient-and-Visitors/Financial-Assistance/hcapapplication.pdf?la=en&amp;hash=CA26EF810FE344374084C9505789B9EC367F909F">Financial Assistance Application</a> (PDF)</li> <li><a href="/-/media/Files/Patient-and-Visitors/Hospital-Care-Assurance-and-Uninsured-Financial-Assistance-Application-2021-1.pdf?la=en&amp;hash=D5BD65DA39D0CD256C23819FA0360BFE973371A1">Lake Health Financial Assistance Application</a> (PDF)</li> <li><a href="/-/media/Files/Services/Lab-Services/UHLSF-FA-Application.pdf?la=en&amp;hash=4FEAF6EABFAD47B961730A01EBEE5043E6E95965">Laboratory Financial Assistance Application</a> (PDF)</li> <li><a href="/-/media/Files/Patient-and-Visitors/Financial-Assistance/GOV-2-UH-Financial-Assistance-Policy.pdf?la=en&amp;hash=53999C036F85C19986A9DE3EE4037D0F74D549C6">Financial Assistance Policy</a> (PDF)</li> <li><a href="/-/media/Files/Patient-and-Visitors/Financial-Assistance/uh-hospital-credit-and-collection.pdf?la=en&amp;hash=F96FE16AEF607F707CD74FCAF6F16148AFE51EAB">Hospital Credit and Collection Policy</a> (PDF)</li> </ul> <p>At University Hospitals, all individuals are treated with respect, regardless of their individual financial circumstances, and no one is denied or delayed emergency or medically necessary care because of his or her inability to pay for services.</p> <p>If you meet established financial eligibility requirements, your bill for emergency medical or medically necessary care at a UH hospital facility may be discounted under the UH Financial Assistance Program.</p> <h2>Eligibility for Financial Assistance</h2> <p>You may be eligible for financial assistance if you are a resident of Northeast Ohio, have received care at one of UH&rsquo;s participating hospital facilities and have one or more of the following criteria:</p> <ul> <li>Have no health insurance</li> <li>Are medically indigent as determined by medical expenses as a percentage of family income</li> <li>Have health insurance and an annual household income of 0 &ndash; 400 percent of the Federal Poverty Guidelines (A financial counselor can help you determine this.)</li> </ul> <table> <caption>Financial Assistance &ndash; Uninsured, Underinsured and Insured</caption> <thead> <tr> <th scope="col">Federal Poverty Guideline</th> <th scope="col">Discount</th> </tr> </thead> <tbody> <tr> <td data-header="Federal Poverty Guideline">0 - 250%</td> <td data-header="Discount">100%</td> </tr> <tr> <td data-header="Federal Poverty Guideline">251 - 400%</td> <td data-header="Discount">AGB<sup>1</sup></td> </tr> </tbody> </table> <table> <caption>Medical Indigence<sup>1,2</sup></caption> <thead> <tr> <th scope="col">Federal Poverty Guideline</th> <th scope="col">Maximum Liability as a Percent of Household Income</th> </tr> </thead> <tbody> <tr> <td data-header="Federal Poverty Guideline">401 - 600%</td> <td data-header="Maximum Liability as a Percent of Household Income">10%</td> </tr> <tr> <td data-header="Federal Poverty Guideline">&gt; 601%</td> <td data-header="Maximum Liability as a Percent of Household Income">15%</td> </tr> </tbody> </table> <p><em><sup>1</sup>AGB: Amounts Generally Billed. UH will never charge more than AGB for emergency or other medically necessary care for those patients who qualify for financial assistance or medical indigence.</em></p> <p><em><sup>2</sup>Patients may qualify for partial financial assistance if they can demonstrate that their medical expenses exceed an established percentage of their family income outlined above. Contact a financial assistance counselor for more information. Patients wishing to be considered for discounts under this policy must provide requested documentation of income, residence and qualifying medical expenses in a timely manner.</em></p> <h2>How to Apply for Financial Assistance</h2> <p>You must complete a Financial Assistance Application and submit it as directed on the application. We encourage you to submit your application as soon as possible in order to assist you in managing your medical finances. The application must be submitted within 240 days of receipt of your first post-discharge billing statement received for the service for which you are requesting financial assistance.</p> <p>You also will need to provide information that will assist UH in determining your eligibility and financial assistance level. This information may include:</p> <ul> <li>W2s</li> <li>Credit score</li> <li>Current state or federal tax returns</li> <li>Bank statements</li> <li>Payroll stubs</li> </ul> <p>If you do not qualify for financial assistance, you may request that a financial counselor review your case to establish payment plan options with UH.</p> <p>To learn more, please refer to the <a href="/patients-and-visitors/billing-insurance-and-medical-records/pay-your-bill/financial-assistance/hcap-hospital-care-assurance-program-guidelines">HCAP &ndash; Hospital Care Assurance Program Guidelines</a></p> <h2> How to Obtain a Free Copy of the Financial Assistance Policy and Application</h2> <p>You can obtain information about the UH Financial Assistance Program and assistance with completing the Financial Assistance Application &ndash; as well as pick up or request a free copy to be mailed to you &ndash; in the following ways:</p> <ul> <li><strong>Access and print online:</strong><br /> <a href="/-/media/Files/Patient-and-Visitors/Financial-Assistance/hcapapplication.pdf?la=en&amp;hash=CA26EF810FE344374084C9505789B9EC367F909F">Download the Financial Assistance Application</a><br /> <a href="/-/media/Files/Patient-and-Visitors/Hospital-Care-Assurance-and-Uninsured-Financial-Assistance-Application-2021-1.pdf?la=en&amp;hash=D5BD65DA39D0CD256C23819FA0360BFE973371A1">Download the Lake Health Financial Assistance Application</a><br /> <a href="/-/media/Files/Services/Lab-Services/UHLSF-FA-Application.pdf?la=en&amp;hash=4FEAF6EABFAD47B961730A01EBEE5043E6E95965">Download the Laboratory Financial Assistance Application</a></li> <br /> <li><strong>By calling:</strong><br /> UH Financial Counselors<br /> <a href="tel:1-866-771-7266">1-866-771-7266</a><br /> Monday through Friday<br /> 8 a.m. &ndash; 4:30 p.m.</li> <br /> <li> <p><strong>In person at any UH hospital in Patient Access Services or:</strong></p> <p>UH Customer Services Center<br /> UH Patient Accounting<br /> 20800 Harvard Avenue, Main Floor<br /> Beachwood, Ohio 44122</p> <p>Monday through Friday<br /> 8 a.m. &ndash; 5 p.m.</p> </li> </ul> <hr /> <h2>Right to Receive a Good Faith Estimate</h2> <p>Under the law, patients who don&rsquo;t have insurance or choose not to use insurance may request an estimated bill that outlines their out-of-pocket costs for medical items and services before proceeding with treatment.</p> <p><span class="UH-Button-Secondary"><a href="/patients-and-visitors/billing-insurance-and-medical-records/right-to-receive-a-good-faith-estimate">Learn More</a></span></p> <hr /> <h2>Translation Services</h2> <p>If you require the financial assistance information or an application in a language other than English, please contact us through one of the methods above.</p> <p>Please also refer to the following translated resources:</p> <ul> <li><a href="/patients-and-visitors/billing-insurance-and-medical-records/pay-your-bill/financial-assistance/arabic">Arabic</a></li> <li><a href="/patients-and-visitors/billing-insurance-and-medical-records/pay-your-bill/financial-assistance/chinese">Chinese</a></li> <li><a href="/patients-and-visitors/billing-insurance-and-medical-records/pay-your-bill/financial-assistance/croatian">Croatian</a></li> <li><a href="/patients-and-visitors/billing-insurance-and-medical-records/pay-your-bill/financial-assistance/dutch">Dutch</a></li> <li><a href="/patients-and-visitors/billing-insurance-and-medical-records/pay-your-bill/financial-assistance/french">French</a></li> <li><a href="/patients-and-visitors/billing-insurance-and-medical-records/pay-your-bill/financial-assistance/german">German</a></li> <li><a href="/patients-and-visitors/billing-insurance-and-medical-records/pay-your-bill/financial-assistance/italian">Italian</a></li> <li><a href="/patients-and-visitors/billing-insurance-and-medical-records/pay-your-bill/financial-assistance/japanese">Japanese</a></li> <li><a href="/patients-and-visitors/billing-insurance-and-medical-records/pay-your-bill/financial-assistance/korean">Korean</a></li> <li><a href="/patients-and-visitors/billing-insurance-and-medical-records/pay-your-bill/financial-assistance/oromo">Oromo</a></li> <li><a href="/patients-and-visitors/billing-insurance-and-medical-records/pay-your-bill/financial-assistance/pennsylvania-dutch">Pennsylvania Dutch</a></li> <li><a href="/patients-and-visitors/billing-insurance-and-medical-records/pay-your-bill/financial-assistance/polish">Polish</a></li> <li><a href="/patients-and-visitors/billing-insurance-and-medical-records/pay-your-bill/financial-assistance/romanian">Romanian</a></li> <li><a href="/patients-and-visitors/billing-insurance-and-medical-records/pay-your-bill/financial-assistance/russian">Russian</a></li> <li><a href="/patients-and-visitors/billing-insurance-and-medical-records/pay-your-bill/financial-assistance/spanish">Spanish</a></li> <li><a href="/patients-and-visitors/billing-insurance-and-medical-records/pay-your-bill/financial-assistance/ukrainian">Ukrainian</a></li> <li><a href="/patients-and-visitors/billing-insurance-and-medical-records/pay-your-bill/financial-assistance/vietnamese">Vietnamese</a></li> </ul> </div> </div> <div class="col-12 col-lg-4 pr-0 pl-0 pl-lg-3"> <aside class="UH-Feature-Callouts-CalloutContainer"> <div class="UH-Feature-GenericContent-CtaBlock "> <div class="UH-Feature-GenericContent-CtaBlock-Content"> <h3 class="UH-Feature-GenericContent-CtaBlock-Heading">Request a Hospital Estimate</h3> <div class="UH-Feature-GenericContent-CtaBlock-Description"> <p>Get a price estimate for a medical procedure at one of our locations.<br /> <em>Physician and other provider services not included.</em></p> </div> </div> <div class="UH-Feature-GenericContent-CtaBlock-Action"> <div class="UH-Button-Primary"> <a href="https://uhhospitals.patientsimple.com/guest/#/estimates/patientestimate#1" >Get an Estimate</a> </div> </div> </div> </aside> </div> </div> </div> </section> </main> <footer> <div class="UH-Project-Common-Footer"> <div class="UH-Project-Common-Footer-Top container-fluid"> <div class="row align-items-center"> <div class="col-12 col-md-6 col-xl-4"> <div class="UH-Feature-GenericContent-CtaButton"> <div class="UH-Button-Secondary"> <a href="tel:1-866-UH4-CARE" class="phone-number" aria-label="1-866-UH4-CARE" >1-866-UH4-CARE</a> </div> </div> </div> <div class="UH-Project-Common-Footer-Top-Search d-none d-md-flex col-6 col-xl-8 justify-content-end"> <div class="" data-container-title="Schema Content Placeholder"> </div> <div class="UH-Feature-GenericContent-ContentBlock"> Can't find what you're looking for? 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href="https://www.uhgiving.org" aria-label="" target="_self"> Donors </a> </div> </li> <li class="UH-Feature-Navigation-PrimaryMenu-Nav-Item "> <div class="UH-Feature-Navigation-PrimaryMenu-Nav-Wrapper"> <a class="UH-Feature-Navigation-PrimaryMenu-Nav-Link" href="/for-employees" aria-label="" target="_self"> Employees </a> </div> </li> <li class="UH-Feature-Navigation-PrimaryMenu-Nav-Item "> <div class="UH-Feature-Navigation-PrimaryMenu-Nav-Wrapper"> <a class="UH-Feature-Navigation-PrimaryMenu-Nav-Link" href="http://careers.uhhospitals.org" aria-label="" target="_self"> Job Seekers </a> </div> </li> </ul> </nav> <div class="UH-Feature-Navigation-PrimaryMenu-Footer"> <ul class="UH-Feature-Navigation-LinkMenu vertical"> <li class="UH-Feature-Navigation-LinkMenu-Label">Quick Links</li> <li class="UH-Feature-Navigation-LinkMenu-Item "> <a class="UH-Feature-Navigation-LinkMenu-Link " href="/make-an-appointment" target="_self" aria-label=""><span>Make An Appointment</span></a> </li> <li 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href="/patients-and-visitors/billing-insurance-and-medical-records/pay-your-bill" target="_self" aria-label="Pay My Bill"><span>Pay Your Bill</span></a> </li> <li class="UH-Feature-Navigation-LinkMenu-Item "> <a class="UH-Feature-Navigation-LinkMenu-Link " href="/patients-and-visitors/patient-satisfaction-experience" target="_self" aria-label=""><span>Patient Experience</span></a> </li> <li class="UH-Feature-Navigation-LinkMenu-Item "> <a class="UH-Feature-Navigation-LinkMenu-Link " href="/locations" target="_self" aria-label="Locations Near You"><span>Locations</span></a> </li> <li class="UH-Feature-Navigation-LinkMenu-Item "> <a class="UH-Feature-Navigation-LinkMenu-Link " href="/about-uh" target="|Custom" aria-label=""><span>About UH</span></a> </li> <li class="UH-Feature-Navigation-LinkMenu-Item "> <a class="UH-Feature-Navigation-LinkMenu-Link " href="https://www.uhgiving.org:443/" target="_self" aria-label="Give to UH"><span>Give to UH</span></a> </li> <li class="UH-Feature-Navigation-LinkMenu-Item "> <a class="UH-Feature-Navigation-LinkMenu-Link " href="http://careers.uhhospitals.org" target="_self" aria-label="Careers at UH"><span>Careers at UH</span></a> </li> </ul> </div> <div class="UH-Feature-Navigation-PrimaryMenu-Closer"> <button>Close Menu</button> </div> </div> <div class="UH-Project-UHHospitals-Default-Cover"> <button aria-label="Close the Menu" class="UH-Project-UHHospitals-Default-Cover-Closer" tabindex="-1"></button> </div> <div class="UH-Project-UHHospitals-Default-Body"> <div class="UH-Feature-PageContent-TermsBanner" id="terms-banner"> <div class="terms-content"> We have updated our <a href="/terms-and-conditions">Online Services Terms of Use</a> and <a href="/privacy-policy">Privacy Policy</a>. See our <a href="/privacy-policy?#cookies">Cookies Notice</a> for information concerning our use of cookies and similar technologies. By using this website or clicking &ldquo;I ACCEPT&rdquo;, you consent to our <a href="/terms-and-conditions">Online Services Terms of Use</a>. </div> <div class="terms-action"> <button class="terms-action-button" id="accept-terms">I Accept</button> </div> </div> <header> <div class="UH-Project-Common-Header"> <a id="UH-MainMenu-Header-Top" tabindex="-1"></a> <div class="UH-Project-Common-Header-Wrapper"> <div class="header-top"> <!-- Feature/Scheduling/SchedulingBar --> <div class="UH-Feature-Scheduling-SchedulingBar"> <div class="schedulebar-title"> <h4><strong>Schedule an appointment today</strong></h4> </div> <div class="schedulebar-call"> <a href="tel:1-866-844-2273" class="UH-Icon-Phone" ><strong>Call to Schedule</strong><span>: 1-866-UH4-CARE</span> </a> </div> <div class="schedulebar-options"> <button class="schedulebar-options-button UH-Icon-Calendar" id="schedulebar-menu-button"> Schedule Online </button> <!-- This link is now a button using the following markup: <button class="schedulebar-options-button UH-Icon-Calendar" id="schedulebar-menu-button"> Other Scheduling Options </button> --> <!-- begin Other Scheduling options dropdown --> <nav class="schedulebar-menu" id="schedulebar-menu"> <div class="schedulebar-menu-container"> <!-- These links now need class="schedulebar-menu-item" added to them --> <a href="https://www.uhhospitals.org/doctors/search-results?q=Cardiology&amp;category=Specialty&amp;page=1&amp;sort=BestMatch&amp;self-scheduling=true" class="schedulebar-menu-item" >Cardiology</a><a href="https://www.uhhospitals.org/doctors/search-results?q=dermatology&amp;category=Specialty&amp;page=1&amp;sort=Closest&amp;self-scheduling=true" class="schedulebar-menu-item" >Dermatology</a><a href="https://www.uhhospitals.org/doctors/search-results?q=OB%2FGYN-Gynecology&amp;category=Specialty&amp;page=1&amp;sort=BestMatch&amp;self-scheduling=true" class="schedulebar-menu-item" >Gynecology</a><a href="https://www.uhhospitals.org/radiology-scheduling" class="schedulebar-menu-item" >Mammography</a><a href="https://www.uhhospitals.org/doctors/search-results?q=Orthopedics&amp;category=Condition&amp;page=1&amp;sort=BestMatch&amp;self-scheduling=true" class="schedulebar-menu-item" >Orthopedics</a><a href="https://www.uhhospitals.org/doctors/search-results?q=primary%20care&amp;category=Specialty&amp;page=1&amp;sort=Closest&amp;self-scheduling=true" class="schedulebar-menu-item" >Primary Care</a><a href="https://www.uhhospitals.org/make-an-appointment" class="schedulebar-menu-item" >More Options</a> <button aria-label="Close Menu" class="schedulebar-close-button"></button> </div> </nav> <!-- end Other Scheduling options dropdown --> </div> </div> </div> <div class="header-bottom"> <div class="header-left"> <!-- Feature/Identity/Logo --> <div class="UH-Feature-Identity-Logo"> <a href="/" aria-label="Return to the University Hospitals home page"> <img src="/-/media/Images/Logos/UH-LogoZoom2x.png?h=75&amp;w=360&amp;la=en&amp;hash=129AD76B6C8C9335490DD4AF8A969F119FCADF8A" class="logo-large" width="360" height="75" alt="University Hospitals Logo" /> <img src="/-/media/Images/Logos/UHLogos-V1-Color.svg?la=en&amp;hash=4A0F29BF599D367E646D478C2B2D3EA584AAF589" class="logo-medium" alt="University Hospitals Logo" /> <img src="/-/media/Images/Logos/logo-uh-shield-only.png?h=210&amp;w=150&amp;la=en&amp;hash=25E6C3F7297927AB37386F6A99B8D40C03DC01DC" class="logo-small" width="150" height="210" alt="University Hospitals Logo" /> </a> </div> </div> <div class="header-center"> <!-- Feature/Navigation/LinkMenuHorizontal --> <ul class="UH-Feature-Navigation-LinkMenu"> <li class="UH-Feature-Navigation-LinkMenu-Label">Find</li> <li class="UH-Feature-Navigation-LinkMenu-Item active"> <a class="UH-Feature-Navigation-LinkMenu-Link " href="/doctors" target="_self" aria-label="Doctors"><span>Doctors</span></a> </li> <li class="UH-Feature-Navigation-LinkMenu-Item divider-before"> <a class="UH-Feature-Navigation-LinkMenu-Link " href="/services" target="_self" aria-label="Services"><span>Services</span></a> </li> <li class="UH-Feature-Navigation-LinkMenu-Item "> <a class="UH-Feature-Navigation-LinkMenu-Link " href="/locations" target="_self" aria-label="Locations"><span>Locations</span></a> </li> </ul> </div> <div class="header-right"> <div class="header-right-subleft" data-container-title="header-right-subleft Placeholder"> <!-- Feature/AccountManagement/Toolbar --> <div class="UH-Feature-AccountManagement-Toolbar"> <ul class="toolbar-links"> <li class="toolbar-rainbow"> <a class="UH-Icon-Rainbow" href="/rainbow">Rainbow</a> </li> <li class="toolbar-account "> <a class="UH-Icon-MyChart" href="/mychart">UH MyChart</a> </li> <li class="toolbar-cart "> <a class="UH-Icon-Cart cart-url" href="/health-information/classes-and-events/event-cart">Cart</a> </li> </ul> </div> <script type="text/javascript"> extend('UH.Feature.AccountManagement.Toolbar.serverConfig', { isLoggedIn: 'False' }); </script> </div> <div class="header-right-subcenter"> <!-- Feature/Search/SiteSearchBox --> <div class="UH-Feature-Search-SiteSearchBox"> <form class="UH-Feature-Search-SiteSearchBox-Form"> <label class="UH-Feature-Search-SiteSearchBox-Label" for="08cdef938fe041458fb53ac7964986a9">Search</label> <input id="08cdef938fe041458fb53ac7964986a9" class="UH-Feature-Search-SiteSearchBox-Input filter-term" type="search" placeholder="Search Full Site" autocomplete="off" /> <input class="hidden first-name" type="text" id="myfirstname" name="myfirstname" /> |
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