HTML Report for http://www.upmc.com/patients-visitors/paying-bill/services/apply
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On line 1848, column 36 <!DOCTYPE html> <html lang="en"> <head> <link rel="preload" as="font" type="font/woff2" href="/Presentation/includes/UPMC/V2/fonts/UPMC-Icon-Set.woff2?37kpo4" crossorigin> <link rel="preload" as="font" type="font/woff2" href="/Presentation/includes/UPMC/V2/fonts/UPMC-Icon-Set.ttf?37kpo4" crossorigin> <link rel="stylesheet" href="/Presentation/includes/upmc/abovethefold/V2/abovethefold.css?v=638496297246004082" /> <script src="https://assets.upmc.com/jquery/3.5.1/jquery.min.js"></script> <style type="text/css"> .lazy { background-image: none !important; transition: background-image ease-out 0.1s; } </style> <meta charset="utf-8"> <!--12--> <!--Sitecore.NET 10.3.1 (rev. 009452)--> <meta http-equiv="X-UA-Compatible" content="IE=edge"> <meta name="viewport" content="width=device-width, initial-scale=1"> <meta name="format-detection" content="telephone=no" /> <title>Applying for Financial Assistance | UPMC - Pittsburgh, PA</title> <!--Head Tag Code--> <style> .mobile-header .mega-menu-container .main-nav .mega-button-container a.mega-button:visited{color:#363533} .health-alert-bar#accordion{ padding: 10px 0; } .health-alert-bar .closeButton { display:none; !important } #health-alert-collapse .learn-more + .col-xs-12.col-sm-12.col-md-7, #health-alert-collapse .col-md-7 + .learn-more:last-child { padding-top: 5px; } #health-alert-collapse .col-xs-12.col-sm-12.col-md-7{ padding-top:10px; } @media (max-width: 991px) { .container.breadcrumbs-wrapper { display: block; padding-top:75px; !important } } .health-alert-bar > .container { display: none; } .health-alert-bar#accordion .panel-collapse .content-wrapper{ padding:0; } @media (min-width: 990px){ .health-alert-bar { min-height: 62px; } } @media (max-width: 989px){ .health-alert-bar { min-height: 119px; } } .health-alert-bar .cta { margin-top: 0; border-radius: 5px; background-color: #fff; color: #771B61; padding: 5px; min-width: 140px; float: right; } </style> <!--end Head Tag Code--> <link href="https://dam.upmc.com/-/media/multisite-logos/favicon.ico?rev=44e972153fa34993ab2a81aebc51210b" rel="shortcut icon" type="image/x-icon" /> <link rel="canonical" href="https://www.upmc.com/patients-visitors/paying-bill/services/apply" /> <meta content="https://www.upmc.com/patients-visitors/paying-bill/services/apply" property="og:url" /> <meta name="author" content=""> <meta property="og:type" content="article" /> <meta name="twitter:card" content="summary_large_image" /> <meta content="Applying for Financial Assistance | UPMC - Pittsburgh, PA" property="og:title" /> <meta name="twitter:title" content="Applying for Financial Assistance | UPMC - Pittsburgh, PA" /> <meta content="If you cannot afford to pay your hospital or doctor bill, UPMC’s Financial Assistance Program is ready to help." property="og:description" /> <meta name="description" content="If you cannot afford to pay your hospital or doctor bill, UPMC’s Financial Assistance Program is ready to help." /> <meta name="twitter:description" content="If you cannot afford to pay your hospital or doctor bill, UPMC’s Financial Assistance Program is ready to help." /> <script id="Cookiebot" src="https://consent.cookiebot.com/uc.js" data-cbid="b23b93ec-4c3a-4f87-8491-e6476a789b84" data-blockingmode="auto" type="text/javascript"></script> <link rel="stylesheet" href="/Presentation/includes/Modules/FontAwesome/4.3.0/css/font-awesome.min.css" /> <script type="text/javascript" src="//cdn.evgnet.com/beacon/upmc/upmc_production/scripts/evergage.min.js"></script> <style> @media (max-width: 766px){ .kyrussProviderSearch .submit { margin-top: 30px; 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alt="Provider Image" /> {{ } else { }} {{var gender = coveoFieldValue("kyruusprovidergender")}} {{if(gender =="Male") { }} <img src="/-/media/UPMC/Icons/default_provider_male" class="img-responsive" alt="Provider Image" /> {{ } else { }} <img src="/-/media/UPMC/Icons/default_provider_female" class="img-responsive" alt="Provider Image" /> {{ } }} {{ } }} </a> </div> </div> <div class="col-xs-12 col-lg-9 provider-info-container"> <div class='coveo-title'> <a class='CoveoResultLink' href="{{=clickUri}}" onclick="UPMCGlobal.dataLayer.pushSearchResultClick('{{=clickUri}}');"> {{var firstname = coveoFieldValue("kyruusproviderfirstname")}} {{var middleinitial=""}} {{if(coveoFieldValue("kyruusprovidermiddlename")) { }} {{ var middlename = coveoFieldValue("kyruusprovidermiddlename")}} {{ middleinitial = middlename.charAt(0) + " "}} {{ } }} {{var lastname = coveoFieldValue("kyruusproviderlastname")}} {{if(coveoFieldValue("kyruusproviderpreferredname")) { }} 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alertGuid="22505c28-9133-42bf-9d3b-797a5fd2e2f2"> <div class="alertIcon"></div> <div class="alertTitle"> <p>ALERT:</p> </div> <div class="alertContent"> <div class="alertMessage"> Starting&nbsp;<strong>Feb. 29</strong>, masking is optional but encouraged in UPMC medical facilities and most patient care settings. </div> </div> <div class="alertLink"> <a href="/patients-visitors/visitor-info" class="button" title="Learn more about these new guidelines." >Learn more.</a> </div> <div class="alertClose"></div> </div> </div> </div> <script> var slideIndexEmergencyAlert = 1; showSlidesEmergencyAlert(slideIndexEmergencyAlert); function plusSlidesEmergencyAlert(n) { showSlidesEmergencyAlert(slideIndexEmergencyAlert += n); $(".header-eq-height").removeAttr("style"); equalizeHeights($(".header-eq-height")); } function currentSlideEmergencyAlert(n) { showSlidesEmergencyAlert(slideIndexEmergencyAlert = n); } function equalizeHeights(ele){ tallest = 0; $.each(ele, function (index, val) { if 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<span class="icon-phone"></span> 800-533-8762 </a> </div> </div> <div class="menu-column"> <ul class="megamenu-tertiary-nav"> <li class="tertiary-nav-link-container"> <a href="https://careers.upmc.com/" title="Learn more about careers and job openings at UPMC." >Careers</a> </li> <li class="tertiary-nav-link-container"> <a href="/media" >Newsroom</a> </li> <li class="tertiary-nav-link-container"> <a href="/healthcare-professionals" >Health Care Professionals</a> </li> <li class="tertiary-nav-link-container"> <a href="/about" >About Us</a> </li> <li class="tertiary-nav-link-container"> <a href="/contact" title="Contact UPMC" >Contact Us</a> </li> </ul> <button type="button" class="hero-search-button" data-toggle="modal" data-target="#mega-search-modal"> Search </button> </div> </div> <div class="megamenu-main-container"> <div class="logo-col"> <div class="logo-container"> <a class="logo-link" href="/" title="UPMC"> <img src="https://dam.upmc.com/-/media/upmc/logos/upmclogosvg.svg?rev=8c3ed801ca094f89b30b306f114f6aa1&amp;la=en&amp;hash=368E8BE3E4E116BDC380C30B91DD2C60" class="logo-image img-responsive" alt="UPMC Logo" /> </a> </div> </div> <div class="main-nav"> <ul class="header-megamenu-items"> <li class="mega-link-container"> <a href="/providers" class="mega-link" tabindex="0"> Find a Doctor </a> </li> <li class="mega-button-container"> <a href="#" class="mega-button" role="button" tabindex="0"> Services <span class="mega-carrot"></span> </a> <div class="secondary-nav"> <div class="secondary-nav-inner-wrapper"> <ul class="secondary-nav-container nav nav-tabs nav-stacked" role="tablist"> <li role="presentation" class="secondary-menu-link-container has-links open active "> <a class="secondary-inner-button" role="tab" data-toggle="tab" aria-controls="servicesbyregion" href="#servicesbyregion" aria-expanded="true">Services by Region</a> </li> <div role="tabpanel" class="tab-pane active " id="servicesbyregion"> <div class="row"> <div class="col-xs-12"> <div class="rte "> <span>Find a UPMC health care facility close to you quickly by browsing by region.</span> </div> </div> <div class="col-xs-12 col-md-3"> <div class="generic-image-with-link"> <a href="/services" target=""> <img class="image-callout lazy img-responsive" src="https://dam.upmc.com/-/media/upmc/locations/regions/images/western-pa.jpg?rev=948e8c5ab63143c2b2befae47ea7b297" alt="UPMC in Western Pa." /> </a> <a class="generic-image-with-link-link" href="/services" target=""> Western Pa. and New York </a> </div> <div class="generic-image-with-link"> <a href="/services/south-central-pa" target=""> <img class="image-callout lazy img-responsive" src="https://dam.upmc.com/-/media/upmc/locations/regions/images/central-pa.jpg?rev=de65e72fbc0649608c5d59e8d8a1160d" alt="UPMC in Central Pa." /> </a> <a class="generic-image-with-link-link" href="/services/south-central-pa" target=""> Central Pa. </a> </div> </div> <div class="col-xs-12 col-md-3"> </div> <div class="col-xs-12 col-md-3"> <div class="generic-image-with-link"> <a href="/services/north-central-pa" target=""> <img class="image-callout lazy img-responsive" src="https://dam.upmc.com/-/media/upmc/locations/regions/images/north-central-pa.jpg?rev=5a17316b1fc8414291c7de5c13ee2ae6" alt="UPMC in North Central Pa." /> </a> <a class="generic-image-with-link-link" href="/services/north-central-pa" target=""> North Central Pa. </a> </div> <div class="generic-image-with-link"> <a href="/locations/regions/maryland" target=""> <img class="image-callout lazy img-responsive" src="https://dam.upmc.com/-/media/upmc/locations/regions/images/maryland.jpg?rev=777285b47caa4cbc81711d0ea88b6ec8" alt="UPMC in Western Md." /> </a> <a class="generic-image-with-link-link" href="/locations/regions/maryland" target=""> Maryland &amp; West Virginia </a> </div> </div> </div> </div> <li role="presentation" class="secondary-menu-link-container has-links "> <a class="secondary-inner-button" role="tab" data-toggle="tab" aria-controls="frequentlysearchedservices" href="#frequentlysearchedservices" aria-expanded="false">Frequently Searched Services</a> </li> <div role="tabpanel" class="tab-pane " id="frequentlysearchedservices"> <div class="row"> <div class="col-xs-12"> <div class="rte "> <span>Frequently Searched Services</span> </div> </div> <div class="col-xs-12 col-md-6"> <span class="nav-link"> <a href="/services/allergy-immunology-regions" >Allergy &amp; Immunology</a> </span> <span class="nav-link"> <a href="/services/behavioral-health-regions" >Behavioral &amp; Mental Health</a> </span> <span class="nav-link"> <a href="/services/cancer" >Cancer</a> </span> <span class="nav-link"> <a href="/services/ear-nose-throat" >Ear, Nose &amp; Throat</a> </span> <span class="nav-link"> <a href="/services/endocrinology" title="Learn more about endocrinology at UPMC." >Endocrinology</a> </span> <span class="nav-link"> <a href="/services/digestive-disorders-regions" >Gastroenterology</a> </span> <span class="nav-link"> <a href="/services/heart-vascular" >Heart &amp; Vascular</a> </span> <span class="nav-link"> <a href="/services/imaging" >Imaging</a> </span> <span class="nav-link"> <a href="/services/neurosciences-regions" >Neurosciences</a> </span> <span class="nav-link"> <a href="/services/orthopaedics-regions" >Orthopaedics</a> </span> </div> <div class="col-xs-12 col-md-6"> <span class="nav-link"> <a href="/services/rehab-regions" >Physical Rehabilitation</a> </span> <span class="nav-link"> <a href="/services/plastic-surgery-regions" >Plastic &amp; Reconstructive Surgery</a> </span> <span class="nav-link"> <a href="/services/primary-care" >Primary Care</a> </span> <span class="nav-link"> <a href="/services/seniors-regions" >Senior Services</a> </span> <span class="nav-link"> <a href="/services/sports-medicine-regions" >Sports Medicine</a> </span> <span class="nav-link"> <a href="/services/transplant" >Transplant Surgery</a> </span> <span class="nav-link"> <a href="/services/urgent-care" >Urgent Care</a> </span> <span class="nav-link"> <a href="/services/weight-management-regions" >Weight Management</a> </span> <span class="nav-link"> <a href="/services/women-regions" >Women’s Health</a> </span> </div> <div class="col-xs-12"> <span class="nav-base-link"> <a href="/services" >See all Services</a> </span> </div> </div> </div> <li class="secondary-menu-link-container no-links"> <a href="/services" target="">See All Services</a> </li> </ul> <button type="button" class="close" data-dismiss="modal" aria-label="Close"></button> <div class="tab-content"></div> </div> </div> </li> <li class="mega-button-container"> <a href="#" class="mega-button" role="button" tabindex="0"> Locations <span class="mega-carrot"></span> </a> <div class="secondary-nav"> <div class="secondary-nav-inner-wrapper"> <ul class="secondary-nav-container nav nav-tabs nav-stacked" role="tablist"> <li role="presentation" class="secondary-menu-link-container has-links open active "> <a class="secondary-inner-button" role="tab" data-toggle="tab" aria-controls="locationsbyregion" href="#locationsbyregion" aria-expanded="true">Locations by Region</a> </li> <div role="tabpanel" class="tab-pane active " id="locationsbyregion"> <div class="row"> <div class="col-xs-12"> <div class="rte "> <span>Locations by Region</span> </div> </div> <div class="col-xs-12 col-md-3"> <div class="generic-image-with-link"> <a href="/locations/regions/southwest-pa" target=""> <img class="image-callout lazy img-responsive" src="https://dam.upmc.com/-/media/upmc/locations/regions/images/southwest-pa.png?rev=43703b8d506f477484aa73465f07a0a1" alt="UPMC in Southwest Pa." /> </a> <a class="generic-image-with-link-link" href="/locations/regions/southwest-pa" target=""> Southwest Pa. </a> </div> <div class="generic-image-with-link"> <a href="/locations/regions/north-central-pa" target=""> <img class="image-callout lazy img-responsive" src="https://dam.upmc.com/-/media/upmc/locations/regions/images/north-central-pa.jpg?rev=5a17316b1fc8414291c7de5c13ee2ae6" alt="UPMC in North Central Pa." /> </a> <a class="generic-image-with-link-link" href="/locations/regions/north-central-pa" target=""> North Central Pa. </a> </div> </div> <div class="col-xs-12 col-md-1"> </div> <div class="col-xs-12 col-md-3"> <div class="generic-image-with-link"> <a href="/locations/regions/northwest-pa-ny" target=""> <img class="image-callout lazy img-responsive" src="https://dam.upmc.com/-/media/upmc/locations/regions/images/northwest-pa-ny.png?rev=9b86dc682916424fb2b2e16b72db2179" alt="UPMC in Northwest Pa and Ny." /> </a> <a class="generic-image-with-link-link" href="/locations/regions/northwest-pa-ny" target=""> Northwest Pa. &amp; Western N.Y. </a> </div> <div class="generic-image-with-link"> <a href="/locations/regions/west-central-pa" target=""> <img class="image-callout lazy img-responsive" src="https://dam.upmc.com/-/media/upmc/locations/regions/images/west-central-pa.jpg?rev=995692340ad44a6c8d4852880f03d9e0" alt="UPMC in West Central Pa." /> </a> <a class="generic-image-with-link-link" href="/locations/regions/west-central-pa" target=""> West Central Pa. </a> </div> </div> <div class="col-xs-12 col-md-1"> </div> <div class="col-xs-12 col-md-3"> <div class="generic-image-with-link"> <a href="/locations/regions/south-central-pa" target=""> <img class="image-callout lazy img-responsive" src="https://dam.upmc.com/-/media/upmc/locations/regions/images/central-pa.jpg?rev=de65e72fbc0649608c5d59e8d8a1160d" alt="UPMC in Central Pa." /> </a> <a class="generic-image-with-link-link" href="/locations/regions/south-central-pa" target=""> Central Pa. </a> </div> <div class="generic-image-with-link"> <a href="/locations/regions/maryland" target=""> <img class="image-callout lazy img-responsive" src="https://dam.upmc.com/-/media/upmc/locations/regions/images/maryland.jpg?rev=777285b47caa4cbc81711d0ea88b6ec8" alt="UPMC in Western Md." /> </a> <a class="generic-image-with-link-link" href="/locations/regions/maryland" target=""> Maryland &amp; West Virginia </a> </div> </div> </div> </div> <li role="presentation" class="secondary-menu-link-container has-links "> <a class="secondary-inner-button" role="tab" data-toggle="tab" aria-controls="locationsbytype" href="#locationsbytype" aria-expanded="false">Locations by Type</a> </li> <div role="tabpanel" class="tab-pane " id="locationsbytype"> <div class="row"> <div class="col-xs-12"> <div class="rte "> <span>Locations by Type</span> </div> </div> <div class="col-xs-12 col-md-3"> <div class="image-card-container small responsive"> <a href="/locations/hospitals" title="Find a UPMC hospital." > <div class="image-callout"> <img 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for Financial Assistance</a></div> </div> </div> <div class="dd-link-wrapper"><a href="/patients-visitors/paying-bill/glossary" class="dd-link ">Glossary</a></div> <div class="dd-link-wrapper"><a href="/patients-visitors/paying-bill/no-surprises-act" class="dd-link ">No Surprises Act</a></div> <div class="dd-link-wrapper"><a href="/patients-visitors/paying-bill/pricing-transparency" class="dd-link ">Pricing Transparency</a></div> <div class="dd-link-wrapper"><a href="/patients-visitors/paying-bill/faq" class="dd-link ">Billing FAQs</a></div> <div class="dd-link-wrapper"><a href="/patients-visitors/paying-bill/contact-us" class="dd-link ">Contact Us</a></div> </div> <!-- / Expandable Menu Content --> </div> <!-- / Expandable Menu Item --> </nav> </div> </aside> </div> <div class="content-column"> <main> <h1>Applying for Financial Assistance</h1> <div class="rte"> <h2>We&rsquo;re Ready to Help</h2> <p>If you cannot afford to pay your hospital or doctor bill, we are ready to help. UPMC&rsquo;s Financial Assistance Program may be able to assist with expenses for medical care, including UPMC hospital and physician services. </p> <p>You can fill out a single <a href="https://dam.upmc.com/-/media/upmc/patients-visitors/paying-bill/services/documents/financial-assistance-application-form.pdf?rev=ae750cdfcc4241e89b035a85b36a2b3e&amp;hash=C73666BAF36B02BC8F5AD7FDB363A97A" target="_blank">UPMC Financial Assistance Application form </a>for any of these services.</p> <p>If you need the application in a non-English language, you can either:</p> <ul> <li>Call <strong>1-800-371-8359 (option 2)</strong> to request an application in a specific language.</li> <li>View and download the necessary forms on this page.</li> </ul> <p>If you need the Financial Assistance Application form in a large print version, you can find it on this page as well along with other important financial assistance documents.</p> <p>Based on your financial need, either reduced payments or free care may be available for these services. UPMC staff will determine if you are eligible for free or discounted health care services by looking at your income and family size. We also may help you set up a <a title="Learn more about UPMC's payment plans and other financial services.." href="/patients-visitors/paying-bill/services">payment plan</a> for your UPMC bills. This allows you to make payments within your means.</p> <p>Please contact UPMC if you require assistance completing the Medical Assistance or Financial Assistance form. Our financial specialists are available to assist you with this process.</p> <p>You may be eligible for some type of insurance benefits (such as worker&rsquo;s compensation, automobile insurance, and Medical Assistance). You should explore these options before you can receive financial assistance from UPMC. We can help direct you to the appropriate resources.</p> <p>Applicants for financial assistance are treated with dignity and respect. We respect your privacy, and all of your information will remain confidential. <a title="UPMC Notice of Privacy Practices" href="/patients-visitors/privacy-info/notice-of-privacy-practice">See UPMC&rsquo;s Notice of Privacy Practices</a>.</p> <h2>How Do I Apply?</h2> <p>UPMC encourages patients to apply for financial assistance if they believe that they are unable to pay all or part of their UPMC bill.</p> <div><strong>To Apply:</strong></div> <ol> <li>Complete the UPMC Financial Assistance Application form (formulario de Solicitud de Asistencia Financiera).</li> <li>Attach supporting documents, listed on the application, to prove your income.</li> <li>Mail your completed application and necessary documents to:</li> </ol> <blockquote> <div><strong>UPMC Financial Assistance</strong></div> <div>Quantum Building</div> <div>2 Hot Metal St.</div> <div>Pittsburgh, PA 15203</div> </blockquote> <h3>When should I Apply?</h3> <ul> <li>You should apply for financial assistance as early as possible during your medical care. However, you may apply during or after your treatment.</li> <li>You may reapply if your financial situation changes.</li> </ul> <h3>How do I check the status of an application?</h3> <p>Call <strong>1-800-371-8359 option 2</strong> to check on the status of your application. Please allow 2 to 3 weeks for processing and mailing time.</p> <h3>How do I know if I'm approved?</h3> <p>You will receive written confirmation in the mail.</p> <h3>Where can I learn more?</h3> <p>You can get more information about UPMC&rsquo;s Financial Assistance Program in several ways:</p> <ul> <li><strong>At the hospital or physician's office:</strong> Request a Financial Assistance Application form from your case manager, at the front desk in the hospital&rsquo;s registration area, or at your doctor&rsquo;s office.</li> <li><strong>By phone:</strong> Talk with a financial specialist or request a Financial Assistance Application form by calling UPMC Financial Assistance Department toll-free at <strong>1-800-371-8359 option 2</strong>.</li> <li><strong>By appointment:</strong> If you need assistance with completing the application form and would like to schedule an appointment, please call our office at <strong>1-800-371-8359 option 2</strong>.</li> </ul> <h2>Determination of Assistance Amount</h2> <p>In determining a reasonable and fair level of assistance, UPMC applies a sliding scale.</p> <p>If a patient's income is below 400 percent of the federal poverty guidelines, the patient may receive some form of Financial Assistance.</p> <p><strong>If a patient's income is at or below 300&nbsp;percent of the federal poverty guidelines:</strong></p> <ul> <li>The patient is eligible for<strong> 100 percent</strong>&nbsp;financial assistance.</li> <li>The fees for UPMC services are completely waived.</li> </ul> <p><strong><strong style="color: rgb(51, 51, 51); background-color: rgb(255, 255, 255);">If a patient's income is between 301 and 400 percent of the federal poverty guidelines and they are uninsured:</strong></strong></p> <ul> <li>The patient responsibility will be reduced to the current amount generally billed (AGB)</li> </ul> <p>UPMC will not charge an eligible individual for emergency or other medically necessary services more than the amount generally billed (AGB) to individuals who have insurance covering such care.</p> <p>In some cases, UPMC may recognize other financial or medical conditions that warrant Financial Assistance. If a patient's income falls outside the guidelines listed above, please contact UPMC's Financial Assistance Department at <strong>1-800-371-8359 option 2</strong>in order to review the circumstances. In any case, UPMC staff may be able to help establish a payment plan that helps patients pay their balance over time.</p> <h2>Exclusions</h2> <p>While UPMC's Financial Assistance Program covers most services, there are some exclusions, such as, but not limited to: </p> <ul> <li>Cosmetic services</li> <li>Transplant-related services</li> <li>Bariatric-related services</li> <li>Elective reproductive services</li> <li>Acupuncture</li> <li>Private duty nursing</li> <li>Dental services</li> <li>Services deemed noncovered by Medicare</li> <li>Other services, at UPMC's discretion</li> </ul> <p>Financial Assistance is not typically available for:</p> <ul> <li>People who fail to reasonably comply with insurance requirements, such as obtaining authorizations or referrals</li> </ul> <p>In addition, this policy does not apply to international patients who come to Pennsylvania in order to seek treatment from a UPMC provider.</p> <h2>Large Print Financial Documents</h2> <ul> <li><a title="View and download this document in a large print version (opens in a new window)." href="https://dam.upmc.com/-/media/upmc/patients-visitors/paying-bill/services/documents/large-print-billing-collections-policy.pdf?rev=4446f9ed1210464980410a37388905a9&amp;hash=C2F831258975BFA64E3C4A0583CBAE05" target="_blank">Billing and Collections Policy (PDF)</a></li> <li><a title="View and download this document in a large print version (opens in a new window)." href="https://dam.upmc.com/-/media/upmc/patients-visitors/paying-bill/services/documents/large-print-financial-assistance-app-form.pdf?rev=22978c323d4b4682ad801a9e9a8cb82f&amp;hash=A6D51AFB441E1BA9237EF977E4F569F7" target="_blank">Financial Assistance Application Form (PDF)</a></li> <li><a title="View and download this document in a large print version (opens in a new window)." href="https://dam.upmc.com/-/media/upmc/patients-visitors/paying-bill/services/documents/large-print-financial-assistance-process-policy.pdf?rev=a68d6c4b4886427ab5b333c4ab36c9bb&amp;hash=9431E82D50F6AC8FC6DBB7C35C676F64" target="_blank">Financial Assistance Process Policy (PDF)</a></li> <li><a title="View and download this document in a large print version (opens in a new window)." href="https://dam.upmc.com/-/media/upmc/patients-visitors/paying-bill/services/documents/large-print-plain-language-summary-financial-assistance-policy.pdf?rev=d351cc1215fa449281583798bddbfdd7&amp;hash=39588B6F711CA759822A17356B3BB479" target="_blank">Plain Language Summary of Financial Assistance Policy (PDF)</a></li> </ul> <h2>Translated Financial Documents</h2> </div> <div class="row"> <div class="col-md-6"> <div class="rte "> <h3>Arabic</h3> <ul> <li><a title="View and download this document in Arabic (opens in a new window)." href="https://dam.upmc.com/-/media/upmc/patients-visitors/paying-bill/services/documents/translated-financial-documents-2020/arabic-patient-billing-collections-policy-07202016.pdf?rev=2a36a94b5b5e4f208e45563b3d8d4331&amp;hash=5B8F4C4BC5C7932835FDBE134546F3F5" target="_blank">Billing and Collections Policy (PDF)</a></li> <li><a title="View and download this document in Arabic (opens in a new window)." href="https://dam.upmc.com/-/media/upmc/patients-visitors/paying-bill/services/documents/translated-financial-documents-2020/arabic-financial-assistance-application.pdf?rev=1ecbeb90b6d0439f8d6b07db90cc76da&amp;hash=F33B3ED30850347C16BFBD6ADEAC03EB" target="_blank">Financial Assistance Application Form (PDF)</a></li> <li><a href="https://dam.upmc.com/-/media/upmc/patients-visitors/paying-bill/services/documents/translated-documents-2022/ara-hsre0722-financial-assistance.pdf?la=en&amp;rev=f676a6383e9a4abbadca923160f53404&amp;hash=8C48FD9899B6A2F63843BB1BD1CA3E9A" target="_blank" title="View and download this document in Arabic (opens in a new window).">Financial Assistance Process Policy (PDF)</a></li> <li><a href="https://dam.upmc.com/-/media/upmc/patients-visitors/paying-bill/services/documents/translated-financial-documents-2020/arabic-plain-language-policy.pdf?rev=6b2d15f0a1154e6fba6ecb94f435cde5&amp;hash=502726A146004AF8BCDB0D342C8A64DD">Plain Language Summary of Financial Assistance Policy (PDF)</a></li> </ul> <h3>Chinese</h3> <ul> <li><a title="View and download this document in Chinese (opens in a new window)." href="https://dam.upmc.com/-/media/upmc/patients-visitors/paying-bill/services/documents/translated-financial-documents-2020/chinese-patient-billing-collections-policy-07202016.pdf?rev=0a62350098024a59a3a3611eda66f45f&amp;hash=72824F9480F128EDFA56D9BF4643E536" target="_blank">Billing and Collections Policy (PDF)</a></li> <li><a title="View and download this document in Chinese (opens in a new window)." href="https://dam.upmc.com/-/media/upmc/patients-visitors/paying-bill/services/documents/translated-financial-documents-2020/chinese-financial-assistance-application.pdf?rev=60971fd31a1240bca437372bd79089d2&amp;hash=FD76B5B071DE819D051BD5347CBECBCE" target="_blank">Financial Assistance Application Form (PDF)</a></li> <li><a href="https://dam.upmc.com/-/media/upmc/patients-visitors/paying-bill/services/documents/translated-documents-2022/chn_hsre0722-financial-assistance-clean-copy.pdf?la=en&amp;rev=254e7c4ab14e4fae8a4b64e7cf22ac82&amp;hash=4F79C603F98B811217F1834346C4CC4A" target="_blank" title="View and download this document in Chinese (opens in a new window).">Financial Assistance Process Policy (PDF)</a></li> <li><a title="View and download this document in Chinese (opens in a new window)." href="https://dam.upmc.com/-/media/upmc/patients-visitors/paying-bill/services/documents/translated-financial-documents-2020/chinese-plain-language-policy.pdf?rev=099a1cda585a44668df79e62e55b6dc5&amp;hash=158EF638AB9DD3C3F4CF9FCADDDD85E9" target="_blank">Plain Language Summary of Financial Assistance Policy (PDF)</a></li> </ul> <h3>French</h3> <ul> <li><a title="View and download this document in French (opens in a new window)." href="https://dam.upmc.com/-/media/upmc/patients-visitors/paying-bill/services/documents/translated-financial-documents-2020/french-patient-billing-collections-policy-07202016.pdf?rev=6c39d36bca0a4739959cf0f69077edcd&amp;hash=FBD56E36A86171241B0A2DBE81F30EAE" target="_blank">Billing and Collections Policy (PDF)</a></li> <li><a title="View and download this document in French (opens in a new window)." href="https://dam.upmc.com/-/media/upmc/patients-visitors/paying-bill/services/documents/translated-financial-documents-2020/french-financial-assistance-application.pdf?rev=fd8e3f86859d48dd8e6dfba18aa97da6&amp;hash=428987F901BFE3B5570C180180AFF230" target="_blank">Financial Assistance Application Form (PDF)</a></li> <li><a href="https://dam.upmc.com/-/media/upmc/patients-visitors/paying-bill/services/documents/translated-documents-2022/fra_hsre0722-financial-assistance.pdf?la=en&amp;rev=e7f7fdd868da44a9aac4568a7523137e&amp;hash=11AEA35BD47D507358FF54F31ED62B96" target="_blank" title="View and download this document in French (opens in a new window).">Financial Assistance Process Policy (PDF)</a></li> <li><a title="View and download this document in French (opens in a new window)." href="https://dam.upmc.com/-/media/upmc/patients-visitors/paying-bill/services/documents/translated-financial-documents-2020/french-plain-language-policy.pdf?rev=292f951afc854da598b9c0a385328a59&amp;hash=081D0DC6C4EF4DF72050AB846576F1EF" target="_blank">Plain Language Summary of Financial Assistance Policy (PDF)</a></li> </ul> <h3>Italian</h3> <ul> <li><a title="View and download this document in Italian (opens in a new window)." href="https://dam.upmc.com/-/media/upmc/patients-visitors/paying-bill/services/documents/translated-financial-documents-2020/italian-patient-billing-collections-policy-07202016.pdf?rev=0bfadcd3397a4b3c93cbd9b70c58f0f4&amp;hash=FECA2ABA839504EB906794469A4957A1" target="_blank">Billing and Collections Policy (PDF)</a></li> <li><a title="View and download this document in Italian (opens in a new window)." href="https://dam.upmc.com/-/media/upmc/patients-visitors/paying-bill/services/documents/translated-financial-documents-2020/italian-financial-assistance-application.pdf?rev=0521b6b9f8414e5795e06e3f1f3bb396&amp;hash=42819D19F3BB33BF3B496E01FBA55D91" target="_blank">Financial Assistance Application Form (PDF)</a></li> <li><a href="https://dam.upmc.com/-/media/upmc/patients-visitors/paying-bill/services/documents/translated-documents-2022/ita_hsre0722-financial-assistance.pdf?la=en&amp;rev=a39b1e7de8a04a1ebc02a9f4f03e9981&amp;hash=767F9F981A4FA455B7C9A702C295FCEB" target="_blank" title="View and download this document in Italian (opens in a new window).">Financial Assistance Process Policy (PDF)</a></li> <li><a title="View and download this document in Italian (opens in a new window)." href="https://dam.upmc.com/-/media/upmc/patients-visitors/paying-bill/services/documents/translated-financial-documents-2020/italian-plain-language-policy.pdf?rev=755360794e234c8e908a2576890c9730&amp;hash=2B0394D5549C2D8492CB6F2B5E60E0BD" target="_blank">Plain Language Summary of Financial Assistance Policy (PDF)</a></li> </ul> </div> </div> <div class="col-md-6"> <div class="rte "> <h3>Nepali</h3> <ul> <li><a title="View and download this document in Nepali (opens in a new window)." href="https://dam.upmc.com/-/media/upmc/patients-visitors/paying-bill/services/documents/translated-financial-documents-2020/nepali-patient-billing-collections-policy-07202016.pdf?rev=74cc7002c74c4f928314c9cf68c2222f&amp;hash=BA8B5CCCABD9F81B565612AE16978D36" target="_blank">Billing and Collections Policy (PDF)</a></li> <li><a title="View and download this document in Nepali (opens in a new window)." href="https://dam.upmc.com/-/media/upmc/patients-visitors/paying-bill/services/documents/translated-financial-documents-2020/nepali-financial-assistance-application.pdf?rev=28bd51a58e574d20984e972c77c7207f&amp;hash=7B1852C989090649C803D7BE9FD42E68" target="_blank">Financial Assistance Application Form (PDF)</a></li> <li><a href="https://dam.upmc.com/-/media/upmc/patients-visitors/paying-bill/services/documents/translated-documents-2022/nep_hsre0722-financial-assistance.pdf?la=en&amp;rev=8f624b04635f40ce8a8b23a9b9bdddbf&amp;hash=972E2E4306AD1A3CF3762126A2C03758" target="_blank" title="View and download this document in Nepali (opens in a new window).">Financial Assistance Process Policy (PDF)</a></li> <li><a title="View and download this document in Nepali (opens in a new window)." href="https://dam.upmc.com/-/media/upmc/patients-visitors/paying-bill/services/documents/translated-financial-documents-2020/nepali-plain-language-policy.pdf?rev=221a79a2e1f1454699048e97e07c3109&amp;hash=E216A938E21E2846130FDB66B40DCBBD" target="_blank">Plain Language Summary of Financial Assistance Policy (PDF)</a></li> </ul> <h3>Russian</h3> <ul> <li><a title="View and download this document in Russian (opens in a new window)." href="https://dam.upmc.com/-/media/upmc/patients-visitors/paying-bill/services/documents/translated-financial-documents-2020/russian-patient-billing-collections-policy-07202016.pdf?rev=3fa50434a4974a53992a4b6eb54fd0ed&amp;hash=CF3E912BFB8C7F5660007D1151F113E0" target="_blank">Billing and Collections Policy (PDF)</a></li> <li><a title="View and download this document in Russian (opens in a new window)." href="https://dam.upmc.com/-/media/upmc/patients-visitors/paying-bill/services/documents/translated-financial-documents-2020/russian-financial-assistance-application.pdf?rev=e75c8cafd5fe4ad09172b16098b2c07f&amp;hash=163914E43921FDEA88B3FC2EAA6B2924" target="_blank">Financial Assistance Application Form (PDF)</a></li> <li><a href="https://dam.upmc.com/-/media/upmc/patients-visitors/paying-bill/services/documents/translated-documents-2022/rus_hsre0722-financial-assistance.pdf?la=en&amp;rev=4c3a0bd25ad84c2ea03d33ba5f18c1ed&amp;hash=D186CD707777F9BACAC584BBDBD75BE4" target="_blank" title="View and download this document in Russian (opens in a new window).">Financial Assistance Process Policy (PDF)</a></li> <li><a title="View and download this document in Russian (opens in a new window)." href="https://dam.upmc.com/-/media/upmc/patients-visitors/paying-bill/services/documents/translated-financial-documents-2020/russian-plain-language-policy.pdf?rev=378fcc88b445444a894416a24d8893f8&amp;hash=073B7196A9EC5F8067578FFDB1DC37C4" target="_blank">Plain Language Summary of Financial Assistance Policy (PDF)</a></li> </ul> <h3>Spanish</h3> <ul> <li><a title="View and download this document in Spanish (opens in a new window)." href="https://dam.upmc.com/-/media/upmc/patients-visitors/paying-bill/services/documents/translated-financial-documents-2020/spanish-patient-billing-collections-policy.pdf?rev=a5c2e0ab80f54936a3973aebfc166fc3&amp;hash=F00BCDD6ACCA39436FA7C263ED672A49" target="_blank">Billing and Collections Policy (PDF)</a></li> <li><a title="View and download this document in Spanish (opens in a new window)." href="https://dam.upmc.com/-/media/upmc/patients-visitors/paying-bill/services/documents/translated-financial-documents-2020/spanish-financial-assistance-form.pdf?rev=8e6359361721497eaa475d04986cd7e0&amp;hash=12B8495B7E8BDF758D96346847D135EB" target="_blank">Financial Assistance Application Form (PDF)</a></li> <li><a href="https://dam.upmc.com/-/media/upmc/patients-visitors/paying-bill/services/documents/translated-documents-2022/esa_hsre0722-financial-assistance.pdf?la=en&amp;rev=8c68876488c9440492cf83cd8830137c&amp;hash=31BEF7DC71E6C55E4499C19AC806B276" target="_blank" title="View and download this document in Spanish (opens in a new window).">Financial Assistance Process Policy (PDF)</a></li> <li><a title="View and download this document in Spanish (opens in a new window)." href="https://dam.upmc.com/-/media/upmc/patients-visitors/paying-bill/services/documents/translated-financial-documents-2020/spanish-plain-language-policy.pdf?rev=265c9837baf1474892996ba17f31817a&amp;hash=80C3A32CA5E89ED753ACE86A183C5268" target="_blank">Plain Language Summary of Financial Assistance Policy (PDF)</a></li> </ul> </div> </div> </div><div class="rte "> <h2>Bill Payment Through a UPMC Patient Portal</h2> <p>If you have a UPMC patient portal account, you can pay your hospital bill on your portal's website. </p> <p>Select your patient portal:</p> </div><div class="row"> <div class="col-md-4"> <div class="rte "> <p><a rel="noopener noreferrer" href="https://myupmc.upmc.com/?_ga=2.224924957.603409678.1636386689-1997072483.1627934477&amp;_gac=1.216343202.1635781002.EAIaIQobChMI57GVir_38wIVw_hRCh02LQ4EEAAYASAAEgIcvfD_BwE" title="Visit the MyUPMC website to pay your medical bill. (opens in a new window)" class="ctapurple" target="_blank">MyUPMC</a></p> </div> </div> <div class="col-md-4"> <div class="rte "> <p><a rel="noopener noreferrer" rel="noope |
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On line 2052, column 392 stories.&quot;&gt;&lt; |
| 55 |
Error
On line 2142, column 330 g areas."><img loading="lazy" src="/Presentation/includes/UPMC/v2/css/images/tooltip.svg" width="25" height="25" /></butt |
| 56 |
Error
On line 2167, column 418 t Shore."><img loading="lazy" src="/Presentation/includes/UPMC/v2/css/images/tooltip-hover.svg" width="25" height="25" /></butt |
| 57 |
Error
On line 2192, column 278 ilities."><img loading="lazy" src="/Presentation/includes/UPMC/v2/css/images/tooltip.svg" width="25" height="25" /></butt |
| 58 |
Error
On line 2228, column 70 &gt;
&lt;a href=&quot;/contact/appointments&quot; |
| 59 |
Error
On line 2235, column 59 &gt;
&lt;a href=&quot;/providers&quot; |
| 60 |
Error
On line 2242, column 89 &gt;
&lt;a href=&quot;/patients-visitors/telemedicine-services&quot; |
| 61 |
Error
On line 2249, column 83 &gt;
&lt;a href=&quot;/patients-visitors/patient-portals&quot; |
| 62 |
Error
On line 2267, column 7 g Code--> <style> .soci |
| 63 |
Info
On line 2282, column 31 </style> <script type="text/javascript"> w |
| 64 |
Info
On line 2292, column 31 </script> <script type="text/javascript"> UPMCG |
| 65 |
Error
On line 1309, column 88 <ul class="dropdown-menu dropdown-menu-right" aria-labelledby="dropDownControl"> |
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