**Previously called Community Care Program

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Phone: (877) 278-6437

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About this resource: UW Health’s Financial Assistance Program helps people who are unable to pay for the medical services they receive. For eligible patients, UW Health may reduce bills in part or in full.

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Who can use this resource? If the household income is at or below 300% of the Federal Poverty Guidelines, you may have no financial responsibility for the care given by UW Health. If your household income falls between 300% and 500%, you may get a discount. Additionally, you qualify for this program if you are not eligible for any county, state, or federal health insurance OR you don’t have the option or ability to purchase health insurance.

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Next Steps:

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• Complete the Financial Assistance Application. Patient must include:

  • Most recent tax return (if applicable)

  • Last month’s pay stubs (if applicable)

  • Benefit award letter (pension, unemployment, SSI, SSDI)

  • 2 bank statements

  • A letter stating how you are meeting your daily living expenses

 

**NOTE: Navigators can fill out this application on behalf of patients. The Navigator signs on the line stating, “Name of person completing this form if different from patient”. Please include Navigator number. In this case, the patient does not also need to sign.

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This information can be submitted a few different ways:

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• Fax it to 608-833-5039

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OR

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• Mail to:

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        UW Health Patient Business Services

        Attn: Financial Assistance Program

        7974 UW Health Court

        Middleton, WI 53562

 

OR

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• Submit it electronically through your MyChart account.

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OR

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• Email it to financialassistance@uwhealth.org

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Click HERE for Application