Assisting Those in Need

The Health Alliance is committed to extending financial assistance to qualified individuals.  We assist underinsured and uninsured patients in navigating federal and state health insurance programs and help enroll those patients in the programs for which they are eligible. The Health Alliance provides financial counselors who assist patients to determine their eligibility and complete the application process. We have also taken additional steps to build a convenient and patient friendly process that maximizes enrollment in certain government-sponsored health insurance programs, to include Medicaid. For example, The University Hospital has partnered with the Hamilton County Department of Job and Family Services to support a team of caseworkers who are stationed at that hospital and who are responsible for determining Medicaid eligibility and assisting those eligible in the application process.

How to Apply for Financial Assistance

1. Print the application

2. Call Customer Service at (513) 585-7600 or (800) 277-0781.  A customer service representative will advise you and investigate other sources that might provide financial assistance.

3. Pick up an application from any financial counseling office in any of our hospitals.

Criteria for Financial Assistance

• Before any financial assistance is granted, you must have already exhausted all other sources of payment including insurance, public assistance, litigation, or third-party liability.
• Family income in relation to income guidelines
• Assets (e.g. home, bank account, stocks)
• Any additional financial hardship
• You must be receiving non elective, medically necessary care

The determination of eligibility applies to each individual hospital or long-term care center, and only with respect to basic, medically necessary hospital level services ordered by a registered physician.

To determine if you may be eligible for available financial assistance programs, you must provide a completed Financial Assistance Application, along with a copy of one of the documents identified from Proof of Income and Proof of Residency.  Upon receipt, we will process your application and notify you of our determination.

Proof of Income:

• If you are claiming that you have no income, a sworn statement from the person providing you with basic financial support, validating your lack of income must be completed.  Proof of residency for the support person dated within 60 days of service must also be provided.
   
• Check stubs for three months prior to the date of service (including payroll, Social Security, Worker’s Compensation, unemployment compensation, etc.) or comparable payment record. If you are self-employed, please send a notarized statement of income and expenses for the three month period prior to the date of service.
   
• A letter from your employer setting forth compensation details on official employer letterhead with contact information.
   
• Copy of the prior year’s tax return (if self-employed, Schedule C and a notarized income statement for the three month period prior to the date of service must be provided).  Tax returns can only be accepted for dates of service through March 31 of the following year.
   
• Court support order.
   
• Copy of benefit letter / check (ex. Social Security Benefit Letter).
   
• Letter from tenant setting forth rental income.
   
• Strike pay.

Proof of Residency:

• Driver’s license or vehicle registration - matching your current address.
• Voter registration.
• Rent receipts for rent paid within 60 days of when the services are rendered.
• Mortgage book.
• Utility bill, credit card bill or bank statement postmarked or dated by the issuer within 60 days of when the services are rendered.
• Confirmation of address if a home visit is made by hospital staff.
• Copy of most recent Hamilton County property tax bill.
• Address confirmation by collection agency.
• Letter from management, Mortgage Company or person providing patient with shelter, including homeless shelters.
• Credit report.

Notification

You will receive written notice of approval or denial of your request for financial assistance within approximately 14 days from the time we receive your completed application and supporting documentation.  Incomplete applications will not be processed.  If you are denied, it means that you did not meet the criteria by which to qualify for financial assistance and you are responsible for payment of the care you received.  If you wish to appeal, you may call customer service and ask to speak to a supervisor.

The Health Alliance treats all patients with dignity and respect from registration to the billing office.  We will not discriminate in the determination of financial assistance eligibility on the basis of race, color, ethnic origin, sexual orientation, marital status, creed, age, sex, or disability.

Contact Us

Mailing Address:

Health Alliance
Attn: Program Administration
3200 Burnet Ave
Cincinnati, OH 45229

Phone:

(513) 585-7600 or (800) 277-0781