Sample Letter Of Request For Financial Assistance For Hospital Bill
Financial Aid Law FAL HOSPITAL NAME Financial Assistance Summary Hospital Name recognizes that there are times when patients in need of care will have difficulty paying for the services provided. We thought that we would also get some discount due to being regular patient of Dr.
I am writing this in extreme need of financial help.
Sample letter of request for financial assistance for hospital bill. Below are two medical hardship letter samples. Write this type of letter when you are requesting financial assistance from an organization. Your letterhead if desired.
I will anxiously be waiting for your reply. I was referred to your organization by my doctor because the medications I need to take for the rest of my life are too expensive for me to afford on my fixed retirement income. If not your return address.
I regret that I am unable to pay the bill in full at this time because my monthly income has been greatly reduced after the automobile accident in which I broke both of my legs. Sample Format of request letter or application to send to your office senior employer friend and telling them about your tough financial crisis and how medical bills are way out of your range. We request you to support us by donating the money before Date.
Tips for Writing a Financial Hardship Letter Due to Medical Bills. Dear Sir or Madam With this letter I would like to state my inability to pay the bill for amount of Amount Owed for the procedure performed on the Date or my hospital. I am writing to request financial assistance for my family from your organization.
Rather you should consider writing to the hospital to ask for some leniency. This sample letter intended to help a sick person by requesting medical assistance in your local government office. Namely they are both unsecured which means they can both be negotiated.
PLEASE USE YOUR OWN WORDS. First lets look at the parts of Financial Assistance letter. Letter Asking for Financial Help in Paying Hospital Bills.
I request you to please help me out and pay my fathermothers hospital bills so the hospital can begin hisher treatment. One way to get the ball rolling is by writing a hardship letter. This should be your contact address.
Dates in the hospital or of medical procedure. I have been in your hospital last week for my wifes operation. Guidelines for Writing a Hardship Letter to Hospital.
Dear Name of Recipient The purpose of this letter is to formally request a settlement for the medical bills I owe your hospital. Including your proof of income monthly as a reference to them and bring the medical records with your valid ids. You can even use this letter to a private company or any association.
For further inquiries you may contact me the number given below. We are not able to raise the money to meet this medical expense and therefore we are requesting for your help to save his life. The hospital bill is attached to this letter.
Her condition is getting worse day by day. We would greatly appreciate if you help us to save the life of our member. 12 Ovim Street Indepence layout Enugu.
Please accept my apology by understanding my bad situation and I am very thankful for your services and your staff for reviving my daughter in this critical situation. Dear Name of Recipient The purpose of this letter is to formally request a settlement for the medical bills I owe your hospital. Expressing my apology to you genuinely.
Indicate your financial situation with the medical request for your sickness or disease. This letter is to request assistance for purchasing the medications I need to treat NAME of DISEASE. As a result of unexpected and significant medical expenses we are experiencing extreme challenges in our monthly budgeting for basic living expenses.
DO NOT COPY THIS LETTER EXACTLY. Include relevant details such as the amount you are requesting purpose for the financial assistance and when you would need to receive the amount. If that has happened to you you should not automatically look at selling your possessions or taking out a loan to pay for your medical bill.
-Date HospitalProvider Billing Department Address RE. I sincerely apologize to you for not able to pay the bill. In addition we can help you apply for free or low-cost insurance if you qualify.
Name of Hospitals financial assistance program provides discounts to qualifying individuals based on your income. Thank you in advance for your support. I have tried all possible ways to arrange the money required for her surgery but the amount is beyond my reach.
Whatever your intensions isare for seeking financial assistance the format for writing the application letter is always the same. Your letter should be written formally. As her doctor is associated with your hospital so we found it convenient to get the services of your hospital.
I regret that I am unable to pay the bill in full at this time because my monthly income has been greatly reduced after the automobile accident in which I. I will be very grateful if. Hospital Bill Sample Letter Of Request For Financial Assistance For Hospitalization Pcso Tagalog - hospitall chi.
Letter Requesting Financial Assistance from Organization. I have heart about your Foundation from the doctors of the Cure Medical Hospital. I am an ordinary worker in your office.
As you know I am suffering from cancer. Letter of Financial Hardship for Medical Bill Sample. Letter to Negotiate Hospital Bill.
Letter Asking for Financial Help in Paying Hospital Bills. The medicine was prescribed by my specialist NAME of DOCTOR on DATE. The healthcare industry is very inflexible in terms of collecting on medical bills.
To Whom It May Concern I am writing to inform you that unfortunately I am unable to pay the medical bill associated with the back surgery I received on January 09 2012.
