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Financial Assistance Program

Consistent with its mission to provide high quality health and wellness services for the extended community, Health Quest is committed to providing financial assistance to every person in need of medically necessary treatment even if that person is uninsured, underinsured, ineligible for other government programs, or unable to pay based on their individual financial situation.

English

Download Plain Language Summary of Financial Assistance Policy (PDF)

DownloadFinancial Assistance Policy (PDF)

Download Billing Collection and Litigation Policy (PDF)

Documentation Required (PDF)

DownloadFinancial Assistance Worksheet (PDF)

En Español

Programa de Asistencia Financiera (PDF)

Política de Asistencia Financiera (PDF))

Política de facturación, cobranza y acciones legales (PDF)

Solicitud de Asistencia Financiera (PDF) 

Last updated: 12/2016