Santa Clara Valley Medical Center Financial Assistance Application

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Financial Help for Healthcare - Health System - County …

https://health.sccgov.org/financial-help-healthcare

To complete your Financial Assistance Application, please review this checklist. Provide copies of the following documents: Proof of Residency in Santa Clara County – Provide …

MEDASSIST PROGRAM - Santa Clara Valley Medical …

https://www.scvmc.org/patients-visitors/services/medassist-program/overview

The MedAssist program design focuses on financial assistance to reduce the burden on patients who have high out-of-pocket healthcare costs that they cannot afford. This …

MedAssist Program - Santa Clara Valley Medical Center

https://www.scvmc.org/patients-visitors/services/medassist-program

In person application assistance is now available. Please contact 408-970-2001 to make an appointment. Office Location: 777 Turner Dr, Suite 330 San Jose, CA 95128 Office …

Forms | MedAssist Program - Santa Clara Valley Medical …

https://www.scvmc.org/patients-visitors/services/medassist-program/forms

Patient Application Packet SUPPLEMENTAL W-9 ACH Registration California Form 590 California Form 587 OTHER Appeal Form Notice of Privacy Practices Patient Statement …

Healthcare Access Program - Health System - County of …

https://health.sccgov.org/healthcare-access-program

To be eligible for this discount care program, patients must submit a completed Financial Assistance Application. Our team of customer service representatives and financial …

SANTA CLARA VALLEY MEDICAL CENTER

https://www.scvmc.org/hospitals-clinics/santa-clara-valley-medical-center

Appointments & Advice (888) 334-1000 Admitting (408) 885-6600 after hours nurse advice (888) 334-1000 Billing (408) 885-7470 pharmacy refills (24 hours) (408) 977-3500 care …

Valley Medical Center | Financial Assistance Application

https://www.valleymed.org/patients--visitors/billing-and-insurance/financial-help--options/financial-assistance-application

Financial Assistance Application Instructions This is an application for financial assistance (also known as charity care) at UW Medicine | Valley Medical Center. …

Programs - Santa Clara Valley Medical Center

https://www.scvmc.org/education-training/programs

Since Santa Clara Valley Medical Center is a public hospital with a full range of acute care, intensive care, rehabilitation, emergency and outpatient services, cases are complex, …

Financial Assistance | SCL Health

https://www.sclhealth.org/patients-visitors/billing-and-insurance/financial-assistance/

Our financial counselors can see if you qualify for financial assistance or discounts, help you make a payment plan or discuss your other options. We also can help you secure …

Valley Medical Center | Financial Assistance Program

https://www.valleymed.org/patients--visitors/billing-and-insurance/financial-help--options/financial-assistance-program

Financial assistance is generally secondary to all other third-party payment resources available to the patient. This includes: 1. Group or individual medical plans. 2. Workers’ …

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