Patient Financial Assistance

Billing Center

Open

Patient Financial Assistance

PCL Alverno provides support for patients in financial need.

Financial Assistance (FA) may be available to patients without health insurance.

To begin the process of Financial Assistance, patients may contact the Billing Services department to have (FA) forms mailed to their home.

Patients are required to complete and provide supporting documentation. For example: tax return, bank statement, and expenses, etc. Incomplete documentation delays consideration.

If need eligible, the percentage of (FA) is based on the annual family income, number of family members and the Federal Poverty guidelines.

Patients, who have completed (FA) with Franciscan Alliance, Provena Health, or Resurrection Health Care hospitals (Presence Health), may submit a copy of the hospital’s (FA) letter that reflects the (FA) percentage to PCL Alverno's Billing Services department, and the PCL Alverno (FA) adjustment will be applied.

Financial assistance remains in effect for 6 months.

Additional Support

Patients with insurance may possibly qualify for financial assistance when there is a catastrophic documented circumstance identified.

Examples of catastrophic items: documentation of loss of employment or of a major illness.

Along with the defined requirements above, additional supporting documentation for the item is required from either: the employer, unemployment office, or physician.

Finance management will review the specifics.

PCL Alverno is concerned for its patients and their financial needs and provides this financial assistance to patients on an as needed basis. For patients who do not qualify for FA, payment plans are available.

For questions about financial assistance, call 877-937-2190