Community Care Program


Patients experiencing a financial hardship in paying for the cost of their medically necessary care may qualify for assistance under our Community Care program.

This program provides a discount for UMPhysicians charges. Care that is considered elective or cosmetic is not eligible for this program. Services billed by the facility, hospital, anesthesia providers, Dental Clinic or CSH Clinic are not eligible for this program.

Program Guidelines

Patients whose Annual Gross Income is at or below 275% of Federal Poverty Guidelines and assets do not exceed $15,000 (household of one) or$25,000 (household of two or more) may qualify for the program. Retirement funds will be included as assets.

(Family size – Annual Gross Income)
1 - $32,093
2 - $43,258
3 - $54,423
4 - $65,588
5 - $76,753
6 - $87,918
7 - $99,083
8 - $110,248

How to Apply

To apply for Community Care, please download the application here, and return the form with the requested information. We will not be able to process your application without all of the requested information. Please sign and send to the following address:

University of Minnesota Physicians
6300 Shingle Creek Parkway, Suite 600
Brooklyn Center, MN 55430

If you have any questions regarding this program or whether the care you are receiving may be eligible for this program, please call:

Financial Counselors for pre-visit planning: 612-626-0959

Business Office for patients will billing questions: 763-782-6634 or
toll free 1-800-317-8840

Approval Process

Once your application is received, we will review your application and you will received a written response as to whether you qualify for this program.


 
 

Central Scheduling: 612.672.7422

Provider Referrals: 612.672.7000

Administrative Offices: 612.884.0600
 

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