When people find themselves without health insurance or with insurance coverage that transfers payment responsibility at a level that cannot be financially managed, The Richland Hospital and Clinics can help. Patients who meet specific financial eligibility requirements may receive help through our financial assistance program.
The Richland Hospital and Clinics’ Community Care Program offers discounted or free care to eligible patients. The program was created to ensure that all members of the communities we serve are able to access essential medical care, regardless of what they can afford to pay. Discounts offered under this program are made available without consideration of race, color, religion, sex, age, national origin, citizenship, veteran status, marital status, handicap/disability, or sexual orientation. All patients may apply for Community Care.
Patients with family income that is at or below 150% of the Federal Poverty Guidelines may be eligible for a 100% discount. Patients with a family income between 151% to 300% of the Federal Poverty Guidelines may be eligible for a partial discount and/or a reduced payment plan on any remaining balance.
View our Plain Language Summary of the policy in the following downloadable/printable documents:
COMMUNITY CARE FLYER
COMMUNITY CARE BROCHURE
COMMUNITY CARE BROCHURE ( SPANISH )
View a copy of the full policy in the following downloadable/printable documents:
PA-01 COMMUNITY CARE PROGRAM, FINANCIAL ASSISTANCE
PA-01 COMMUNITY CARE PROGRAM, FINANCIAL ASSISTANCE APPENDIX
PA-01 PROGRAMA DE ATENCIÓN A LA COMUNIDAD ASISTENCIA FINANCIERA
Community Care is not an insurance program or an entitlement program and is not meant to replace benefits that are, or could be, received from government-supported programs. Applicants are expected to exhaust all other payment sources as a condition of approval. For example, you might be eligible for Medicaid or Medicare, and you will be required to apply for those programs before receiving a discount under Community Care. You will be asked to provide verification of your denial for any program for which you may be eligible. Community Care program discounts do not apply to elective services. Community Care program discounts do not apply to services delivered by some providers contracted through other entities. For a full list of these providers, click the button below.
VIEW LIST OF CONTRACTED PROVIDERS
Applications for Community Care can be obtained by contacting the Patient Financial Services Department at The Richland Hospital and Clinics or by clicking on the link below to print and complete the Community Care Program application. You may mail or deliver the application and the supporting documentation to:
The Richland Hospital and Clinics Attn: Patient Financial Services Office 333 East Second Street Richland Center, WI 53581
COMMUNITY CARE PROGRAM APPLICATION
SOLICITUD DEL PROGRAMA DE ATENCION A LA COMUNIDAD
For the Patient Financial Services Office:
CALL 608.647.6321
The Richland Hospital and Clinics recognizes that individuals may not always have the financial ability to make a payment in full on an account. We are committed to providing financial assistance in a responsible manner and will balance an individual’s need with our broader fiscal responsibilities. An individual may request financial assistance accordingly to meet their obligations.
The Richland Hospital and Clinics offers payment plans that combine hospital and clinic visits into one payment plan. All balances are required to be paid in full within 6 months. Extended payment plans are available to qualified applicants.
The Richland Hospital and Clinics’ Patient Financial Services Department personnel may assist in the process by request and can be reached at 608.647.1819.
The Richland Hospital and Clinics’ Credit and Collection Policy is available at the following link:
PA-05 Credit and Collections Policy/Placement for Collections
PA-05 POLÍTICAS Y PROCEDIMIENTOS CONTABLES DEL PACIENTE
AGB CALCULATIONS
For more information regarding our financial assistance program or for assistance in applying for the program, please call 608.647.1819 and ask to speak to a financial counselor.
