If you do not have insurance, or if your medical bills are difficult to afford, The Richland Hospital & Clinics may be able to help. We offer financial assistance programs and payment options for qualifying patients. There are two ways we can help:
The Community Care Program provides discounted or free care to eligible patients. The program helps ensure everyone can access needed medical care, regardless of their ability to pay.
Patients may qualify for:
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
Our Patient Financial Services team can help you understand your options and find the solution that works best for you.
Financial Counselor Phone: 608.647.1819
If you cannot pay your balance all at once, we offer payment plans that combine hospital and clinic balances into a single monthly payment. Most plans require balances to be paid within six months.
Need more time to pay?
Qualified patients may be eligible for Health Services Financing (HSF®) through CommerceHealthcare®. HSF® offers flexible monthly payments and longer repayment terms, making healthcare expenses easier to manage.
Learn More About CommerceHealthcare®: https://healthcare.commercebank.com/
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.
