πŸ’‘ Under IRS 501(r), nonprofit hospitals must offer financial assistance programs. Millions of patients qualify but never apply. Households earning up to ~$120K/year (family of 4) may qualify for free or reduced care.

Upload Your Hospital Bill (optional)

Upload to auto-fill hospital name and bill amount, or enter manually below.

πŸ’‘ Tip: For privacy, redact your name, address, and member ID before uploading. Our AI only needs the charges and CPT codes.
πŸ”’ Encrypted upload β€” your data is never sold

Hospital & Bill Information

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Household & Income Information

Used only to calculate your Federal Poverty Level (FPL) percentage β€” the key factor in financial assistance eligibility.

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Hardship Description (optional but helpful)

A brief description of your financial hardship strengthens your application. Examples: job loss, chronic illness, unexpected medical emergency, caring for dependents.

πŸ”’ Income data is never stored exactly β€” only income brackets are saved for analytics.