Overview
Cleveland Clinic Health System's policy is to provide Emergency Care and Medically Necessary Care on a non-profit basis to patients without regard to race, creed, or ability to pay. Patients who do not have the means to pay for services provided at CCHS facilities may request financial assistance, which will be awarded subject to the terms and conditions set forth below. The eligibility criteria for financial assistance pursuant to the following policies are intended to ensure that CCHS will have the financial resources to provide care to patients who are in the greatest financial need.
The policies listed here are only applicable to their intended location and do not apply to all CCHS facilities.
Right to receive a good faith estimate
If you do not have health insurance or are not using it, under the law you have the right to receive a good faith estimate for the cost of your scheduled services. You can request a good faith estimate at any time. To request one, contact a Patient Financial Advocate or create your own estimate.
How can I get help understanding if I'm eligible for Medicaid?
From medical bills to health insurance, we're committed to helping you get the help you need to pay for your care. That's why Cleveland Clinic partners with Centauri Health Solutions, ElevatePFS and Firstsource. If a vendor representative contacts you, please reply. Per Cleveland Clinic’s Financial Assistance policy, to be considered for financial assistance at our facilities, you are required to cooperate with our Medicaid screening process. When one of these vendors attempts contact, you are required to respond to calls, letters, or text messages promptly. Cooperation and completion of the screening is mandatory. If you do not fully cooperate you will receive a bill from Cleveland Clinic for the services provided.
Their staff can help you find out if you qualify for help. Then, they'll walk you through enrolling in government or other benefit programs. These offer:
- Help paying for medical expenses.
- Help with your bills while you're on disability.
- Resources for transportation, food and housing in your community.
You'll get this help free of charge. Centauri Health Solutions, Elevate PFS, and Firstsource are not collection agencies or a bill collectors.
Want to find out if you can get help? Contact the applicable vendor below:
If you live in OH or FL and your last name begins with A-L: Centauri Health Solutions @ 1.888.860.3537
If you live in OH and your last name begins with M-Z: ElevatePFS @ 1.216.238.9565
If you live in FL and your last name begins with M-Z: Firstsource @ 1.800.431.0004
Cleveland Clinic Ohio & Nevada
How do I apply for Financial Assistance?
- Financial Assistance Program Summary & Application - English
- Financial Assistance Program Summary & Application - Arabic
- Financial Assistance Program Summary & Application - Spanish
- Financial Assistance Program Summary & Application - Turkish
Which doctors are not covered by Cleveland Clinic's Financial Assistance Policy?
- Listing of Doctors Not Covered by Financial Assistance Policy - English
- Listing of Doctors Not Covered by Financial Assistance Policy - Arabic
- Listing of Doctors Not Covered by Financial Assistance Policy - Spanish
- Listing of Doctors Not Covered by Financial Assistance Policy - Turkish
How do I get a copy of Cleveland Clinic's Financial Assistance Policy?
- Financial Assistance Program Policy - English
- Financial Assistance Program Policy - Arabic
- Financial Assistance Program Policy - Spanish
- Financial Assistance Program Policy - Turkish
How does Cleveland Clinic determine the amounts generally billed?
- Basis for Calculating Amounts Charged to Patients - English
- Basis for Calculating Amounts Charged to Patients - Arabic
- Basis for Calculating Amounts Charged to Patients - Spanish
- Basis for Calculating Amounts Charged to Patients - Turkish
2024 Federal Poverty Guideline
Family Size Up To | *(HCAP) 2024 Federal Poverty Income Level | CC Financial Assistance Program (Family income up to 400% of Federal Poverty Level) |
---|---|---|
1 | $15,060 | $60,240 |
2 | $20,440 | $81,760 |
3 | $25,820 | $103,280 |
4 | $31,200 | $124,800 |
5 | $36,580 | $146,320 |
6 | $41,960 | $167,840 |
7 | $47,340 | $189,360 |
8 | $52,720 | $210,880 |
*For families/households with more than 8 persons, add $5,380 for each additional person.
- HCAP income levels are for insured and uninsured patients.
- CC Financial Assistance program income levels are for uninsured patients (and those insured patients whose insurance doesn’t cover emergency or medically necessary services or insurance benefits have been exhausted.)
Cleveland Clinic Florida
How do I apply for Financial Assistance?
- Financial Assistance Program Summary & Application - English
- Financial Assistance Program Summary & Application - Arabic
- Financial Assistance Program Summary & Application - Spanish
- Financial Assistance Program Summary & Application - Haitian Creole
Which doctors are not covered by Cleveland Clinic Florida's Financial Assistance Policy?
- Listing of Doctors Not Covered by Financial Assistance Policy - English
- Listing of Doctors Not Covered by Financial Assistance Policy - Arabic
- Listing of Doctors Not Covered by Financial Assistance Policy - Spanish
- Listing of Doctors Not Covered by Financial Assistance Policy - Haitian Creole
How do I get a copy of Cleveland Clinic Florida's Financial Assistance Policy?
- Financial Assistance Program Policy - English
- Financial Assistance Program Policy - Arabic
- Financial Assistance Program Policy - Spanish
- Financial Assistance Program Policy - Haitian Creole
How does Cleveland Clinic Florida determine the amounts generally billed?
- Basis for Calculating Amounts Charged to Patients - English
- Basis for Calculating Amounts Charged to Patients - Arabic
- Basis for Calculating Amounts Charged to Patients - Spanish
- Basis for Calculating Amounts Charged to Patients - Haitian Creole
2024 Federal Poverty Guideline
Family Size Up To | 2024 Federal Poverty Income Level* | CC Financial Assistance Program (Family income up to 400% of Federal Poverty Level) |
---|---|---|
1 | $15,060 | $60,240 |
2 | $20,440 | $81,760 |
3 | $25,820 | $103,280 |
4 | $31,200 | $124,800 |
5 | $36,580 | $146,320 |
6 | $41,960 | $167,840 |
7 | $47,340 | $189,360 |
8 | $52,720 | $210,880 |
*For families/households with more than 8 persons, add $5,380 for each additional person.
- CC Financial Assistance program income levels are for uninsured patients (and those insured patients whose insurance doesn’t cover emergency or medically necessary services or insurance benefits have been exhausted.)
Ashtabula Regional Medical Center
Need a Copy of our Financial Assistance Policy?
Cleveland Clinic Rehabilitation Hospital
How do I apply for Financial Assistance?
- Financial Assistance Program Summary & Application - English
- Financial Assistance Program Summary & Application - Arabic
- Financial Assistance Program Summary & Application - Spanish
Which doctors are not covered by Cleveland Clinic Rehabilitation Hospital's Financial Assistance Policy?
- Listing of Doctors Not Covered by Financial Assistance Policy - English
- Listing of Doctors Not Covered by Financial Assistance Policy - Arabic
- Listing of Doctors Not Covered by Financial Assistance Policy - Spanish
- Listing of Doctors Not Covered by Financial Assistance Policy - Turkish
How do I get a copy of Cleveland Clinic Rehabilitation Hospital's Financial Assistance Policy?
- Financial Assistance Program Policy - English
- Financial Assistance Program Policy - Arabic
- Financial Assistance Program Policy - Spanish
- Financial Assistance Program Policy - Turkish
How does Cleveland Clinic Rehabilitation Hospital determine the amounts generally billed?
- Basis for Calculating Amounts Charged to Patients - English
- Basis for Calculating Amounts Charged to Patients - Arabic
- Basis for Calculating Amounts Charged to Patients - Spanish
- Basis for Calculating Amounts Charged to Patients - Turkish
2024 Federal Poverty Guideline
Family Size Up To | *(HCAP) 2024 Federal Poverty Income Level | CC Financial Assistance Program (Family income up to 400% of Federal Poverty Level) |
---|---|---|
1 | $15,060 | $60,240 |
2 | $20,440 | $81,760 |
3 | $25,820 | $103,280 |
4 | $31,200 | $124,800 |
5 | $36,580 | $146,320 |
6 | $41,960 | $167,840 |
7 | $47,340 | $189,360 |
8 | $52,720 | $210,880 |
*For families/households with more than 8 persons, add $5,380 for each additional person.
- HCAP income levels are for insured and uninsured patients.
- CC Financial Assistance program income levels are for uninsured patients (and those insured patients whose insurance doesn’t cover emergency or medically necessary services or insurance benefits have been exhausted.)
Select Cleveland Locations
Financial Assistance Information for Select Cleveland Locations