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Financial assistance

Community Responsibility Policy Plain Language Summary

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Grant Regional Health Center's (GRHC) Community Responsibility Policy (FAP) exists to provide eligible patients, partially or fully-discounted emergency or other medically necessary healthcare services provided by Grant Regional Health Center and/or Grant Regional Community Clinic.

Each patient's financial needs are evaluated according to the level of his/her household income, in light of relevant facts and circumstances, such as reported income, assets, liabilities, expenses, and other available resources.

Free care is available to patients whose household income is less than or equal to 200% of the federal poverty level; and discounted services are available for patients whose household income is less than or equal to 300% of the federal poverty level. These patients are generally un-insured or under insured individuals.

In order to determine if you are eligible for financial assistance you will need to complete an application. The Community Responsibility Policy (FAP) and Community Responsibility Application (FAP) application are available online at https://www.grantregional.com/patients-and-visitors/financial-assistance/, or you can obtain a copy of the application at any registration area within the hospital or clinic located at 507 S. Monroe St., Lancaster WI, 53813. If you have questions regarding this application process, or to request a free copy of the FAP, FAP application, or the Credit and Collection policy by mail, please contact our Business Office at 608.723.3204.

Note: Other criteria beyond Federal Poverty guidelines are also considered (i.e., availability of cash or other assets that may be converted to cash, and excess monthly net income relative to monthly household expenditures), which may result in exceptions to the preceding. If no family gross income is reported, information will be required as to how daily needs are met.

Contact us

Grant Regional Health Center
507 S. Monroe St.
Lancaster, WI 53813
608.723.2143
608.723.3290 (TDD)
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