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 Financial Assistance Program

 

Euclid Hospital Financial Assistance Program

In compliance with the Ohio Hospital Care Assurance Program (HCAP), Euclid Hospital offers basic, medically necessary hospital-level services free of charge to Ohio residents whose incomes are at or below the Federal Poverty Income Guideline, and who are not recipients of Medicaid. Current recipients of the Disability Assistance Program also qualify for HCAP assistance.

In addition to the HCAP program, Euclid Hospital provides financial assistance to patients who do not have insurance coverage at family income levels up to four times the Federal Poverty Income Guideline. Euclid Hospital also gives consideration to all patients, whether or not they have insurance and regardless of income level if there are exceptional circumstances. The Euclid Hospital financial assistance program applies to hospital services.

 

Family size

HCAP Federal Poverty Income Level

Cleveland Clinic Financial Assistance Guidelines

1

$10,830

$43,320

2

$14,570

$58,280

3

$18,310

$73,240

4

$22,050

$88,200

5

$25,790

$103,160

6

$29,530

$118,120

7

$33,270

$133,080

8**

$37,010

$148,040

**For each additional person add 3740

 

* Assistance is provided by Euclid Hospital on a sliding scale based on the listed income levels
  (Family income level up to four times Federal Poverty Income Level).

If you received medical services at Euclid Hospital and feel you would qualify to receive these services without cost or at a reduced cost to you please complete this application and return it to:

Cleveland Clinic Health System

Patient  Financial Services – Customer Service
6801 Brecksville Rd – RK90 – Suite 20
Independence, OH 44131

If you have any questions or wish to speak with a representative regarding the financial assistance programs at Euclid Hospital, please contact the Patient Financial Services Department at 216.636.8500 or toll free 877.236.2247.

Financial Assistance Application
click here to print and complete a Financial Assistance Application. Return your completed, signed application to the address on the front of the application.
Ohio Department of Job and Family Services Information

Do you have questions about what services are available from the Ohio Department of Job and Family Services (ODJFS) and what the requirements are to apply for one of their programs? The following documents from the ODJFS website can provide you with information:

 

ODJFS Aged, Blind and Disabled

ODJFS Citizenship Requirements
ODJFS Consumer Guide

ODJFS Immigrants, Their Children and Medicaid

ODJFS Medicaid Premium Assist Program

ODJFS Questions and Answers
ODJFS Spenddown

 

 

 

 

 

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