Patients experiencing difficulties in paying for their medically necessary care may qualify for financial assistance through our Community Care program. This program applies to services billed by University of Minnesota Physicians and assists patients with paying for medical care necessary to maintain their health. It does not apply toward care that is considered elective or cosmetic, or toward services billed by Fairview Health Services or the University of Minnesota Physicians Dental Clinic.
Patients eligible for this program must have an annual gross income at or below 275% of the Federal Poverty Guidelines, as well as assets that do not exceed $500,000.
Assets include: checking, savings, money market accounts, certificates of deposits, mutual funds, and retirement accounts.
Patients must apply for Medical Assistance programs before being considered for this program.
Family size – Annual Gross Income
Families with more than eight people should add $5,530 for each additional person.
HOW TO APPLY
To apply for Community Care, please download the application here (Spanish version can be found here). Please return the form only once it has been completely filled out, as we will not be able to process your application without all of the requested information.
Please sign and send to:
University of Minnesota Physicians
6300 Shingle Creek Parkway, Suite 600
Brooklyn Center, MN 55430
If you have any questions regarding this program or whether the care you are receiving may be eligible for this program, please call:
- Financial Counselors for pre-visit planning: 763-782-6639
- Business Office for patients with billing questions: 763-782-6500 or toll free 1-800-317-8840
Once your application has been received, we will review your application and send a written response as to whether you qualify for this program.