Financial Assistance
The University of Chicago Medicine recognizes that patients and their families may need help paying for services received here because either insufficient insurance coverage has not paid for the entire bill or no insurance is available.
Any patient with a balance related to care received here, or any person responsible for paying a patient bill for care received here (the guarantor) may request an application for financial assistance.
The University of Chicago Medicine offers financial assistance discounts that may cover all or part of the patient balance(s) based on a verified financial need. Our financial assistance options exceed those required by the Illinois Hospital Uninsured Patient Discount Act, and are dependent on your family income. Your family income will determine whether you qualify for the discount, and, if so, the amount of the discount. For patients who qualify under our financial assistance program who receive services in 2009, the current discount starts at 68 percent.
How to Request an Application for Financial Assistance
There are several different ways that a patient or a family member may request an application for financial assistance:
- Download the Application for Financial Assistance (PDF)
- If you or a family member are currently an inpatient in our hospital, you may request an application for financial assistance by calling the Mitchell Hospital Admitting Office at (773) 702-6233 (or dial 2-7233 from the phone in the patient room).
- You may stop at the central outpatient registration reception desk in area 1A on the first floor of the Duchossois Center for Advanced Medicine to request an application for financial assistance.
- At any time during your care here or after your care is complete, you or a family member may request an application for financial assistance by writing or calling one of the following addresses:
The University of Chicago Medicine - 8201 S. Cass Avenue
Darien, Illinois 60561
(773) 702-6664
University of Chicago Physicians Group
P.O. Box 75307
Chicago, Illinois 60675-5307
(773) 702-1150
Social Work and Spiritual Care Department for the University of Chicago
(Calls for financial assistance application requests should go to (773) 702-1810.)
Financial Assistance Application Process
- Upon request, an Application for Financial Assistance form will be given or mailed to a patient or the person responsible for paying the patient bill.
- In addition to the application form, a list of required documents needed to complete the request for financial assistance will be provided. This may include items such as copies of tax returns, pay stubs, etc.
- The application form should be completed with as much detail as possible, signed, and returned with required documentation as soon as possible to one of the following addresses:
The University of Chicago Medicine
8201 S. Cass Avenue
Darien, Illinois 60561
University of Chicago Physicians Group
P.O. Box 75307
Chicago, Illinois 60675-5307
- Once the completed application and back-up documents are received, the application will be reviewed and the requestor will be notified if additional information is required. Otherwise, the requestor will receive a written notification of either an approval for financial assistance, or a denial and the reason the request is denied, normally within ten business days of our receipt of all required documents.
- Patients or persons responsible for paying the patient bills may call (773) 702-6664 or (773) 702-1150 with any questions on this process or on submitted applications.
