Cleveland Clinic provides financial assistance on a sliding scale to patients who do not have insurance at family income levels up to four times the Federal Poverty Guidelines.Patients with exceptional circumstances will be considered for assistance on a case-by-case basis.
Eligibility:
- You must be a resident of Ohio, Florida or Nevada, respectively, depending upon where services are provided, and meet the geographic requirements identified in the policy.
- Your income is at or below 400% of the Federal Income Poverty Guidelines.
- You must provide proof of income (income includes gross wages, rental income, gross income from self employment, public assistance, social security, unemployment compensation, strike benefits, alimony, child support, military family allotments, pensions, veteran’s benefits, etc.) Sources of income apply to all applicable family members.
- Family members include patient's spouse and patient's children under the age of eighteen living at home.
- You must comply with the Medicaid eligibility process with the Cleveland Clinic health system designated vendor or on-site representative.
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In addition:
- Insured patients may be considered in exceptional circumstances.
- If you qualify for financial assistance, you will be asked to reapply every 90 days or prior to an admission/ procedure.
- If you qualify for less than 100% financial assistance coverage, you will be asked to pay 50% of the uncovered estimated balance, according to Cleveland Clinic’s financial assistance policy.
2013 Federal Poverty Income Guidelines
| Family Size |
*(HCAP) 2013 Federal Poverty Income Level |
CC Financial Assistance Program (Family income up to 400% of Federal Poverty Level) |
| 1 |
$11,490 |
$45,960 |
| 2 |
$15,510 |
$62,040 |
| 3 |
$19,530 |
$78,120 |
| 4 |
$23,550 |
$94,200 |
| 5 |
$27,570 |
$110,280 |
| 6 |
$31,590 |
$126,360 |
| 7 |
$35,610 |
$142,440 |
| 8 |
$39,630 |
$158,520 |
For each additional family member add $4,020*
Have questions or want to apply for assistance?
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Medicare is health insurance for people who:
- Are age 65 or older
- Are under the age of 65 with certain disabilities
- Have End Stage Renal Disease
Different parts provide coverage for specific types of service:
- Medicare Part A
- Medicare Part B
- Medicare Part C
- Medicare Part D
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Ohio Hospital Care Assurance Program (HCAP)
Cleveland Clinic offers basic, medically necessary hospital-level services free of charge to Ohio residents:
- Whose incomes are at or below the Federal Poverty Income Guideline
- Who are not recipients of Medicaid.
Current recipients of the Disability Assistance Program also qualify for HCAP assistance.
Eligibility:
- You must be a resident of the state of Ohio
- You must be at or below 100% of the Federal Poverty Income Guidelines in the three month period prior to date of service.
- Family members include you, your spouse and/or natural/adopted children under the age of 18 living at home.
In addition:
- You will be screened for Ohio Medicaid assistance.
- If applicable, you will be referred to a Medicaid vendor: Human Arc of Ohio or MedAssist to help you secure Medicaid coverage.
- Until you are approved for Medicaid, you will continue to receive a bill from us.
- Patients with out-of-state Medicaid will need to obtain services within their home state. Cleveland Clinic does not contract with out-of-state Medicaid plans, except in situations where the service is not provided in the patient’s home state.
The Ohio Department of Job and Family Services (ODJFS) provides information about available healthcare services for people without healthcare insurance:
Contact:
Ohio Consumer Hotline
Phone: 800.324.8680 (toll-free)
TDD 800.292.3572
Or call your local county Department of Job and Family Services.
Contact:
Patient Financial Services
Hours:Mon. – Fri., 8 a.m. – 6 p.m.
Phone: 216.445.6249
866.621.6385 (toll-free)
Social Workers can address informational needs relating to, and beyond, financial assistance.
Reviewed: 02/13