Patient Billing
Financial Assistance
Committed to providing high-quality, compassionate care to all patients, regardless of their ability to pay.
Community Care at Prairie Ridge Health
Our Community Care program is designed to help patients who are uninsured or underinsured, as well as those who may be experiencing financial hardship. See the program summary for more detailed information (English | Spanish).
Applying for Community Care:
Option B: Email
- Get the free Adobe Acrobat Reader
- Digitally fill out the Community Care application after you download it (English | Spanish).
- Save the completed application to your computer and attach it in an email to pfs@prairieridge.health.
INCLUDE WITH YOUR APPLICATION:
You will also need to include the below documentation with your application. (Patient Financial Counselors may require other verification of income or assets when deemed necessary.)
- Copies of the two most recent pay stubs for all adult family members
- A copy of your most recent federal tax return
- A copy of unemployment or pension compensation
Applicants will be notified in writing of approval or denial within 14 days of receipt of a complete Community Care application.
Community Care Policy Information: (English | Spanish)
Collection Principles Policy: (English | Spanish)
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