Overview
Cleveland Clinic Health System's policy is to provide Emergency Care and Medically Necessary Care on a non-profit basis to patients without regard to race, creed, or ability to pay. Patients who do not have the means to pay for services provided at CCHS facilities may request financial assistance, which will be awarded subject to the terms and conditions set forth below. The eligibility criteria for financial assistance pursuant to the following policies are intended to ensure that CCHS will have the financial resources to provide care to patients who are in the greatest financial need.
The policies listed here are only applicable to their intended location and do not apply to all CCHS facilities.
Right to Receive a Good Faith Estimate
If you do not have health insurance or are not using it, under the law you have the right to receive a good faith estimate for the cost of your scheduled services. You can request a good faith estimate at any time. To request one, contact a Patient Financial Advocate or create your own estimate.
Cleveland Clinic Ohio & Nevada
How do I apply for Financial Assistance?
- Financial Assistance Program Summary & Application - English
- Financial Assistance Program Summary & Application - Arabic
- Financial Assistance Program Summary & Application - Spanish
- Financial Assistance Program Summary & Application - Turkish
Which doctors are not covered by Cleveland Clinic's Financial Assistance Policy?
- Listing of Doctors Not Covered by Financial Assistance Policy - English
- Listing of Doctors Not Covered by Financial Assistance Policy - Arabic
- Listing of Doctors Not Covered by Financial Assistance Policy - Spanish
- Listing of Doctors Not Covered by Financial Assistance Policy - Turkish
How do I get a copy of Cleveland Clinic's Financial Assistance Policy?
- Financial Assistance Program Policy - English
- Financial Assistance Program Policy - Arabic
- Financial Assistance Program Policy - Spanish
- Financial Assistance Program Policy - Turkish
How does Cleveland Clinic determine the amounts generally billed?
- Basis for Calculating Amounts Charged to Patients - English
- Basis for Calculating Amounts Charged to Patients - Arabic
- Basis for Calculating Amounts Charged to Patients - Spanish
- Basis for Calculating Amounts Charged to Patients - Turkish
2024 Federal Poverty Guideline
Family Size Up To | *(HCAP) 2024 Federal Poverty Income Level | CC Financial Assistance Program (Family income up to 400% of Federal Poverty Level) |
---|---|---|
1 | $15,060 | $60,240 |
2 | $20,440 | $81,760 |
3 | $25,820 | $103,280 |
4 | $31,200 | $124,800 |
5 | $36,580 | $146,320 |
6 | $41,960 | $167,840 |
7 | $47,340 | $189,360 |
8 | $52,720 | $210,880 |
*For families/households with more than 8 persons, add $5,380 for each additional person.
- HCAP income levels are for insured and uninsured patients.
- CC Financial Assistance program income levels are for uninsured patients (and those insured patients whose insurance doesn’t cover emergency or medically necessary services or insurance benefits have been exhausted.)
Cleveland Clinic Florida
If you have questions about financial assistance, you can speak to a Patient Financial Advocate in Florida by calling:
- Weston Hospital: 954.689.5610 option 2
- Martin Health: 772.223.5680
- Indian River: 772.563.4774
How do I apply for Financial Assistance?
- Financial Assistance Program Summary & Application - English
- Financial Assistance Program Summary & Application - Arabic
- Financial Assistance Program Summary & Application - Spanish
- Financial Assistance Program Summary & Application - Haitian Creole
Which doctors are not covered by Cleveland Clinic Florida's Financial Assistance Policy?
- Listing of Doctors Not Covered by Financial Assistance Policy - English
- Listing of Doctors Not Covered by Financial Assistance Policy - Arabic
- Listing of Doctors Not Covered by Financial Assistance Policy - Spanish
- Listing of Doctors Not Covered by Financial Assistance Policy - Haitian Creole
How do I get a copy of Cleveland Clinic Florida's Financial Assistance Policy?
- Financial Assistance Program Policy - English
- Financial Assistance Program Policy - Arabic
- Financial Assistance Program Policy - Spanish
- Financial Assistance Program Policy - Haitian Creole
How does Cleveland Clinic Florida determine the amounts generally billed?
- Basis for Calculating Amounts Charged to Patients - English
- Basis for Calculating Amounts Charged to Patients - Arabic
- Basis for Calculating Amounts Charged to Patients - Spanish
- Basis for Calculating Amounts Charged to Patients - Haitian Creole
2024 Federal Poverty Guideline
Family Size Up To | 2024 Federal Poverty Income Level* | CC Financial Assistance Program (Family income up to 400% of Federal Poverty Level) |
---|---|---|
1 | $15,060 | $60,240 |
2 | $20,440 | $81,760 |
3 | $25,820 | $103,280 |
4 | $31,200 | $124,800 |
5 | $36,580 | $146,320 |
6 | $41,960 | $167,840 |
7 | $47,340 | $189,360 |
8 | $52,720 | $210,880 |
*For families/households with more than 8 persons, add $5,380 for each additional person.
- CC Financial Assistance program income levels are for uninsured patients (and those insured patients whose insurance doesn’t cover emergency or medically necessary services or insurance benefits have been exhausted.)
Ashtabula County Medical Center
Need a Copy of our Financial Assistance Policy?
Cleveland Clinic Rehabilitation Hospital
How do I apply for Financial Assistance?
- Financial Assistance Program Summary & Application - English
- Financial Assistance Program Summary & Application - Arabic
- Financial Assistance Program Summary & Application - Spanish
Which doctors are not covered by Cleveland Clinic Rehabilitation Hospital's Financial Assistance Policy?
- Listing of Doctors Not Covered by Financial Assistance Policy - English
- Listing of Doctors Not Covered by Financial Assistance Policy - Arabic
- Listing of Doctors Not Covered by Financial Assistance Policy - Spanish
- Listing of Doctors Not Covered by Financial Assistance Policy - Turkish
How do I get a copy of Cleveland Clinic Rehabilitation Hospital's Financial Assistance Policy?
- Financial Assistance Program Policy - English
- Financial Assistance Program Policy - Arabic
- Financial Assistance Program Policy - Spanish
- Financial Assistance Program Policy - Turkish
How does Cleveland Clinic Rehabilitation Hospital determine the amounts generally billed?
- Basis for Calculating Amounts Charged to Patients - English
- Basis for Calculating Amounts Charged to Patients - Arabic
- Basis for Calculating Amounts Charged to Patients - Spanish
- Basis for Calculating Amounts Charged to Patients - Turkish
2024 Federal Poverty Guideline
Family Size Up To | *(HCAP) 2024 Federal Poverty Income Level | CC Financial Assistance Program (Family income up to 400% of Federal Poverty Level) |
---|---|---|
1 | $15,060 | $60,240 |
2 | $20,440 | $81,760 |
3 | $25,820 | $103,280 |
4 | $31,200 | $124,800 |
5 | $36,580 | $146,320 |
6 | $41,960 | $167,840 |
7 | $47,340 | $189,360 |
8 | $52,720 | $210,880 |
*For families/households with more than 8 persons, add $5,380 for each additional person.
- HCAP income levels are for insured and uninsured patients.
- CC Financial Assistance program income levels are for uninsured patients (and those insured patients whose insurance doesn’t cover emergency or medically necessary services or insurance benefits have been exhausted.)
Select Cleveland Locations
Financial Assistance Information for Select Cleveland Locations