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Financial Assistance / Charity Care 

Questions?

If you have questions or need assistance completing the application, please contact your hospital or clinic business office. 

When Paying Your Bill Is a Concern

Avera has a financial assistance policy (English)(Spanish) if you meet certain requirements and are unable to pay your bill.

How to Request Assistance

  1. Contact the clinic or hospital business office at the phone number listed on your bill.
  2. Complete the Avera Financial Assistance Application (English)(Spanish) and the Consent to County Release Form (English)(Spanish). 
  3. Return application with the most recent copies of your W-2, Tax Returns, Pay Stubs and Bank Statements to your clinic or hospital for review.

What to Expect

Your application will be reviewed and a decision will be communicated to you. All information is confidential. Your eligibility is determined by:

  1. Family Size
  2. Income Guidelines
  3. Assets
  4. Expenses      

For Patients of Avera Marshall Regional Medical Center, Marshall, MN