Apply for Financial Assistance

Avera has a policy and program in place to offer financial assistance to patients who qualify. Qualification depends on meeting certain requirements. If you’re unable to pay your bill, apply to see if you’re eligible for aid.

How to Request Financial Aid

You have two options to request financial assistance:

  • Online through Avera MyChart
  • By mail using a paper request form and document submission

How to request financial assistance in MyChart?

  1. Log into Avera MyChart.
  2. You can get to the Financial Assistance section in one of these two ways:
  • In the menu, search for or navigate to Financial Assistance.
  • Select the Billing tile on your home screen. On the Billing Summary page, under a billing statement, select Manage financial assistance.
  1. On the Financial Assistance page, you will see any past request history, if relevant. Select the option to + Request financial assistance.
  2. Follow the on-screen steps to add your Personal Info, Income, Expenses, Assets and Documents.
  • Attach documents along the way in the steps.
  • If you don’t have all your documents ready, you can save your progress and upload them later. Just select Finish Later if you’d like to come back.
  1. Sign and submit the request.

As your application is processed, you’ll get status updates through your MyChart account.

How to request financial assistance by mail?

  • Contact the business office of the clinic or hospital (phone number listed on your bill) where you received care. Let them know that you’re requesting financial assistance.
  1. Complete the Avera Financial Assistance Application (English / Spanish).
  2. Mail completed applications and forms with your most recent tax return and balance sheets to your clinic or hospital for review. Send this to the mailing address listed on your billing statement. If your most recent tax return is unavailable, you should instead provide the last two months of bank statements and recent pay stubs for all applicable household members.

Have Questions?

If you need help with financial assistance forms, please contact your hospital or clinic business office. Find locations

Financial Assistance & Policy Details

Read and review financial assistance and policy guidelines so you’re well aware of what to expect.

Receive Care in Minnesota?

If you received medical care at an Avera location in Minnesota, you may request for determination of eligibility of uninsured discount.

Still Need Help?

Avera's financial billing department is here to assist.

Call Us Directly

Monday – Thursday: 8 AM – 5:30 PM
Friday 8 AM – 4:30 PM

888-370-6525

See Your Statement

Call the number listed on your billing statement for assistance.

Hospital or Clinic Bill Before May 30

888-467-4814

Pharmacy Bills Before May 30

888-467-4407