Financial Assistance Availability

The University of Chicago Medical Center (UCMC) recognizes that patients and their families may need help paying for services received here because either insufficient insurance coverage has not paid for the entire bill or no insurance is available.

Any patient with a balance related to care received here, or any person responsible for paying a patient bill for care received here (the guarantor) may request an application for financial assistance.

UCMC offers financial assistance discounts that may cover all or part of the patient balance(s) based on a verified financial need.

How to Request an Application for Financial Assistance

There are several different ways that a patient or a family member may request an application for financial assistance:

• If you or a family member are currently an inpatient in our hospital, you may request an application for financial assistance by calling the Mitchell Hospital Admitting Office at (773) 702-6233 (or dial 2-7233 from the phone in the patient room).
• You may stop at the front desk on the first floor of the Duchossois Center for Advanced Medicine and request an application for financial assistance.
• At any time during your care here or after your care is complete, you or a family member may request an application for financial assistance by writing or calling one of the following addresses:
  
  University of Chicago Medical Center
  8201 S. Cass Avenue
  Darien, Illinois 60561
  (773) 702-6664
  
  University of Chicago Physicians Group
  P.O. Box 75307
  Chicago, Illinois 60675-5307
  (773) 702-1150
  
  Social Work and Spiritual Care Department for UCMC
  (Calls for financial assistance application requests should go to (773) 702-1810.)

Financial Assistance Application Process

• Upon request, an Application for Financial Assistance form will be given or mailed to a patient or the person responsible for paying the patient bill.
• In addition to the application form, a list of required documents needed to complete the request for financial assistance will be provided. This may include items such as copies of tax returns, pay stubs, etc.
• The application form should be completed with as much detail as possible, signed, and returned with required documentation as soon as possible to one of the following addresses:
  
  University of Chicago Medical Center
  8201 S. Cass Avenue, Darien, Illinois 60561
  
  University of Chicago Physicians Group
  P.O. Box 75307
  Chicago, Illinois 60675-5307
  
• Once the completed application and back-up documents are received, the application will be reviewed and the requestor will be notified if additional information is required. Otherwise, the requestor will receive a written notification of either an approval for financial assistance, or a denial and the reason the request is denied, normally within ten business days of our receipt of all required documents.
• Patients or persons responsible for paying the patient bills may call (773) 702-6664 or (773) 702-1150 with any questions on this process or on submitted applications.