You Deserve Peace of Mind About Your Medical Costs.
Emergency medical expenses can feel overwhelming, but you don’t have to navigate them alone. The TotalCare Financial Assistance Program helps applicants lower out-of-pocket costs or qualify for complete bill coverage. Apply now.
Apply for Financial Assistance (opens in a new tab)
Step 1 of 2
Do You Qualify for TotalCare Financial Assistance?
We’ll estimate your eligibility based on your household size.
Eligibility for financial support toward out-of-pocket patient responsibility depends on your household size. Insured individuals may qualify if their gross annual household income ranges between 300% and 900% of the Federal Poverty Level under current HHS Poverty Guidelines.
Please note that this program applies exclusively to commercial insurance plans; government-affiliated health programs, including Medicare, Medicaid, and TRICARE, are not eligible.
Clear and Easy Process
Fill out the Financial Assistance Application
Complete the online form to check your eligibility for financial support.
Complete at Your Own Pace
Missing documents? No problem. Go ahead and start your application now, you can submit any remaining paperwork after your visit.
Protected While You Wait
Your bill is placed on hold the moment you apply, giving you complete peace of mind while your request is pending.
Seamless Review
Once your file is complete, we will process your application as soon as your Explanation of Benefits is finalized and update you with a decision within seven days.
Alternative Payment Options
Even if you don’t qualify for the TotalCare Financial Assistance Program, we offer flexible alternatives to keep your medical care affordable:
- 0% Interest Payment Plans
- Break your balance into manageable monthly payments over time with zero added interest or hidden fees.
- Reduced Direct-Pay Pricing
- Take advantage of discounted, transparent rates designed specifically for self-pay accounts.