Generate your application packet
This cover letter explains your situation and formally requests consideration under the hospital's Financial Assistance Program. Include it with your completed hospital application form.
What you'll need to apply
Document checklist
Check items off as you gather them.
Your application packet is ready
Review the cover letter below, then choose how to send it. Print and include it with your completed hospital application form.
How do you want to send this?
I'll mail it myself
FreePrint, attach your supporting documents, and deliver in person or mail certified to the hospital billing department.
BillKarma sends it
$9We mail your cover letter via USPS Certified Mail directly to the hospital billing department. You get a tracking number by email.
Next: Get the hospital's application form
This cover letter accompanies the hospital's own Financial Assistance Application. You still need to fill out their form.
BillKarma is not a law firm. This is a self-help tool, not legal advice. Consult an attorney for complex situations.