Financial Assistance
Affinity Care is a financial assistance program available to patients who are unable to pay for medical care. Affinity Health System offers Affinity Care to patients in Northeast Wisconsin because we believe all patients deserve high-quality health care, regardless of race, creed, color, gender, national origin, age, sexual orientation, handicap or ability to pay.
Through the Affinity Care program, Affinity will cover part of your medical care costs. We will also help you make payment arrangements to cover the rest of your costs.
Eligibility
Our staff will talk with you about the eligibility requirements for Affinity Care at any point before, during or after your treatment. Representatives are available from 8 a.m. to 4:30 p.m., Monday through Friday.
Application Process
The application process starts with a meeting with one of our representatives. During the meeting, you will complete a financial statement and application. This information determines the amount of Affinity Care, if any, you may receive. By signing the application, you authorize Affinity to check the information you give us for accuracy.
Results
We provide results as quickly as possible after you complete the application. If we deny your request, you may make a written appeal to the Patient Grievance Panel, which includes a community member. They will review your request.
Contact
For Affinity Medical Group, St. Elizabeth Hospital, or Mercy Medical Center, call (920) 628-9670 or 1-877-928-5678 (toll-free).
For Calumet Medical Center, call (920) 849-1800 or 1-800-458-4042 Ext. 1800.
