Financial Assistance Policy
Madison Healthcare Services is dedicated to providing patients with the highest quality of care and services.
Patients and/or responsible parties with balances owed to Madison Healthcare Services may be eligible for Financial Assistance based on a combination of family size and household income based on the US Federal Poverty Guidelines. Any balance can be considered for charity, including balances after insurance payment.
Madison Healthcare Services will charge a person for emergency or other medically necessary care who qualify under the Financial Assistance Policy less than the amounts generally billed for emergency or other medically necessary care to individuals who have insurance covering such care.
The application form can be found by clicking below.
Online Financial Assistance ApplicationFor information regarding our Financial Assistance Policy, Financial Assistance Application Form, Billing and Collections, or for assistance with the application process, please contact Patient Accounts at 320-598-7536 or in person at 900 Second Avenue Madison, MN 56256.
