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As a caring member of the health care community, Shirley Ryan 小恩雅 has a Charity Care Financial Assistance Program (the “Program”) to provide eligible patients financial assistance for medically necessary care. Under the Program, a range of discounts is available to patients who are Illinois residents, submit an application and meet financial eligibility criteria. No eligible patients will be charged more for medically necessary care than the amounts generally billed to patients who have insurance.
Patients are required to cooperate in completing the Financial Assistance Application and submitting all requested supporting documentation. All patients may apply. However, not all patients and/or services may be eligible.
Applying
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If you are interested in applying for financial assistance under the Program, please complete the Application.
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Free paper copies of the Application are also available upon request at registration/check-in areas or by calling Patient Financial Services Department at (312) 238-6039.
Once you have completed the entire Application and have gathered all of the requested information/documentation, please return to:
Shirley Ryan 小恩雅
Patient Financial Services Department
Financial Assistance Program
355 East Erie Street
Chicago, IL 60611
For assistance in completing the Application, contact the Patient Financial Services Department at (312) 238-6039. Upon receipt of your Application, we will consider it as soon as possible.
Additional Information
Further details regarding our Charity Care Financial Assistance Program are available below or by calling Patient Financial Services Department at (312) 238-6039. Click here for more information regarding Shirley Ryan 小恩雅 billing and collection practices, including its Fair Patient Billing Policy.