Ascension Wisconsin offers a Financial Assistance program to assist qualified individuals in financial need. If you receive medically necessary care and show financial need you may apply for financial assistance. If you have trouble paying for healthcare, Ascension may be able to help through our financial partnerships and resources. Participants must meet specific requirements to qualify.

Financial Assistance Policy

Financial Assistance Application

Financial Assistance Policy Plain Language Summary

Billing and Collection Policy

Amount Generally Billed

Covered Providers

For these two clinic locations, a different financial assistance policy and application applies in accordance with the National Health Services Corps. No one will be denied care due to inability to pay. There is a discounted/sliding fee schedule available based on family size and income.

Financial Assistance Secondary Policy - NHSC - Wisconsin Avenue Family Practice/St Joseph’s Women’s Outpatient Center

Financial Assistance Secondary Application Form - NHSC - Wisconsin Avenue Family Practice/St Joseph’s Women’s Outpatient Center

For financial assistance questions or if you need help completing the application, please contact our Customer Service Department at 1-877-304-6332.

Cybersecurity Event Updates

Ascension SE Wisconsin - Mayfair Road

A Department of Ascension SE Wisconsin Hospital

Address

Phone

Financial Assistance