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Financial Assistance

​​​​​​​​​​​​​​​​Marshfield Clinic Health System provides essential services regardless of ability to pay.  Free or discounted emergency and medi​cally  necessary health care services are available to patients who meet financial assistance eligibility criteria. 

​​Financial Assistance Appl​ication
Formulario​ de Solicitud para Ayuda Financiera​
Daim n​tawv thov nyiaj pab​​

Financial Assistance Polic​y
Politica de Asistencia Financiera
Kev Pab Nyiaj Txiag Txoj Cai

Plain Language Financial Assistance Summary
Resumen de la Ayuda Financiera en Lenguaje Simple
Lus Qhia Txog Ntawm Kev Pab Nyiaj Txiag

Billing and Collection Policy Site


Who is eligible?

Discounted care is available for uninsured and underinsured patients with income ​at or below 400% of the Federal Poverty Guidelines. 

Free care is available for patients with income at or below 2​00% of the Federal Poverty Guidelines.

Assistance may be available in other circumstances depending on the size of the patient's medical bills and whether other eligibility criteria are met.

Patient Assistance Counselors will assist individuals with applications for Medicaid, the Health Insurance Exchange, and other charitable assistance program(s).

No one will be denied access to services due to an inability to pay. ​A Sliding Fee Scale is available based on family size and income.​

Limitation on charges

A patient qualifying for financial assistance under the Financial Assistance Policy will not be charged more than the amounts generally billed for the same emergency or medically necessary services to individuals who have insurance covering such care.

To Obtain an Application or Copy of the Policy

How to apply

Applicants may request assistance in completing the application or mail the completed application to:

Marshfield Clinic Health System
Patient Assistance Center, 3Q4
1000 North Oak Avenue
Marshfield, WI 54449
Phone: 715-389-4475​ or 1-800-782-8581, ext. 94475

Email: ​