Question

Write a professional hardship letter seeking FINANCIAL ASSISTANCE on two bills with date of service 8/15/.2025 for the amounts of $985.00 and $1391.95. I did not have medical insurance for 2025 due to just returning back to work in March 2025 with low paying hours at work.

Answer 1

[Your Full Name]
[Your Address]
[City, State ZIP]
[Phone]
[Email]
[Date: December 12, 2025]

Billing/Financial Assistance Department
[Hospital/Provider Name]
[Billing Address line 1]
[Billing Address line 2]

Re: Request for Financial Assistance / Charity Care
Patient: [Your Full Name]
Date of Birth: [MM/DD/YYYY]
Date(s) of Service: August 15, 2025
Account/Reference #: [Account #1], [Account #2] (if available)
Charges: $985.00 and $1,391.95

To whom it may concern,

I am writing to request financial assistance or charity care for the above-referenced balances for services provided on August 15, 2025. I was uninsured for 2025 because I had only recently returned to work in March 2025 and my hours and pay remain low. As a result, I am unable to pay the billed amounts of $985.00 and $1,391.95 in full.

Brief summary of circumstances:
- I returned to employment in March 2025 after a period of unemployment/underemployment.
- My current job offers limited hours and low wages, and my household income is insufficient to cover these unexpected medical bills along with rent, utilities, and other basic living expenses.
- I do not currently have alternative insurance coverage that will apply to these dates of service.

I respectfully request consideration for:
- Financial assistance/charity care to reduce or forgive these balances, or
- Enrollment in a reduced-payment plan or sliding-scale discount, or
- Any applicable discounts for uninsured patients.

I am prepared to provide documentation to support this request, including recent pay stubs, bank statements, proof of unemployment/return-to-work date, and a completed financial assistance application if required. Please let me know what forms or documents you require and where to send them.

Please confirm receipt of this letter and advise me of the next steps and any deadlines. You may reach me at [phone] or [email]. Thank you for your time and consideration of my request.

Sincerely,

[Your Full Name]
[Signature (if mailing)]
[Enclosures: copies of bills (optional), proof of income (if sending now)]