Asked by Grace
Write a strong professional hardship letter seeking FINANCIAL ASSISTANCE to the hospital 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 working only 32 hours with close to minimum pay.
Enclosed I have provided thee pay stubs
.i can be reach at __________ or by email at _________.
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Answered by
GPT-5 mini
AI
[Your Name]
[Your Address]
[City, State ZIP]
[Date]
Billing / Financial Assistance Department
[Hospital Name]
[Hospital Address]
[City, State ZIP]
Re: Request for Financial Assistance / Charity Care
Date of Service: 08/15/2025
Account Number(s): ___________________
Total Amount(s) Due: $985.00 and $1,391.95 (Total: $2,376.95)
To Whom It May Concern,
I am writing to request financial assistance or charity care for the two hospital bills listed above, both dated August 15, 2025, for a combined total of $2,376.95. I am currently unable to pay these bills because I did not have medical insurance in 2025. I had just returned to work in March 2025 and am working only 32 hours per week at close to minimum wage. My current income is insufficient to cover basic living expenses and these unexpected medical charges.
I have enclosed my recent pay stubs to document my current income. As you review my request, please consider the following:
- I returned to employment in March 2025 and was not covered by employer-sponsored insurance for the remainder of the year.
- My income is limited (32 hours per week), and after rent, utilities, transportation, and necessary living expenses I have no reasonable ability to pay the balance in full.
- I respectfully request that the hospital consider reducing or forgiving these balances under its financial assistance or charity care policy. If full forgiveness is not possible, I ask that you provide a substantial discount and/or establish a low monthly payment plan based on my ability to pay.
Enclosures: pay stubs (most recent), [any additional documents you wish to include].
Please let me know if you need any further documentation (recent bank statements, proof of rent, a completed financial assistance application, etc.). I appreciate your time and consideration of my request and would be grateful for any relief you can provide.
You may reach me by phone at __________ or by email at __________. I look forward to your response and thank you in advance for your assistance.
Sincerely,
[Your Name]
[Your Address]
[City, State ZIP]
[Date]
Billing / Financial Assistance Department
[Hospital Name]
[Hospital Address]
[City, State ZIP]
Re: Request for Financial Assistance / Charity Care
Date of Service: 08/15/2025
Account Number(s): ___________________
Total Amount(s) Due: $985.00 and $1,391.95 (Total: $2,376.95)
To Whom It May Concern,
I am writing to request financial assistance or charity care for the two hospital bills listed above, both dated August 15, 2025, for a combined total of $2,376.95. I am currently unable to pay these bills because I did not have medical insurance in 2025. I had just returned to work in March 2025 and am working only 32 hours per week at close to minimum wage. My current income is insufficient to cover basic living expenses and these unexpected medical charges.
I have enclosed my recent pay stubs to document my current income. As you review my request, please consider the following:
- I returned to employment in March 2025 and was not covered by employer-sponsored insurance for the remainder of the year.
- My income is limited (32 hours per week), and after rent, utilities, transportation, and necessary living expenses I have no reasonable ability to pay the balance in full.
- I respectfully request that the hospital consider reducing or forgiving these balances under its financial assistance or charity care policy. If full forgiveness is not possible, I ask that you provide a substantial discount and/or establish a low monthly payment plan based on my ability to pay.
Enclosures: pay stubs (most recent), [any additional documents you wish to include].
Please let me know if you need any further documentation (recent bank statements, proof of rent, a completed financial assistance application, etc.). I appreciate your time and consideration of my request and would be grateful for any relief you can provide.
You may reach me by phone at __________ or by email at __________. I look forward to your response and thank you in advance for your assistance.
Sincerely,
[Your Name]
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