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Financial Assistance

Gundersen Health System provides medically necessary care regardless of ability to pay. We can provide financial assistance for medical expenses that you or your family accumulate at any of our facilities. If you believe you may be eligible for Financial Assistance we encourage you to apply. Financial assistance application forms are available upon request and without charge or they can be downloaded below.

Please look for the clinic or hospital location where you received your care.

La Crosse and Onalaska (GLMC)

In order to qualify for potential financial assistance through Gundersen Health System for medical bills, you will need to complete the Financial Assistance Application and include the items on the checklist.

Documents:

Financial Assistance Application

Financial Assistance Application (English)
Daim Ntawv Thov Kev Pab Nyiaj(Hmong)
Aplicación para Asistencia Financiera (Spanish)

Apply for Medicaid in Wisconsin
Apply for Medicaid in Minnesota
Apply for Medicaid in Iowa

Plain-language Summary

Plain Language Summary (English)
Sua Lus Txog Lus Ntsiab Tseem Ceeb ntawm Tsab Cai Txog Kev Pab Nyiaj Them Nqi (Hmong)
Resumen de la Política de Asistencia Financiera (Spanish)

Financial Assistance Policy

Financial Assistance (English)
Tsab Cai Txog Kev Pab Nyiaj Them Nqi (Hmong)
Política de asistencia financiera (Spanish)

Self-Pay Billing & Collection Policy

Self-Pay Billing & Collection Policy (English)
Tsab Cai Txog Kev Xa Nqi Rau Cov Nws Them Nws Ntiag Tug & Kev Tsib Nqi (Hmong)
Política de facturación y cobranza a particulares (Spanish)

Please send completed information to:

Gundersen Health System
Customer Financial Services
PO Box 4444
La Crosse WI 54602-4444

If you have any questions, call us at (608) 775-8660 or (800) 362-9567, ext. 58660 from 7:30 a.m. to 5:30 p.m., Monday through Friday.

Boscobel, Fennimore and Muscoda (Boscobel Area)

Gundersen Boscobel Area Hospital and Clinics includes the hospital and medical clinics in Boscobel, Fennimore and Muscoda.

Financial Assistance

In order to qualify for potential financial assistance through Gundersen Boscobel Area Hospital and Clinics for medical bills, you will need to complete the Financial Assistance Application and include the items on the checklist.

Documents:

Financial Assistance Application (English)
Daim Ntawv Thov Kev Pab Nyiaj(Hmong)
Aplicación para Asistencia Financiera (Spanish)

Apply for Medicaid in Wisconsin

Plain-language Summary

Financial Assistance Policy

Self-Pay Billing & Collection Policy (English)

Wisconsin PricePoint

Please send completed information to:

Gundersen Boscobel Area Hospital and Clinics
Customer Financial Services
205 Parker Street
Boscobel WI 53805

If you have any questions, call us at (608) 375-4112.

Hillsboro, Wonewoc, Elroy (St. Joseph's)

Gundersen St. Joseph's Hospital and Clinics includes the Hospital and Clinics in Hillsboro, Wonewoc and Elroy.

Financial Assistance

In order to qualify for potential financial assistance through Gundersen St. Joseph's Area Hospital and Clinics for medical bills, you will need to complete the Financial Assistance Application and include the items on the checklist.

Documents:

Financial Assistance Application (English)
Daim Ntawv Thov Kev Pab Nyiaj(Hmong)
Aplicación para Asistencia Financiera (Spanish)

Plain Language Summary

Lub Tsev Kho Mob Loj thiab Cov Tsev Kho Mob Me
Sua Lus Txog Lus Ntsiab Tseem Ceeb ntawm Tsab Cai Txog Kev Pab Nyiaj Them Nqi
(Hmong)
Resumen de la Política de Asistencia Financiera (Spanish)

Payment Options
Payment Options (Hmong)
Payment Options (Spanish)

Financial Assistance Policy
Financial Assistance Policy and Appendix(Spanish)
Financial Assistance Policy and Appendix (Hmong)

Self-Pay Policy
Self-Pay Policy (Spanish)

Wisconsin PricePoint

Please send completed information to:

Gundersen St. Joseph's Area Hospital and Clinics
Customer Financial Services
400 Water Avenue, Hillsboro, WI 54634

If you have any questions, call us at (608) 489-8198.

West Union, Postville and Fayette (Palmer)

Gundersen Palmer Hospital and Clinics includes the Hospital and Clinics in West Union, Postville and Fayette.

Financial Assistance

In order to qualify for potential financial assistance for medical bills, you will need to complete the Financial Assistance Application and include the items on the checklist.

Documents:

Financial Assistance Application (English)
Daim Ntawv Thov Kev Pab Nyiaj(Hmong)
Aplicación para Asistencia Financiera (Spanish)

Plain Language Summary (English)

Financial Assistance Policy (English)

Self-Pay Billing & Collection Policy (English)

Please send completed information to:

Palmer Lutheran Health Center
112 Jefferson Street
West Union, IA 52175

If you have any questions, call us at (563) 422-3811 from 7:30 a.m. to 4:30 p.m., Monday through Friday.

Whitehall, Blair and Independence (Tri-County)

Gundersen Tri-County Hospital and Clinics includes the Hospital and Clinics in Whitehall, Blair and Independence.

Financial Assistance

In order to qualify for potential financial assistance for medical bills, you will need to complete the Financial Assistance Application and include the items on the checklist.

Documents:

Financial Assistance Application (English)
Daim Ntawv Thov Kev Pab Nyiaj(Hmong)
Aplicación para Asistencia Financiera (Spanish)

Plain-Language Summary

Financial Assistance Policy

Self-Pay Policy

Wisconsin PricePoint

Please send completed information to:

Gundersen Tri-County Hospital and Clinics
18601 Lincoln Street
Whitehall, WI 54773

If you have any questions, call us at (715) 538-4361 ext. 64269.

All other clinic locations

In order to qualify for potential financial assistance through Gundersen Health System for medical bills, you will need to complete the Financial Assistance Application and include the items on the checklist.

Documents:

Financial Assistance Application

Financial Assistance Application (English)
Daim Ntawv Thov Kev Pab Nyiaj(Hmong)
Aplicación para Asistencia Financiera (Spanish)

Apply for Medicaid in Wisconsin
Apply for Medicaid in Minnesota
Apply for Medicaid in Iowa

Plain-language Summary

Plain Language Summary (English)
Sua Lus Txog Lus Ntsiab Tseem Ceeb ntawm Tsab Cai Txog Kev Pab Nyiaj Them Nqi (Hmong)
Resumen de la Política de Asistencia Financiera (Spanish)

Financial Assistance Policy

Financial Assistance (English)
Tsab Cai Txog Kev Pab Nyiaj Them Nqi (Hmong)
Política de asistencia financiera (Spanish)

Self-Pay Billing & Collection Policy

Self-Pay Billing & Collection Policy (English)
Tsab Cai Txog Kev Xa Nqi Rau Cov Nws Them Nws Ntiag Tug & Kev Tsib Nqi (Hmong)
Política de facturación y cobranza a particulares (Spanish)

Please send completed information to:

Gundersen Health System
Customer Financial Services
PO Box 4444
La Crosse WI 54602-4444

If you have any questions, call us at (608) 775-8660 or (800) 362-9567, ext. 58660 from 7:30 a.m. to 5:30 p.m., Monday through Friday.

Go to the Pay My Bill page

Love + Medicine

Every day, Gundersen Health System delivers great medicine plus a little something extra—we call it Love + Medicine.

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