People deserve health care regardless of their ability to pay, age, sex, race, religion or national origin.
Kaleida Health Patient Financial Services
Kaleida Health has a variety of initiatives in place to help individuals in our community access affordable health care. We offer the following services and programs to assist patients who are uninsured or underinsured:
This unique program was created to help people get health insurance for themselves and their family. It offers a convenient way for people to learn about available health insurance programs in their community.
Our facilitated enrollers are trained as experts to screen and determine eligibility for all government insurance programs. They will help the patient gather the necessary documentation and represent the patient at the Department of Social Services.
Facilitated Enrollers can help patients apply for:
This program is for New York residents. Medicaid may cover persons if they have high medical bills, receive Supplemental Security Income, or if they meet certain income, resource, age or disability requirements.
Child Health Plus
This program is for children under 19 years of age who are not eligible for Medicaid. Some families may have to pay a small monthly fee for coverage, depending on income.
Family Health Plus
This is a government insurance program for adults between the ages of 19 and 64 who do not have health insurance, but their income is too high to qualify for Medicaid.<
Prenatal Care Assistance Program (PCAP)
Pregnant women and teens that live in New York State and meet specific income guidelines can receive complete medical coverage during pregnancy, delivery and for at least two months after delivery. They may be eligible even if they already have health insurance.
Also known as Children with Special Needs. Children with certain diagnoses may be eligible for discounts on co-pays and deductibles that are based on income. Call (716) 859-8979 for more information on all of these programs.
Kaleida Health Financial Assistance Program
The Kaleida Health Financial Assistance Program is designed to assist patients who have been treated at a Kaleida Health facility but are unable to pay for the medical services they received because of financial hardship. Discounts are awarded based upon income and assets verification.
Who is Eligible?
Only individuals who do not qualify for Medicaid, Child Health Plus, Family Health Plus, Prenatal Care Assistance Program, and/or State Aid based on income will be considered.
Who is Not Eligible?
Persons who exceed the income or other guidelines.
What is not covered?
The Financial Assistance Program will NOT cover any doctor charges, Medicare client shares/spenddown amounts, routine dental work, cosmetic or any non-medically necessary services as well as private room differences or telephone/television charges.
How Do I Apply?
All persons interested in our services may contact us at (716) 859-8979.
Communicating with our staff is the most effective way to make sure you receive the care you need as soon as possible. We can arrange for a free interpreter who speaks your language to help you if you have difficulty speaking or understanding English. This is your legal right. Simply tell the person you are meeting with that you want an interpreter and he or she will assist you.
Elderly Pharmaceutical Insurance Coverage (EPIC) is a New York State-sponsored prescription plan for senior citizens who need help paying for their prescriptions.
Call (800) 332-3742 for an application.
Partnership for Prescription Assistance
(888) 477-2669 or www.pparx.org
The Kaleida Health services and programs are subject to change without notice.