기타 | Sample Letter to Hospital;학생 보세요
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만약 병원에서 벌써 collection 에 넘겼다면 다음과 같은 편지 를 써서 강력하게 collection action 을 stop 하라고 하면 됩니다.
그리고 궁금하면 더 자세하게 다음 링크에 나와있으니 잘 읽어보면 유용하리라 봅니다.
http://www.hospitalbillhelp.org/home
Sample Letter to Hospital
[DATE]
[YOUR NAME]
[YOUR ADDRESS]
[HOSPITAL NAME]
[HOSPITAL ADDRESS]
Dear [HOSPITAL NAME]:
I received medical care at your hospital on [DATE].
I am now receiving bills from the hospital, [and/or] receiving
notices from one or more collections agencies,
[and/or] being sued for collection of this bill by XXXXX.
My family income is no more than 350% of the federal poverty level
and I am uninsured [or] my out-of-pocket health care costs
exceed 10% of my income.
According to AB 774 (California Health & Safety Code §127400 et seq),
I should be eligible for charity care or a discount payment
program offered by the hospital.
[Select all the circumstances which apply]
1. I was not given written notice regarding the hospital’s charity care
or discount payment policy while in the hospital, or when I was billed,
[and/or] in the language I speak.
2. The hospital refused to give me an application for charity care or
a discount payment program.
3. I was not permitted to set up a reasonable payment plan.
4. I applied for financial assistance, but the hospital refused to
accept my application.
5. I applied for financial assistance, but the hospital did not process
my application and make a final determination.
6. My application for financial assistance was improperly denied.
[Explain circumstances]
Until this matter is resolved, any collection activity against me
is unlawful.
If I am not offered payment assistance as required by law,
I will file a complaint with the Department of Health Services
or seek other remedy as permitted by the laws of this state.
I also ask that you assist me in repairing any damage that may
have been done to my credit.
Please notify me immediately as to how you intend to resolve this.
Sincerely,
[YOUR NAME]
cc: [OTHER ENTITIES ATTEMPTING TO COLLECT ON THE BILL]
그리고 궁금하면 더 자세하게 다음 링크에 나와있으니 잘 읽어보면 유용하리라 봅니다.
http://www.hospitalbillhelp.org/home
Sample Letter to Hospital
[DATE]
[YOUR NAME]
[YOUR ADDRESS]
[HOSPITAL NAME]
[HOSPITAL ADDRESS]
Dear [HOSPITAL NAME]:
I received medical care at your hospital on [DATE].
I am now receiving bills from the hospital, [and/or] receiving
notices from one or more collections agencies,
[and/or] being sued for collection of this bill by XXXXX.
My family income is no more than 350% of the federal poverty level
and I am uninsured [or] my out-of-pocket health care costs
exceed 10% of my income.
According to AB 774 (California Health & Safety Code §127400 et seq),
I should be eligible for charity care or a discount payment
program offered by the hospital.
[Select all the circumstances which apply]
1. I was not given written notice regarding the hospital’s charity care
or discount payment policy while in the hospital, or when I was billed,
[and/or] in the language I speak.
2. The hospital refused to give me an application for charity care or
a discount payment program.
3. I was not permitted to set up a reasonable payment plan.
4. I applied for financial assistance, but the hospital refused to
accept my application.
5. I applied for financial assistance, but the hospital did not process
my application and make a final determination.
6. My application for financial assistance was improperly denied.
[Explain circumstances]
Until this matter is resolved, any collection activity against me
is unlawful.
If I am not offered payment assistance as required by law,
I will file a complaint with the Department of Health Services
or seek other remedy as permitted by the laws of this state.
I also ask that you assist me in repairing any damage that may
have been done to my credit.
Please notify me immediately as to how you intend to resolve this.
Sincerely,
[YOUR NAME]
cc: [OTHER ENTITIES ATTEMPTING TO COLLECT ON THE BILL]
작성일2009-11-02 16:59
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