Utmb financial assistance 2025

Get Form
utmb financial assistance application Preview on Page 1

Here's how it works

01. Edit your utmb financial assistance application online
Type text, add images, blackout confidential details, add comments, highlights and more.
02. Sign it in a few clicks
Draw your signature, type it, upload its image, or use your mobile device as a signature pad.
03. Share your form with others
Send how to qualify for utmb via email, link, or fax. You can also download it, export it or print it out.

How to use or fill out utmb financial assistance with our platform

Form edit decoration
9.5
Ease of Setup
DocHub User Ratings on G2
9.0
Ease of Use
DocHub User Ratings on G2
  1. Click ‘Get Form’ to open the utmb financial assistance document in the editor.
  2. Begin by entering your personal information in the designated fields, including your name, address, and contact details. Ensure accuracy as this information is crucial for processing your application.
  3. Next, navigate to the financial details section. Here, you will need to provide information about your income and any other financial resources. Use our platform’s text boxes to input these figures clearly.
  4. In the additional information section, describe any special circumstances that may affect your financial situation. This is an opportunity to provide context that could support your application.
  5. Finally, review all entered information for completeness and accuracy. Utilize our platform’s editing tools to make any necessary adjustments before submitting.

Start using our platform today for free and simplify your utmb financial assistance application process!

be ready to get more

Complete this form in 5 minutes or less

Get form

Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.
Contact us
Generally, if your income is less than or equal to 250% of the federal poverty guidelines you may receive some financial assistance from Texas Health. Our Financial Assistance Policy may also allow for help with your bill if your income is over 250% of the Federal Poverty Guideline.
Most hospitals offer discounts or bill forgiveness based on income. This is called hospital financial assistance, or sometimes charity care. A hospital bill for $15,000 could become $150 or even $0. Dollar For can help you apply for free.
Log in using the UTMB credentials. Select Enroll in Payment Plan and follow the on-screen instructions.
If you are experiencing financial hardship, assistance may be available. Income guidelines apply and are subject to approval. You must document your income. The patient/guarantor must submit current financial information when they submit their financial assistance application.
Financial assistance is the transfer to a non-federal recipient anything of value for a public purpose, and at DHS includes grants, cooperative agreements, training, loans, direct payments, and flood insurance.
be ready to get more

Complete this form in 5 minutes or less

Get form

People also ask

How Much Money Will I Receive Household SizeGross IncomeMaximum Cash Assistance Amount 3 $1050 $662.00 4 $1230 $775.00 5 $1400 $882.00 6 $1542 $972.006 more rows
Explore Our Specialties Primary Care. Staying well means caring for your health every day. Womens Health. Womens Health Services cares for women of all ages by providing OB/GYN checkups, preventive health screenings, midwife care, and more. Pediatrics. Heart Health.
UW Medicine provides financial assistance for any patient/guarantor whose gross family income is up to 400% of the Federal Poverty Level (FPL) and adjusted for family size after any third-party coverage has been exhausted.

utmb financial aid