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Financial Assistance

Western Wisconsin Health’s financial assistance program provides health care to our patients regardless of their ability to pay. Through our Sliding Fee Discount Program, patients who do not have financial resources to pay for services or have incurred financial hardship may have their medical bill partially or completely forgiven if they meet the requirements.

Sliding Fee Discount Program

The Sliding Fee Discount Program was created to ensure that all patients, regardless of ability to pay, can access medical care. Discounts offered under this program are made available without consideration of race, color, religion, sex, age, national origin, citizenship, veteran status, marital status, handicap/disability, gender or sexual orientation. Patients may apply by completing an application that can be obtained from the registration/business office staff, or download from the link below.

Western Wisconsin Health accepts most commercial insurance plans as well as:

  • Medicaid
  • Medicare
  • Children’s Health Insurance Program (CHIP)

Who is eligible?

An individual or family may qualify for a discount under the Sliding Fee Discount Program if their personal income is below 400% of the federal poverty guidelines as published annually in the Federal Register. Eligibility for Sliding Fee Discount Program is based upon a combination of family size and income. Gross household income includes, but is not
limited to: wages and salaries, income from state, federal and private sources, Social Security, veteran benefits, alimony and child support, pensions and annuities, Unemployment and Workers Compensation benefits, and income from rental property. Additionally, if your income exceeds these limits, you may qualify for special discount consideration in the event of an established “special cause” or “catastrophic” situation. Such determinations are made on an individual case basis.

Do I have to fill out an application every time I come to WWH for health care?

Notice of acceptance for Sliding Fee Discount Program covers only a specific point in time and is not a blanket approval for future services. A patient may pre-qualify future services when specified with the application. Patients must contact the Billing Office and re-apply with each new medically necessary service they wish to have covered.

Applying and/or being approved for Sliding Fee Discount Program will not affect the quality of your medical care from the medical center or the physician. Applications will be processed once a month. If I do not meet the qualifications for Sliding Fee Discount Program, can I still get help paying for my healthcare?

If you do not qualify for Sliding Fee Discount Program, you should contact the Billing Office at 715-684-1565 for more information on other payment options.

WWH payment policies include:

  • Co-payments are due at the time you receive service.
  • Full payment is due within 30 days of the date of your original bill.
  • There will be a $45 charge for all returned checks.
  • We offer an interest-free, extended payment plan with prior approval for qualified individuals.

Your bill may be paid via mail, on our website, or in person. We accept:

  • Check
  • Cash
  • Money Order
  • VISA, MasterCard, Discover, American Express

Can I appeal a denial of my application for Sliding Fee Discount Program?

Any patient who is denied under the Sliding Fee Discount Program has the right to have the initial determination reviewed. Please send your written appeal request to the Business Services Manager. Your appeal will be processed and you will be notified of the final determination from that review. The Sliding Fee Discount Program will be applied consistently and

Sliding Fee Discount Schedule – 2020

Poverty Level

















Family Size







$ 12,490

$ 24,980

$ 37,470

$  43,715

$ 49,960


$ 16,910

$ 33,820

$ 50,730

$ 59,185

$ 67,640


$ 21,330

$ 42,660

$ 63,990

$ 74,655

$ 85,320


$ 25,750

$ 51,500

$ 77,250

$ 90,125

$ 103,000


$ 30,170

$ 60,340

$ 90,510

$ 105,595

$ 120,680


$ 34,590

$ 69,180

$ 103,770

$ 121,065

$ 138,360


$ 39,010

$ 78,020

$ 117,030

$ 136,535

$ 156,040


$ 43,430

$ 86,860

$ 130,290

$ 152,005

$ 173,720

(The Federal Poverty Level Guidelines for 2019 and 2020 Coverage, 2019)

Help When You Need It

The Sliding Fee Discount Program is designed to make sure all patients have access to medical care, regardless of their ability to pay.

To apply for the Sliding Fee Discount Program, call the Billing Office at 715-684-1565 or mail your request to the Billing Office at:
Western Wisconsin Health
1100 Bergslien Street
Baldwin, WI 54002

Sliding Fee Discount Application

Sliding Fee Discount Program Policy

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