Télécharger Gratuit Medical Hardship Letter

How to write a Medical Hardship Letter to a doctor or hospital?

If you cannot keep up with medical bill payments, and need to renegotiate a payment plan, use this medical hardship letter that you can send to a hospital to open the discussion to ease your financial difficulties. Here is an example of a medical hardship letter that you can use:

Hardship Letter concept:

To Whom It May Concern,
I am writing this letter as ask you to help me extend my loan.
The reason for this is my recent heart surgery, which caused me beyond what my health insurance could cover.
My life’s savings is not enough to pay my medical bills, which is why I need a loan modification.
My name is {{Name}}, and I was a patient at {{hospital/clinic/doctor’s office}} on {{date}}, where I received {{a specific procedure, treatment, etc.}}.
Indicate what your insurance covered of this procedure, or note that you did not have insurance at the time.
I have been on a payment plan that has me paying {{amount in dollars}} per month.
But I have unfortunately run into significant troubles in my life, which have made it impossible for me to continue to keep up with this payment plan.
Due to {death in the family, loss of a job, other medical problems, etc., I am dealing with making constant decisions about which of my many bills is most important each month.
I have attached {{relevant financial documents}} to this letter, so that you can see that my monthly income is only {{amount in dollars}}, all of which must go to {{mortgage, rent, other payments}}, leaving very little left for the amount I owe you.
Indicate how much you can pay each month, or indicate that you would like to have your debt forgiven due to this hardship.
I have a good record with your company, and I intend to keep it.
I wish that we could negotiate for my loan extension.
If you wish to see me about my request, feel free to contact me anytime for an appointment.
I hope that we can work out a plan that will work for both parties.

This blank Medical Hardship Letter is intuitive, ready-to-use and structured in a smart way. Try it now and let this Medical Hardship Letter sample inspire you. We certainly encourage you to use this Medical Hardship Letter for your own benefit. Our collection of online health templates aims to make life easier for you. Our site is updated every day with new health and healthcare templates. By providing you this health Medical Hardship Letter template, we hope you can save precious time and efforts and it will help you to reach the next level of success in your life, studies or work!

Download this Medical Hardship Letter template now and modify the details according to your personal situation.

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Medical Hardship Letter

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How to write a Medical Hardship Letter? Download this Medical Hardship Letter template now and modify the details according to your personal situation.

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