Financial Assistance Applications Applications are available from any of your Trimark doctors’ offices or from the Trimark Central Billing Office at 515-574-6890.

Financial Assistance

In accordance with our mission to improve the health of our community through healing, caring, and teaching, Trimark Physicians Group offers financial assistance to patients falling below federally published income levels based on family size.     

Eligibility

If you are eligible for Housing assistance, Food Stamps, Medicaid Programs or Iowa Cares Program, and have an outstanding balance from a time you were not eligible, please provide documentation showing your current monthly eligibility.  

Proof of Eligibility

To determine if you qualify for financial assistance, you will need to complete an application.  You will also need to provide copies of the following documents to support your income.

• Your most recently completed Federal Income Tax Form with W2’s. (Complete tax form, not summary)

• Paycheck stubs for past 3 months or written Statement of Earnings from your employer listing dates of employment with year to date income and per hour wage and hours. Proof of any Worker Compensation payments is also required.

• A Workforce Center printout showing the status of reported income from employment (Wage A statement), along with proof of any payments from unemployment (DBRO statement).  

• Proof of current gross monthly Social Security benefit from the government. (Copy of letter you received or Social Security printout)