Financial Assistance

Apply for Aid

Aid is available to eligible Americans who are uninsured, unable to afford coverage, or experiencing financial hardship. Membership is free. There is a one-time $10 application fee.

How It Works

To qualify, applicants must be uninsured, unable to afford coverage, or demonstrate financial hardship. Those with insurance or the means to pay are not eligible.

1

Submit Your Application

Complete the form describing your medical need and financial situation. There is a one-time $10 application fee. We may request additional documentation during the vetting process.

2

Become a Member

Free membership gives you access to all assistance programs, resources, and provider networks.

3

Eligibility Review

Our team reviews every application carefully. Applicants must be uninsured, unable to afford coverage, or demonstrate financial hardship to qualify.

4

Receive Support

Approved applicants will be connected with a financial assistance team member who will guide next steps.

Need Help?

Call or email — our team can help you navigate the process and answer eligibility questions.

Start Your Application

Membership is free. This application takes about 10 minutes. A team member will follow up with you directly.

A one-time $10 application fee is required to submit. You will be directed to complete payment after submitting this form.