(801) 442-2000
36 S. State Street
Salt Lake City, UT 84111Map

Intermountain Healthcare

Financial Assistance for Patients
How to Apply

All medically necessary and generally available care is provided at Intermountain Healthcare facilities in a timely manner regardless of ability to pay. Intermountain provides financial assistance to residents of the communities we serve, who are otherwise unable to pay for care. This assistance is available to our insured and uninsured patients based on income and personal circumstances.

Apply for Financial Assistance
To apply for financial assistance, please complete the Financial Assistance Application and give the form, along with the appropriate documentation, to an Eligibility Counselor at the Intermountain facility where you received, or will receive, care. You may also mail a completed form to the facility were services were, or will be, provided.

For more information about Intermountain's Financial Assistance Program, please call the Financial Assistance Helpline at (801) 442-1128 in Salt Lake City, or toll-free at 1-800-442-1128.