Program Overview

Provides detailed information about the Partners Financial Assistance Program, including eligibility guidelines, program policies, and how applications are reviewed.

“Should I Apply for Medicaid?” Worksheet

A worksheet designed to help you determine whether applying for Medicaid may be an option before or alongside applying for the PIHC Financial Assistance Program.

Income Guide

A reference document that explains income ranges and may help you determine whether your household income may qualify for assistance.

Application Instructions

A step-by-step guide explaining how to complete the PIHC Financial Assistance Application and what information you will need to provide.

Financial Assistance Application

The official application form that must be completed and submitted to be considered for the program.

Application Checklist

Outlines the documentation required for a complete application, such as proof of income and other supporting materials. Reviewing this checklist before submitting your application can help prevent delays.