In order to qualify for any type of financial assistance, clients or legal guardians of clients are responsible for providing financial information and proof of residency to assist Burrell in determining level of financial assistance. If approved, the client will be able to receive financial assistance for six months. Help with the financial assistance application will be available as a part of the intake process.
Proof of residency includes:
A valid driver’s license
Posted mail with the name of the applicant
Utility bill or mortgage/rental invoice
Voter ID card
Financial information includes one of the following:
Two most recent paystubs
The prior year’s tax return (if reflective of current income)
Statement of Benefits (Social Security, Unemployment, Pensions, etc.)
Employer earnings statements
Federal or State award letter
Purchase of Service (POS)
POS funds are state funds available if the client does not have Medicaid or another pay source. For both Recovery and CPR clients, the Community Support Specialist (CSS) will assist the client in applying for Medicaid coverage and POS funds will cover services for six months or until the application is approved. If the Medicaid application is not approved, the CSS will work with the client to find another payment option after the six-month period ends.
Sliding Scale Fee
The sliding scale is a payment option based on household income, household size and standards established by the federal poverty guidelines. If a client does not have insurance, or has insurance that is not accepted by Burrell, the client may complete a sliding scale application and provide proof of income to determine their cost of services. If a client does not have any income, they will need to submit a written statement stating they do not have any income.
Outpatient Financial Aid
Outpatient Financial Aid is available for clients who qualify for the lowest rate on the sliding scale, but are unable to pay for services. These clients will be able to complete a Financial Aid Agreement Form and, if approved, will receive six (6) sessions at no cost. These sessions will expire if the client fails to show to their appointments without cancelling in advance. Additional sessions may be made available in special cases.
If you need help paying for your medication, Burrell Pharmacy staff will supply information about financial assistance provided by Pharmaceutical Companies.
Self-pay clients who pay the full fee at the time of service are eligible for a 20 percent discount.