Free Medical Bill Waiver Letter Template
Medical Bill Waiver Letter Template
Jeanette Spann
835 Barnes Avenue,
Loveland, OH 45140
jeanette@email.com
222 555 7777
February 18, 2060
Janet Williams
Golden Horizon Medical
964 Sunny Day Drive,
Riverside, CA 92501
Dear Ms. Williams,
I am writing to formally request a Medical Bill Waiver for the outstanding expenses owed by me. Due to financial hardship and lack of comprehensive insurance coverage, these medical costs have become a significant burden that exceeds my ability to pay.
The medical treatment I received at Golden Horizon Medical was necessary for my wellbeing, but unfortunately, the associated costs have created excessive strain on my financial situation. As an individual facing challenging circumstances, I am unable to meet the full payment obligations outlined in the medical bills.
Granting the Medical Bill Waiver request would alleviate the financial burden that I am currently experiencing. I understand that your organization is committed to providing quality healthcare services and support to individuals in need. The waiver would greatly assist me in managing my current financial difficulties and allow me to prioritize other essential living expenses.
I have included supporting documentation outlining my financial situation, which demonstrates the extent of my financial hardship and inability to fulfill payment obligations. I hope that this information will help you understand the genuine and pressing need for the Medical Bill Waiver.
In accordance with your specific guidelines, I have followed the necessary procedure to apply for the waiver. I appreciate your time and consideration in reviewing my request and would like to express my gratitude for your organization's dedication to supporting individuals facing financial challenges in accessing medical care.
In summary, I kindly request a Medical Bill Waiver for the outstanding expenses owed. This waiver will greatly alleviate the financial burden I am currently facing and allow me to focus on rebuilding my financial stability.
Thank you for your understanding and assistance in this matter.
Sincerely,
Jeanette Spann
835 Barnes Avenue,
Loveland, OH 45140
jeanette@email.com
222 555 7777
