Financial assistance & payment plans
We're here to help.
Patients have two options to apply for financial assistance
Online
Submit your financial assistance application through our secure patient portal, MyHealth.
Questions? Call 503-413-4048
By mail, fax or in-person
Select the preferred language. Complete the application and include all documentation when submitting by mail, fax or in-person.
Mail to:
Legacy Health
PO Box 4037
Portland, OR 97208
In person:
Please stop by any Legacy Health facility. Hospital sites have by appointment financial counselors to assist you.
Financial Assistance Policies, Information & Documentation Forms
English
- Financial Assistance Program Plain Language Summary
- Financial Assistance Application
- Financial Assistance Policy
- Financial Assistance Sliding Scale
- Proof of Income fact sheet
- Provider Listing
- Amounts Generally Billed (AGB) Explanation
العربية (Arabic)
- Financial Assistance Program Plain Language Summary
- Financial Assistance Application
- Financial Assistance Policy
- Financial Assistance Sliding Scale
Русский (Russian)
Español (Spanish)
- Financial Assistance Plain Language Summary
- Financial Assistance Application
- Financial Assistance Policy
- Financial Assistance Sliding Scale
- Proof of Income fact sheet
繁體中文 (Traditional Chinese)
- Financial Assistance Plain Language Summary
- Financial Assistance Application
- Financial Assistance Policy
- Financial Assistance Slide Scale
українська (Ukranian)
- Financial Assistance Plain Language Summary
- Financial Assistance Application
- Financial Assistance Policy
- Financial Assistance Sliding Scale
tiếng Việt (Vietnamese)
Need to appeal?
If you are denied help, you may appeal by sending a letter explaining why you feel the decision was not right with more information.
Legacy Hospital, Clinic, Doctor and Provider Billing
P. O. Box 4037
Portland, OR 97208
Legacy Hospice Billing
P.O. Box 4466
Portland, OR 97208
Legacy Lab Billing
P.O. Box 5337
Portland, OR 97228
Need help finding insurance?
Need more time to pay?
If you need more time to pay, we have flexible, interest-free payment plans available. Contact us to learn more.
