Access to Care

You may qualify for Access to Care. For more information, please contact our Financial Counselors at 207-498-1371or 498-1617, or 800-858-2279, ext. 1371 or 1617; by emailing pinesbillinghelp@pineshealth.org; or by visiting our Billing Office at 24 Sweden St., Caribou, ME. Click for Map/Directions

• Sliding Fee Scale
• Application for Access to Care
• Medical Care for Those Who May Qualify for Financial Assistance (Access to Care)
• Required Documentation
• Letter to Patient of Required Documentation
• Financial Assistance Program (Instructions for completing Free Care application)
• Earning/Housing Verification Form
• Access to Care Approval/Denial Letter (Determination of Eligibility)
• Final Notice of Overdue Account Form
• Sample Missing Information Form