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Billing and Insurance
Financial assistance
Financial Assistance Documents — Florida campus

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Billing and Insurance
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Financial Assistance Documents — Florida campus

Financial Assistance Documents — Florida campus

English Versions

Financial Assistance Application (PDF)
Financial Assistance Policy (PDF)
Plain Language Summary (PDF)
Amount Generally Billed (PDF)
Billing and Collection Policy (PDF)
Outside Provider Lists (PDF)

Financial Assistance Application — Translated languages

Financial Assistance Application — Arabic (PDF)
Financial Assistance Application — Bosnian (PDF)
Financial Assistance Application — French (PDF)
Financial Assistance Application — Simplified Chinese (PDF)
Financial Assistance Application — Portuguese (PDF)
Financial Assistance Application — Russian (PDF)
Financial Assistance Application — Spanish (PDF)
Financial Assistance Application — Tagalog (PDF)
Financial Assistance Application — Vietnamese (PDF)

Financial Assistance Policy — Translated languages

Financial Assistance Policy — Arabic (PDF)
Financial Assistance Policy — Bosnian (PDF)
Financial Assistance Policy — Chinese (PDF)
Financial Assistance Policy — French (PDF)
Financial Assistance Policy — Portuguese (PDF)
Financial Assistance Policy — Russian (PDF)
Financial Assistance Policy — Spanish (PDF)
Financial Assistance Policy — Tagalog (PDF)
Financial Assistance Policy — Vietnamese (PDF)

Plain Language Summary — Translated languages

Plain Language Summary — Arabic (PDF)
Plain Language Summary — Bosnian (PDF)
Plain Language Summary — Chinese (PDF)
Plain Language Summary — French (PDF)
Plain Language Summary — Portuguese (PDF)
Plain Language Summary — Russian (PDF)
Plain Language Summary — Spanish (PDF)
Plain Language Summary — Tagalog (PDF)
Plain Language Summary — Vietnamese (PDF)

Amount Generally Billed — Translated languages

Amount Generally Billed — Arabic (PDF)
Amount Generally Billed — Bosnian (PDF)
Amount Generally Billed — French (PDF)
Amount Generally Billed — Simplified Chinese (PDF)
Amount Generally Billed — Portuguese (PDF)
Amount Generally Billed — Russian (PDF)
Amount Generally Billed — Spanish (PDF)
Amount Generally Billed — Tagalog (PDF)
Amount Generally Billed — Vietnamese (PDF)

Billing and Collection Policy — Translated languages

Billing and Collection Policy — Arabic (PDF)
Billing and Collection Policy — Bosnian (PDF)
Billing and Collection Policy — French (PDF)
Billing and Collection Policy — Simplified Chinese (PDF)
Billing and Collection Policy — Portuguese (PDF)
Billing and Collection Policy — Russian (PDF)
Billing and Collection Policy — Spanish (PDF)
Billing and Collection Policy — Tagalog (PDF)
Billing and Collection Policy — Vietnamese (PDF)

Provider Lists — Translated languages

Provider Lists — Arabic (PDF)
Provider Lists — Bosnian (PDF)
Provider Lists — French (PDF)
Provider Lists — Simplified Chinese (PDF)
Provider Lists — Portuguese (PDF)
Provider Lists — Russian (PDF)
Provider Lists — Spanish (PDF)
Provider Lists — Tagalog (PDF)
Provider Lists — Vietnamese (PDF)

Patient resources

If you have questions regarding your Mayo Clinic monthly statement or financial assistance, you may call Patient Account Services at 844-217-9591 (toll-free) or 507-266-0909 for international callers. The TDD line is 904-953-2300.

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Financial Assistance Documents — Florida campus

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