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How-to · Health care

Apply for PeaceHealth hospital financial assistance

Download a PeaceHealth financial-assistance application in your language.

Steps

3 steps
  1. Apply onlineApply through My PeaceHealth.
  2. Send the completed applicationUpload through My PeaceHealth, fax to 360-729-3047, or use the listed mail option.
  3. Ask for helpSend questions through My PeaceHealth or call 877-202-3597.
  • How-to

    Appeal a Trillium denial and ask for a state hearing

    Health care
    1. Find your denial letterYou have to get a denial letter before you can ask for an appeal.
    2. Ask Trillium for an appeal within 60 daysCall, or send the Request to Review a Health Care Decision form. The 60 days count from the date on the denial letter.
    3. Mail a written request if you preferYou can mail the form or a written request to Trillium's appeals address in Eugene. Follow the instructions on your notice.
    + 2 more steps in the full guide
    BringYour denial letterWritten OK if your provider files
    Trillium Community Health Plan and Oregon Health Authority877-600-5472
  • How-to

    Apply for Lane County developmental disability services

    Health care
    1. Fill out the intake packetPackets for adults and children come in English and Spanish. Complete all forms.
    2. Submit the completed packetSend it by email, fax (541-682-9842) or mail to 2513 Martin Luther King Jr. Blvd., Eugene.
    3. Ask for a mailed packet if you need oneIf you need the office to mail you a packet, call or email the intake/eligibility team.
    + 1 more step in the full guide
    BringCompleted intake packet
    Lane County Developmental Disabilities Services541-682-6564
  • How-to

    Ask about 100-day prescriptions and mail-order refills

    Health care
    1. Ask your prescriber for a 100-day supplyThis works for maintenance medicines taken long term. It means fewer trips to the pharmacy.
    2. Consider mail orderMail order is through Express Scripts Pharmacy. Get the form from the Benefits and Services page.
    3. Check whether your pharmacy deliversCheck the pharmacy's website or call the pharmacy. Call at off times, as phone lines are busy.
    + 2 more steps in the full guide
    Trillium Community Health Plan877-600-5472