Need to speak with a financial counselor?
Call us
Call Customer Service at 402.559.3140 or 888.662.8662.
Schedule an in-person or virtual appointment
Request an in-person or virtual appointment to talk one-on-one with one of our financial counselors. Schedule an appointment.
Unexpected medical expenses can be a financial burden. If you think you might have difficulty paying your Nebraska Medicine bill, we can help.
Our financial counseling services are provided by a team of professional Patient Financial Counselors trained in financial counseling for medical services. The team is responsible for assisting all patients, staff and physicians with insurance, billing and financial program-related needs. Cost estimates for procedures are available upon request, and multiple financial assistance options are available.
All patients are welcome to apply for financial assistance. Download the application below, or request a copy by emailing pasfinancialcounselors@nebraskamed.com.
Once you complete the form, mail it to:
Nebraska Medicine
987530 Nebraska Medical Center
Omaha, NE 68198-7530
To speak with a Patient Financial Counselor, please call 402.559.5346, or email pasfinancialcounselors@nebraskamed.com, Monday through Friday, 6:30 a.m. to 5 p.m. Interpreters are available.
When calling or meeting with a Patient Financial Counselor for financial assistance or a cost estimate, be sure to have the following information available:
- Patient name
- Medical record number (if available)
- Insurance information (if available)
- Detailed explanation of patient’s needs
State Medicaid applications
- Apply for Medicaid in Nebraska
- Apply for Medicaid in Iowa
- Apply for Medicaid Kansas
- Apply for Medicaid South Dakota
- Apply for Medicaid Missouri
Financial assistance application form
- Financial Assistance Application (English)
- Financial Assistance Application (Spanish)
- Financial Assistance Application (Burmese)
- Financial Assistance Application (Mandarin)
- Financial Assistance Application(Arabic)
- Financial Assistance Application (Nepali)
- Financial Assistance Application(Somali)
- Financial Assistance Application (Vietnamese)
- Financial Assistance Application (Karen)
Plain-language summary of the financial assistance policy
- Plain Language Summary (English)
- Plain Language Summary (Spanish)
- Plain Language Summary (Burmese)
- Plain Language Summary(Mandarin)
- Plain Language Summary (Arabic)
- Plain Language Summary (Nepali)
- Plain Language Summary (Somali)
- Plain Language Summary (Vietnamese)
- Plain Language Summary (Karen)
Financial assistance policy
- Financial Assistance Policy (English)
- Financial Assistance Policy (Spanish)
- Financial Assistance Policy (Burmese)
- Financial Assistance Policy (Mandarin)
- Financial Assistance Policy (Arabic)
- Financial Assistance Policy (Nepali)
- Financial Assistance Policy (Somali)
- Financial Assistance Policy (Vietnamese)
- Financial Assistance Policy (Karen)