Let us help with your medical costs

From unpaid bills to future care, we help our members potentially access real provider savings. We help every step of the way, including working directly with hospitals, doctors and debt collectors on your behalf.

Provide your information below to start the relief process.

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First and last name

Email address

Phone number

What is your preferred contact method?

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Name of employer

Date of birth

Please list any preferred times for one of our advocates to contact you. Our standard business hours are weekdays from 8 a.m. - 6 p.m. ET

What type of medical expenses are you facing?

How did you find out about Imagine360 Financial Assistance?

Click below to submit your information. One of our advocates will contact you within one business day to start the process.