Meet with a financial counselor
Nebraska Medicine financial counselors work daily with patients, caregivers and staff to answer questions about insurance, billing and financial assistance. They can also provide estimates for upcoming procedures or services.
We offer multiple ways to connect, apply and get the information you need:
Phone: 402.559.5346 or 888.662.8662
Email: pasfinancialcounselors@nebraskamed.com
Hours: Monday through Friday, 6:30 a.m. to 5 p.m. Interpreters are available.
Schedule an in-person or virtual appointment
Want to talk one-on-one? Schedule an appointment with one of our financial counselors.
Before your appointment, please have the following ready:
- Patient's name.
- Medical record number (if available).
- Insurance details (if available).
- Detailed explanation of the patient’s needs.
Applying for financial assistance
All patients are welcome to apply for financial assistance. You can apply in One Chart | Patient or download an application below.
Email pasfinancialcounselors@nebraskamed.com to request a copy.
Once you complete the form, mail it to:
Nebraska Medicine
987530 Nebraska Medical Center
Omaha, NE 68198-7530
- 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)
- Sample Notarized Letter of Support (English)
- Sample Notarized Letter of Support (Spanish)
- Sample Letter for not Filing Federal Taxes (English)
- Sample Letter for not Filing Federal Taxes (Spanish)
- Sample Notarized Letter of Separation (English)
- Sample Notarized Letter of Separation (Spanish)
- Sample Letter No Child Support Received (English)
- Sample Letter No Child Support Received (Spanish)
- Sample Letter Employment Verification (English)
- Sample Letter Employment Verification (Spanish)
- Sample – Three-Month Profit and Loss Statement (English)
- Sample – Three-Month Profit and Loss Statement (Spanish)
- 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)
Frequently asked questions
Get answers to common questions about billing, insurance, estimates and payment options.