New! Jan 2013 - Pre-Registration Required for Wednesday Chronic Care Services
A staff member will contact you witnin 2 weeks of your scheduled appointment to pre-register you. Failure to pre-register may result in you not being seen.
Patient Information
Is the Clinic Really Free?
YES, the clinic is free to those who qualify for services. No fee is charged. The Albrecht Free Clinic is generously funded by community groups, churches, foundations, and private funders in the local area. Volunteer healthcare providers and community members donate their time, skill, and expertise to help patients. We do not receive federal or state funding. Like all healthcare service providers, costs for services such as prescription medications, physician and specialist services, and dental/oral surgery services are costly. We do encourage all patients to offer a donation towards their care if eligible for our services. The Albrecht Free Clinic is sensitive to the financial difficulties for individuals and families within Washington County and is willing to assist, but asks for a partnership with the patient. Patients pay nothing for services, but others contribute thousands of dollars each year to keep the clinics open and operational.
YES, the clinic is free to those who qualify for services. No fee is charged. The Albrecht Free Clinic is generously funded by community groups, churches, foundations, and private funders in the local area. Volunteer healthcare providers and community members donate their time, skill, and expertise to help patients. We do not receive federal or state funding. Like all healthcare service providers, costs for services such as prescription medications, physician and specialist services, and dental/oral surgery services are costly. We do encourage all patients to offer a donation towards their care if eligible for our services. The Albrecht Free Clinic is sensitive to the financial difficulties for individuals and families within Washington County and is willing to assist, but asks for a partnership with the patient. Patients pay nothing for services, but others contribute thousands of dollars each year to keep the clinics open and operational.
Criteria For Free Care
The Albrecht Free Clinic is sensitive to the fact that many individuals or families within the Washington County community may have lost a job, their home, or have experienced a degeneration in their economic status. Some may be employed or even hold some form of hospitalization or catastrophic health insurance policy. Please feel free to contact us if you have any questions regarding the eligibility criteria as provided for below.
The Albrecht Free Clinic provides patients with healthcare so long as they meet our eligibility guidelines. Eligibility for services require that patients be a Washington County resident, household income must be at 200% of Federal Poverty Limit (FPL) or less, combined checking and savings account is less than the allowable limit, and that they are not active members on BadgerCare/Medicaid or any other state-funded health insurance program. All new patients will undergo a financial eligibility assessment prior to receiving medical services, and all existing patients will typically re-new their financial eligibility every six months. Eligibility is determined on the verification documents brought in and a number of financial indicators.
Employer-sponsored health insurance: If patients is eligible for a health insurance on an employer-sponsored health insurance plan, and the employer cover 80% or more of the policy, and the patients make more than 150% of federal poverty guidelines, patients may not be eligible for services at our agency.
The Albrecht Free Clinic is sensitive to the fact that many individuals or families within the Washington County community may have lost a job, their home, or have experienced a degeneration in their economic status. Some may be employed or even hold some form of hospitalization or catastrophic health insurance policy. Please feel free to contact us if you have any questions regarding the eligibility criteria as provided for below.
The Albrecht Free Clinic provides patients with healthcare so long as they meet our eligibility guidelines. Eligibility for services require that patients be a Washington County resident, household income must be at 200% of Federal Poverty Limit (FPL) or less, combined checking and savings account is less than the allowable limit, and that they are not active members on BadgerCare/Medicaid or any other state-funded health insurance program. All new patients will undergo a financial eligibility assessment prior to receiving medical services, and all existing patients will typically re-new their financial eligibility every six months. Eligibility is determined on the verification documents brought in and a number of financial indicators.
Employer-sponsored health insurance: If patients is eligible for a health insurance on an employer-sponsored health insurance plan, and the employer cover 80% or more of the policy, and the patients make more than 150% of federal poverty guidelines, patients may not be eligible for services at our agency.
Documentation Requirements
Patients should ensure that they bring along with them necessary documentation in order to complete their financial eligibility assessment successfully. The Albrecht Free Clinic requires patients to provide us with proof of each:
1. Washington County Residency
2. Income and Assets
3. Health Insurance
4. Badger Care paperwork
Patients should ensure that they bring along with them necessary documentation in order to complete their financial eligibility assessment successfully. The Albrecht Free Clinic requires patients to provide us with proof of each:
1. Washington County Residency
2. Income and Assets
3. Health Insurance
4. Badger Care paperwork
The following are acceptable proof documents to bring in:
Washington County Residency - Any one of the following may be brought in so long as it shows the patient’s name, current and complete residential address, and states the municipality in which the patient belongs.
• Unexpired WI Driver’s license with current address.
• Unexpired WI ID card with current address.
• Unexpired Official ID Card or license issued by a WI governmental body.
• Current Employer-issued photo ID card.
• Unexpired University ID card or college fee card with name and current address.
• Utility Bill for the period beginning not earlier than 60 days.
• Current Bank statement with current address.
• A real estate (i.e. property) tax bill or receipt for the current year.
• Current Rental Agreement.
• Current paycheck, gov’t check, or other document issued by a unit of gov’t.
If you are homeless and:
1) living with a family relative or a friend:
- patient must bring in a signed letter from family member(s) and/or friend(s) sheltering the patient along with a copy of family member(s) and/or friend(s) photo ID with current address and/or other form of proof of residency.
- patient must bring in a signed note on facility letterhead paper explaining patient's status.
Income and Assets
It is required that patients bring in one month’s worth of proof of income from the past 30-60 days and the most current bank statements must be presented for the patient and/or for his/her spouse. If patient is an unmarried and living with his/her significant other with a joint child(ren)-in-common, it is required that the patient bring in one month’s worth of proof of income from the past 30-60 days and the most current bank statements for himself/herself and his/her partner. For Qualifying Relatives and Adult-Aged Children: If the patient is being claimed by another household member(s), or are claiming other household member(s), most recent federal tax return along with most current bank statement for each household member is required to be presented.
Health Insurance
If the patient has Catastrophic/Hospitalization insurance only, or, limited health services covered under the Wisconsin funded Family Planning and Well Woman’s plans, patient may be eligible for services at our agency. Patients are not eligible for services with our agency if they have insurance or have access to a group health insurance plan for which their employer pays at least 80% of the monthly premium costs, and you are making 150% or more of Federal Poverty Guideline.
Badgercare for Families
If patients have minor children within the household, they are required to make an application to Badgercare and to provide proof of the following:
1. Acceptance documentation
2. Application documentation
3. Denial documentation
English as a Second Language
If adequate notice is given, the Albrecht Free Clinic will strive to have an on-site certified or licensed volunteer translator for medical interpretation during the patient's appointment. However if we do not have a medical translator on staff, for any patient who does not have fluency in the English language, they are required to bring in their own translator. Translators must be over the age of 16 years old.
It is required that patients bring in one month’s worth of proof of income from the past 30-60 days and the most current bank statements must be presented for the patient and/or for his/her spouse. If patient is an unmarried and living with his/her significant other with a joint child(ren)-in-common, it is required that the patient bring in one month’s worth of proof of income from the past 30-60 days and the most current bank statements for himself/herself and his/her partner. For Qualifying Relatives and Adult-Aged Children: If the patient is being claimed by another household member(s), or are claiming other household member(s), most recent federal tax return along with most current bank statement for each household member is required to be presented.
Health Insurance
If the patient has Catastrophic/Hospitalization insurance only, or, limited health services covered under the Wisconsin funded Family Planning and Well Woman’s plans, patient may be eligible for services at our agency. Patients are not eligible for services with our agency if they have insurance or have access to a group health insurance plan for which their employer pays at least 80% of the monthly premium costs, and you are making 150% or more of Federal Poverty Guideline.
Badgercare for Families
If patients have minor children within the household, they are required to make an application to Badgercare and to provide proof of the following:
1. Acceptance documentation
2. Application documentation
3. Denial documentation
English as a Second Language
If adequate notice is given, the Albrecht Free Clinic will strive to have an on-site certified or licensed volunteer translator for medical interpretation during the patient's appointment. However if we do not have a medical translator on staff, for any patient who does not have fluency in the English language, they are required to bring in their own translator. Translators must be over the age of 16 years old.
Services Offered
The Albrecht Free Clinic's family physicians, nurse practitioners, and internal medication providers primarily screen, diagnose, and often prescribe medication for healthcare problems. Patients may receive referrals - at no cost to them - for treatment from off-site specialists and medical practitioners. Emergency and surgical services are not provided. Laboratory tests, x-rays, and therapy are provided services, but performed off-site at local hospitals and clinics. If patients are given a prescription for medication, they will either be given sample products provided to the Clinic by pharmaceutical companies or through donations from the community. Or, you may be asked to pay for your medications if available on the Generic's Listing at the local pharmacies. Vouchers for medications will given on a limited basis.
The Albrecht Free Clinic's family physicians, nurse practitioners, and internal medication providers primarily screen, diagnose, and often prescribe medication for healthcare problems. Patients may receive referrals - at no cost to them - for treatment from off-site specialists and medical practitioners. Emergency and surgical services are not provided. Laboratory tests, x-rays, and therapy are provided services, but performed off-site at local hospitals and clinics. If patients are given a prescription for medication, they will either be given sample products provided to the Clinic by pharmaceutical companies or through donations from the community. Or, you may be asked to pay for your medications if available on the Generic's Listing at the local pharmacies. Vouchers for medications will given on a limited basis.
Patient Assistance Programs
Patient Assistance Programs (PAP's) are sponsored by pharmaceutical companies and provide free or discounted prescription medicines to low-income, uninsured and underinsured individuals who meet their guidelines. Eligibility criteria is different for every program.
Clinic staff will help you use PAP's with such things as finding a program, completing forms and working with prescribers who must sign the forms. Medicine will be directly delivered free of charge to the Albrecht Free Clinic. Medicines are not shipped to patent's homes. Patients shall contact us ahead of time to pick up your medicines during non-clinic hours, or they may pick up during normal clinic hours. Our staff requests refills when they are required. Patients must give our agency 2 weeks notice before they run out of their medication.
Patients may call our PAP contact line at 262-306-7720 - please clearly leave your name, number, and best time to call in order for a staff member to contact you.
For additional assistance and resources for program guidelines and downloadable forms, please visit needymeds.org.
Clinic staff will help you use PAP's with such things as finding a program, completing forms and working with prescribers who must sign the forms. Medicine will be directly delivered free of charge to the Albrecht Free Clinic. Medicines are not shipped to patent's homes. Patients shall contact us ahead of time to pick up your medicines during non-clinic hours, or they may pick up during normal clinic hours. Our staff requests refills when they are required. Patients must give our agency 2 weeks notice before they run out of their medication.
Patients may call our PAP contact line at 262-306-7720 - please clearly leave your name, number, and best time to call in order for a staff member to contact you.
For additional assistance and resources for program guidelines and downloadable forms, please visit needymeds.org.
