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.
Please click here to download our brochure.
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.
Please click here to download our brochure.
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 loss of income for various reasons. We are here to help Washington County residents gain access to medical care. Our guidelines are to help those eligible for our service and to assist others to find insurance through either BadgerCare or Health Care Insurance plans. If you are currently receiving care with us, the following eligibility guidelines must be continually met in order for you to continue with your health care services with us. Please make sure to review the following guidelines. Staff and volunteers would be happy to answer any questions you may have. You may contact us via phone or through the "Contact Us" page.
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 or have employment within the county, household income must be at 200% of Federal Poverty Limit (FPL) or less, and that they are not active members on BadgerCare/Medicaid or any other private or state-funded health insurance program. Any patient that is currently not a BadgerCare member and has a household income of 100% or less of FPL is required to complete an application for BadgerCare.
All new patients will complete a financial eligibility assessment, and all existing patients will typically review their financial eligibility every six months with a new application completed annually. Eligibility is determined on the verification documents brought in and a number of financial indicators.
Financial Application [English]
Please click here to download a financial application and begin completing it.
Financial Application [Spanish]
Please click here to download a financial application and begin completing it.
Accepted proof documents are listed below. If you are unable to provide something from the list, please talk to a staff member about your situation and possible options. Providing accurate documentation is important to us being able to assist you! The Albrecht Free Clinic does not contact the IRS, employer(s) or any other income sources to obtain this information as part of the application process – you are required to bring this documentation to us.
Once you have completed your application, you may return it along with your proof documents by:
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 loss of income for various reasons. We are here to help Washington County residents gain access to medical care. Our guidelines are to help those eligible for our service and to assist others to find insurance through either BadgerCare or Health Care Insurance plans. If you are currently receiving care with us, the following eligibility guidelines must be continually met in order for you to continue with your health care services with us. Please make sure to review the following guidelines. Staff and volunteers would be happy to answer any questions you may have. You may contact us via phone or through the "Contact Us" page.
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 or have employment within the county, household income must be at 200% of Federal Poverty Limit (FPL) or less, and that they are not active members on BadgerCare/Medicaid or any other private or state-funded health insurance program. Any patient that is currently not a BadgerCare member and has a household income of 100% or less of FPL is required to complete an application for BadgerCare.
All new patients will complete a financial eligibility assessment, and all existing patients will typically review their financial eligibility every six months with a new application completed annually. Eligibility is determined on the verification documents brought in and a number of financial indicators.
Financial Application [English]
Please click here to download a financial application and begin completing it.
Financial Application [Spanish]
Please click here to download a financial application and begin completing it.
Accepted proof documents are listed below. If you are unable to provide something from the list, please talk to a staff member about your situation and possible options. Providing accurate documentation is important to us being able to assist you! The Albrecht Free Clinic does not contact the IRS, employer(s) or any other income sources to obtain this information as part of the application process – you are required to bring this documentation to us.
Once you have completed your application, you may return it along with your proof documents by:
- Mailing
- Faxing
- Drop-off [For your convenience, there is a drop-box outside our door.]
Documentation Requirements
Patients should ensure that they attach to their completed financial application the necessary documentation in order to complete their financial application successfully. The Albrecht Free Clinic requires patients to provide us with proof of each:
1. Washington County Residency/Employment in Washington County
2. Income Documentation
3. Badger Care Documentation
Patients should ensure that they attach to their completed financial application the necessary documentation in order to complete their financial application successfully. The Albrecht Free Clinic requires patients to provide us with proof of each:
1. Washington County Residency/Employment in Washington County
2. Income Documentation
3. Badger Care Documentation
The following are acceptable proof documents to bring in:
Washington County Residency
The Albrecht Free Clinic serves anyone who lives or works in Washington County. Unexpired proof of residency in Washington County showing your name and current address is required OR a paystub that proves you work in Washington County. If your employers address is not on the check stub please bring a business card along. If you live and work in another county and are unsure where you should go for affordable healthcare services, we would be happy to provide information to you. Any one of the following may be brought in so long as it shows the patient’s name and current and complete residential address.
• Current WI Driver’s license with current address
• Current WI ID card with current address
• Current Official ID Card or license issued by a WI governmental body
• Current Employer-issued photo ID card
• Current University ID card or college fee card with name and current address
• Utility Bill that is not older than 60 days
• Current Bank statement with current address
• A real estate (i.e. property) tax bill or receipt for the current year
• Rental Agreement
• Employer Business Card
• Letter or other document from a county, state, or Federal office
• Paycheck (if your complete address is printed on it)
If you are homeless and:
1) living with a family relative or a friend:
- 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) current proof of residency.
- signed note on facility letterhead paper explaining patient's status.
Income
All patients are required to be within 200% or below of FPL in order to be eligible for medical services with our clinic. One month's worth of consecutive income documentation is required for each working individual. It must be less than 60 days old. Proof of income for other household members may also be required.
Note: you do not need to include income documentation from Workmen's Comp, Child Support Received, Supplemental Security Income (SSI), Veteran's Benefits, and public assistance benefits such as FoodShare and Energy Assistance.
Health Insurance
If you do not have health insurance, and meet eligibility criteria including documentation requirements, you will be eligible for healthcare services at our agency. Patients are not eligible for services with our agency if they have insurance. Additionally, you are not eligible if you have access to a group health insurance plan for which your employer pays at least 80% of the monthly premium costs, and your household earns 150% or more of FPL.
BadgerCare
If you are an active member of Medicare, BadgerCare, or any other state-funded insurance plan, you may not be eligible for services at our agency. We require that those with household incomes of 100% or less of FPL to make an applicaiton for Badger Care and to provide us with notification when you have been accepted or denied. If you have recently been accepted into BadgerCare but are unable to secure medical care, we will provide assistance until your first appointment with your new doctor.
English as a Second Language
Patients are encouraged to bring their own interpreter. They must be age 18 or older, AND will be required to provide us with valid identification so that we may verify age. Interpreters may be available at some walk in clinics but there is no guarantee of this. Our interpreters are volunteers and we do not have enough of them to cover every clinic. You may call in advance to check if we will have one or to let us know you are coming and will need an interpreter. The AFC is not responsible for mis-communication or incorrect translation per the interpreter accompanying with the patient.
Cambios de política empezando en 2014…
1) Si van a la sala de emergencia / clínica los pacientes, son responsables por la cuenta bajo los términos del hospital / la clínica que visitan a pesar de si la Clínica Gratis Albrecht les refirió allí. La Clínica Gratis Albrecht no es responsable de pagar por los servicios en cualquier clínica/hospital a la que se envían. Esta es una política permanente para todos los pacientes que buscan tratamiento médico a través de la Clínica Gratis.
2) Para pacientes que no hablan inglés, la clínica gratis no es legalmente responsable de la falta de comunicación / traducción de información no-médica / médica cuando traen su propio intérprete.
Los pacientes hispanohablantes deben traer un intérprete con ellos a sus citas.
Los intérpretes deben tener 18 años o arriba.
Los intérpretes deben traer una tarjeta de identificación para que podamos validar su edad.
All patients are required to be within 200% or below of FPL in order to be eligible for medical services with our clinic. One month's worth of consecutive income documentation is required for each working individual. It must be less than 60 days old. Proof of income for other household members may also be required.
Note: you do not need to include income documentation from Workmen's Comp, Child Support Received, Supplemental Security Income (SSI), Veteran's Benefits, and public assistance benefits such as FoodShare and Energy Assistance.
Health Insurance
If you do not have health insurance, and meet eligibility criteria including documentation requirements, you will be eligible for healthcare services at our agency. Patients are not eligible for services with our agency if they have insurance. Additionally, you are not eligible if you have access to a group health insurance plan for which your employer pays at least 80% of the monthly premium costs, and your household earns 150% or more of FPL.
BadgerCare
If you are an active member of Medicare, BadgerCare, or any other state-funded insurance plan, you may not be eligible for services at our agency. We require that those with household incomes of 100% or less of FPL to make an applicaiton for Badger Care and to provide us with notification when you have been accepted or denied. If you have recently been accepted into BadgerCare but are unable to secure medical care, we will provide assistance until your first appointment with your new doctor.
English as a Second Language
Patients are encouraged to bring their own interpreter. They must be age 18 or older, AND will be required to provide us with valid identification so that we may verify age. Interpreters may be available at some walk in clinics but there is no guarantee of this. Our interpreters are volunteers and we do not have enough of them to cover every clinic. You may call in advance to check if we will have one or to let us know you are coming and will need an interpreter. The AFC is not responsible for mis-communication or incorrect translation per the interpreter accompanying with the patient.
Cambios de política empezando en 2014…
1) Si van a la sala de emergencia / clínica los pacientes, son responsables por la cuenta bajo los términos del hospital / la clínica que visitan a pesar de si la Clínica Gratis Albrecht les refirió allí. La Clínica Gratis Albrecht no es responsable de pagar por los servicios en cualquier clínica/hospital a la que se envían. Esta es una política permanente para todos los pacientes que buscan tratamiento médico a través de la Clínica Gratis.
2) Para pacientes que no hablan inglés, la clínica gratis no es legalmente responsable de la falta de comunicación / traducción de información no-médica / médica cuando traen su propio intérprete.
Los pacientes hispanohablantes deben traer un intérprete con ellos a sus citas.
Los intérpretes deben tener 18 años o arriba.
Los intérpretes deben traer una tarjeta de identificación para que podamos validar su edad.
Services Offered
The Albrecht Free Clinic's family physicians, nurse practitioners, and internal medicine 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. Patients given a prescription for medication will be asked to pay for their medications if available on the generic list at the local pharmacy. If they are financially unable to pay they will either be given sample products provided to the Clinic by pharmaceutical companies or through donations from the community. Vouchers for medications will given on a limited basis.
The Albrecht Free Clinic's family physicians, nurse practitioners, and internal medicine 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. Patients given a prescription for medication will be asked to pay for their medications if available on the generic list at the local pharmacy. If they are financially unable to pay they will either be given sample products provided to the Clinic by pharmaceutical companies or through donations from the community. 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 generally 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 262-334-8339 - 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 generally 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 262-334-8339 - 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.
