The complete, government-verified guide to free and low-cost medical care in the U.S. โ federally funded clinics, charitable free clinics, Medicaid enrollment, prescription programs, and exactly what to say to get care today regardless of insurance status.
Two-thirds of Americans say they are worried about affording health care โ more than they worry about food, housing, or gas โ according to a January 2026 KFF poll. That concern is well-founded: as of 2026, approximately 4.8 million more Americans are uninsured than they would be if enhanced ACA premium subsidies had continued (Urban Institute), and the One Big Beautiful Bill Act is projected to cut nearly $1 trillion from Medicaid over the next decade (KFF Health News, February 2026). But a robust safety net of federal, state, and charitable resources still exists. This guide documents 20 programs โ with direct contacts โ available to any American right now, regardless of income, insurance status, immigration status, or geography.
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Can you see a doctor for free in the USA? Yes. Federally Qualified Health Centers legally cannot deny care due to inability to pay. Over 1,400 free charitable clinics serve 2 million patients annually. Many county health departments provide free vaccinations and screenings.Federally Qualified Health Centers (FQHCs) receive federal funding specifically because they are legally required to provide care regardless of patients’ ability to pay (HRSA, healthcare.gov). They serve 52 million patients annually across approximately 1,500 U.S. locations using sliding-scale fees โ with costs as low as $20โ$40 per visit, and full free care for those whose income falls below qualifying thresholds (BudgetSeniors.com, April 2026). The National Association of Free & Charitable Clinics (NAFC) operates 1,400+ additional clinics through 200,000+ volunteers, serving 2 million patients per year at no cost. County health departments provide free vaccinations, STI testing, and screenings in every U.S. county. Find your nearest FQHC in 60 seconds at findahealthcenter.hrsa.gov.
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Are there free healthcare clinics in the US? Yes โ 1,400+ free and charitable clinics (NAFC), ~1,500 federally funded health centers (HRSA), rural health clinics, Indian Health Service sites, VA facilities for veterans, and hospital charity care programs. All 50 states have multiple options.The U.S. safety net has several distinct layers. First: FQHCs funded by HRSA โ these are the largest network of free and sliding-scale primary care providers. Second: the NAFC network of charitable free clinics, run largely by volunteer healthcare professionals. Third: Indian Health Service (IHS) facilities serving American Indian and Alaska Native communities. Fourth: Veterans Affairs (VA) hospitals and clinics for veterans. Fifth: Hill-Burton obligated facilities โ hospitals that received federal construction grants and are obligated to provide free or reduced-cost care. All 50 states have at least one of each category. The NAFC clinic locator (nafcclinics.org/find-clinic) and HRSA’s findahealthcenter.hrsa.gov are the two best tools for locating free care near you.
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How much does it cost to see a doctor in the USA without insurance? At a free clinic: $0. At a federally funded health center (FQHC): $20โ$50/visit on a sliding scale. At an urgent care center: $75โ$200. At a private doctor’s office: $150โ$300 cash pay. At an ER: $1,000โ$3,000+. Always explore the low-cost options first.KFF Health News (February 2026) confirms that prices are often negotiable โ “Always ask,” says KFF’s Cynthia Cox. Many doctors offer cash-pay rates significantly below their insurance-billed rates. Ateev Mehrotra at Brown University explains: “If my patient tells me, ‘Doc, I’m gonna have to pay for this out-of-pocket,’ I’m gonna make a different risk calculus.” FQHCs use a formal sliding-scale fee structure based on income and family size โ $20โ$50 per visit is the documented range, with some patients qualifying for completely free care (BudgetSeniors.com, April 2026; sommedicalpractice.com, February 2026). Avoid the emergency room for non-emergencies โ while federal law (EMTALA) requires ERs to stabilize all patients, they can still bill you thousands of dollars and often do (KFF Health News, 2026). Community urgent care centers are a more affordable middle ground at $75โ$200 cash pay.
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Where is the cheapest place to see a doctor without insurance? Federally Qualified Health Centers and free charitable clinics are the cheapest โ often $0 to $40 per visit. Use findahealthcenter.hrsa.gov or nafcclinics.org/find-clinic to find one near you by zip code.The cheapest options in order: (1) Free charitable clinics through NAFC โ $0, no income verification required at many locations. (2) FQHCs on sliding scale โ $0โ$50 depending on income. (3) County/local health departments โ free for vaccines, screenings, and some primary care. (4) Telehealth services โ some platforms start at $0โ$20 per visit for uninsured patients. (5) Retail clinics (CVS MinuteClinic, Walgreens Health) โ $89โ$139 cash pay for common illnesses. (6) Urgent care centers โ $75โ$200 cash pay. GoodRx (September 2025) confirms that FQHCs remain the most cost-effective option for ongoing primary care without insurance. For prescriptions specifically: Walmart sells 90-day generic prescriptions for $10; GoodRx coupons can reduce most generics to under $20; and Mark Cuban’s Cost Plus Drug Company offers many medications at manufacturing cost plus a small markup (KFF Health News, 2026).
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Do I qualify for Medicaid? In the 40 states + D.C. that expanded Medicaid: single adults earning under approximately $22,025/year likely qualify. A family of 4 earning under approximately $45,540/year. Apply any day of the year at healthcare.gov or call 1-800-318-2596.Medicaid is currently the largest source of health insurance in the U.S., covering 79 million Americans as of December 2024 (GoodRx, September 2025). In 2026, Medicaid expanded eligibility covers adults earning up to 138% of the Federal Poverty Level โ approximately $22,025/year for a single person and $45,540/year for a family of four (HHS 2026 FPL guidelines, confirmed by BudgetSeniors.com April 2026). Importantly, you can apply for Medicaid any day of the year โ there is no open enrollment window. There is no application fee. HealthCare.gov (healthcare.gov/medicaid-chip) provides a state-by-state contact directory. In 10 states that have not expanded Medicaid, eligibility thresholds are lower โ but apply anyway, as you may qualify based on disability, pregnancy, age, or other factors. Even if denied, your state will forward your information to the ACA marketplace where you may qualify for subsidized coverage.
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What happened to ACA health insurance subsidies in 2026? Enhanced ACA premium tax credits that ran 2021โ2025 expired on December 31, 2025. For people who stayed in the same plan, average premiums increased 114% (KFF, March 2026). Standard ACA subsidies for 100โ400% FPL still apply.The enhanced premium tax credits enacted under the American Rescue Plan Act and extended through the Inflation Reduction Act expired on January 1, 2026 (healthcare.gov; BudgetSeniors.com, April 2026). KFF’s March 2026 survey found subsidized ACA enrollees who stayed in the same plan faced an average 114% premium increase. As a result, 1.2 million fewer people signed up for ACA plans compared to the prior year (KFF Health News, February 2026), and Urban Institute projects 4.8 million more people will be uninsured in 2026 than if enhanced subsidies had remained. Standard ACA subsidies for incomes between 100% and 400% of the Federal Poverty Level still apply โ a Silver plan remains the smartest choice for lower-income enrollees because it unlocks cost-sharing reductions that can dramatically lower out-of-pocket costs. Some states (California, New Mexico, Maryland) added state-funded subsidies to offset part of the federal expiration.
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What free healthcare is available without income verification? Many NAFC free charitable clinics serve patients without income verification. Emergency rooms cannot turn anyone away (EMTALA). County health departments offer free vaccinations and STI testing with no income check. The 211 helpline can direct you to local resources.Federal law (EMTALA โ Emergency Medical Treatment and Labor Act) requires hospital emergency departments to provide medical screening and stabilizing treatment regardless of ability to pay, insurance status, or immigration status. No income verification is required at the ER โ but it remains the most expensive setting and should be reserved for true emergencies. Many NAFC free charitable clinics serve anyone who walks in, with income verification used only for some limited services. County health departments in most U.S. counties provide free vaccinations, STI testing, tuberculosis screening, and flu testing to all residents without income checks (KFF Health News, February 2026). The 211 helpline (dial 2-1-1 from any phone) connects callers to local health and social services 24/7 in most states โ including services with no income requirements. Hill-Burton obligated facilities are federally required to provide a set amount of free care each year โ no income verification is required to ask for Hill-Burton assistance.
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How can I get free or cheap prescriptions without insurance? GoodRx and WellRx coupons reduce most generics to under $20. Walmart, Target, and Costco sell 90-day generic supplies for $10. Mark Cuban’s Cost Plus Drugs (costplusdrugs.com) offers hundreds of medications at near-manufacturing cost. NeedyMeds.org lists patient assistance programs for brand-name drugs.KFF Health News (February 2026) specifically names these prescription savings tools: GoodRx (goodrx.com), WellRx (wellrx.com), Walmart ($10 for 90-day generic supply), Target, Costco, and the Cost Plus Drug Company (costplusdrugs.com โ founded by Mark Cuban). NeedyMeds.org maintains a comprehensive directory of pharmaceutical company patient assistance programs (PAPs) that can provide brand-name medications free or at minimal cost for patients who cannot afford them. Most major drug manufacturers offer their own PAPs โ search “[drug name] patient assistance program” to find the manufacturer’s program. For Medicare beneficiaries: the Extra Help/Low-Income Subsidy program (ssa.gov/extrahelp; 1-800-772-1213) can cover most Part D drug costs for qualifying low-income seniors. SAMHSA’s medication assistance programs are available for mental health and substance use disorder medications (samhsa.gov; 1-800-662-4357).
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What should I say to a doctor when I can’t afford care? Say exactly this: “I don’t have insurance and I’m concerned about the cost. Do you offer a cash-pay discount or a payment plan? Can you refer me to a lower-cost option?” These words unlock options many patients don’t know exist.KFF’s Cynthia Cox, senior VP and ACA Program Director, says directly: “Always ask.” Prices are negotiable. KFF Health News (February 2026) reports that Ateev Mehrotra, MD, researcher at Brown University, confirms that doctors adjust their clinical calculations when patients are uninsured โ potentially ordering a less expensive diagnostic test that still answers the clinical question, rather than defaulting to the most comprehensive (and most expensive) option. At hospitals, ask specifically for the “financial assistance program” or “charity care program” โ federal law (the ACA) requires nonprofit hospitals to have these programs, and some can reduce or eliminate your bill entirely. At FQHCs, simply state your income and family size โ the sliding-scale fee is calculated automatically. At pharmaceutical companies, ask about a “patient assistance program” or “co-pay assistance program” for any medication you cannot afford. Patient Advocate Foundation (patientadvocate.org; 1-800-532-5274) maintains a vetted directory of financial assistance resources organized by diagnosis, condition, and location.
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Are seniors on Medicare eligible for extra help with medical costs? Yes. Medicare Savings Programs can pay your Part B premium ($185/month in 2026). Extra Help covers most Part D drug costs. Medicare Advantage (Part C) plans often have $0 premiums. Apply through your state Medicaid office or call 1-800-772-1213.BudgetSeniors.com (April 2026) documents key Medicare savings programs available in 2026: Medicare Savings Programs (MSPs) can pay all or part of the Medicare Part B premium ($185/month in 2026), deductibles, and coinsurance โ apply through your state Medicaid office. Extra Help (also called the Low-Income Subsidy/LIS) covers most Part D prescription drug costs for Medicare beneficiaries with limited income and resources โ apply at ssa.gov/extrahelp or call Social Security at 1-800-772-1213. Medicare Advantage (Part C) plans often have $0 monthly premiums and may include dental, vision, and hearing benefits not covered by original Medicare โ compare plans during Annual Enrollment (October 15 โ December 7). For specific Medicare questions: call 1-800-MEDICARE (1-800-633-4227) or visit medicare.gov. State Health Insurance Assistance Programs (SHIP) offer free one-on-one Medicare counseling in every state โ find your local SHIP at shiptacenter.org.
Sources: KFF Health News kffhealthnews.org Feb 2026 (52M FQHC patients; ~1,500 FQHCs; 2/3 Americans worried healthcare costs; prices negotiable; Cynthia Cox; Ateev Mehrotra; Caitlin Donovan; EMTALA ERs; Planned Parenthood uninsured; CDC breast cervical cancer free; Walmart $10 generics; GoodRx WellRx; Cost Plus Drugs; NIH clinical trials; PAF foundation list); NAFC nafcclinics.org 2025 Data Report (1,400+ clinics; 200,000+ volunteers; 2M+ patients); HRSA hrsa.gov (FQHCs cannot deny care; federal funding; findahealthcenter.hrsa.gov); HealthCare.gov healthcare.gov (Medicaid 79M Dec 2024; CHIP; ACA marketplace; 1-800-318-2596; Medicaid any day of year; EMTALA; state Medicaid contacts); BudgetSeniors.com Apr 2026 (Medicaid 138% FPL ~$22,025 single ~$45,540 family 4; enhanced ACA credits expired Dec 31 2025; 114% premium increase KFF Mar 2026; Urban Institute 4.8M more uninsured; Medicare Part B $185/mo 2026; Extra Help ssa.gov 1-800-772-1213; FQHC $20-$40); GoodRx goodrx.com Sept 2025 (Medicaid 79M; FQHCs $20-$50; HDHP 2026 min deductible $1,700 ind / $3,400 family); Healthcare.gov (ACA job-based affordable 9.96% income 2026); sommedicalpractice.com Feb 2026 (FQHC $20-$50; prescription assistance 75-90% off; hospital charity care)
KFF Health News Feb 2026 (52M FQHCs); NAFC 2025 Data Report (1,400+ clinics; 2M patients; 200,000 volunteers); BudgetSeniors.com Apr 2026 ($0โ$50 sliding scale; $22,025 Medicaid threshold); GoodRx Sept 2025 (79M Medicaid+CHIP)
1) Go to findahealthcenter.hrsa.gov โ enter your zip code to find the nearest federally funded health center. Results in 60 seconds. 2) Dial 2-1-1 from any phone in any U.S. state to reach a live navigator who can connect you to free local health and social services. Free, confidential, available 24/7 in most states.
Sources: HRSA hrsa.gov (FQHCs federal funding; cannot deny care; findahealthcenter.hrsa.gov; Hill-Burton 1-800-638-0742; rural health clinics 5,000+); NAFC nafcclinics.org 2025 Data Report (1,400+ clinics; 200,000+ volunteers; 2M+ patients; nafcclinics.org/find-clinic 1-703-647-7427); HealthCare.gov (Medicaid CHIP; 1-800-318-2596; any day of year; state contacts); KFF Health News Feb 2026 (Cynthia Cox “always ask”; Ateev Mehrotra Brown; Caitlin Donovan PAF; Planned Parenthood uninsured; CDC NBCCEDP; GoodRx WellRx Walmart Target Costco Cost Plus; NIH clinical trials confirm costs); BudgetSeniors.com Apr 2026 (Medicaid $22,025 single; Medicare Part B $185/mo 2026; Extra Help ssa.gov 1-800-772-1213); VA va.gov 1-800-827-1000 (1,200+ locations); IHS ihs.gov 1-301-443-1083; CDC cdc.gov/cancer/nbccedp 1-800-232-4636; SAMHSA samhsa.gov 1-800-662-4357 findtreatment.gov; 211 211.org United Way; PAF patientadvocate.org 1-800-532-5274; NeedyMeds needymeds.org 1-800-503-6897; GoodRx goodrx.com; costplusdrugs.com; NIH clinicaltrials.gov 1-800-411-1222; freeclinics.com; Planned Parenthood 1-800-230-7526 plannedparenthood.org; Medicare 1-800-633-4227 medicare.gov; sommedicalpractice.com Feb 2026 (hospital charity care; FQHCs; prescription 75-90% off)
Yes โ multiple paths exist. The fastest way to find free care near you right now: go to findahealthcenter.hrsa.gov and enter your zip code โ this shows the nearest Federally Qualified Health Center, which legally cannot turn you away for inability to pay, for as little as $0. The second fastest: dial 2-1-1 from any phone โ a live navigator will identify every free local health resource in your area. Free charitable clinics (nafcclinics.org) serve 2 million patients annually with no cost to patients. County health departments provide free vaccinations, STI testing, and many screenings in every U.S. county with no income verification. For the uninsured specifically: KFF Health News (February 2026) confirms that community health centers remain operational across the country and continue to serve uninsured patients despite recent federal funding pressure. Always tell your healthcare provider you are uninsured โ prices are often negotiable, and many providers have internal assistance programs they will not offer unless you ask directly (KFF, Cynthia Cox, 2026).
In order from cheapest to most expensive: (1) Free charitable clinic (NAFC) โ $0. Run by volunteer doctors. Find one at nafcclinics.org/find-clinic. (2) FQHC on sliding scale โ $0โ$50. Income-based fee. Find at findahealthcenter.hrsa.gov. (3) County health department โ free for most services. (4) Telehealth โ $0โ$75 depending on the platform and service. (5) Retail clinic (CVS MinuteClinic, Walgreens Health) โ $89โ$139 cash pay for routine illness. (6) Urgent care center โ $75โ$200 cash pay. (7) Private doctor’s office โ $100โ$300 cash pay (always ask for uninsured discount). (8) Emergency room โ $1,000โ$3,000+. ERs are the most expensive option and should be reserved for true medical emergencies despite the federally mandated obligation to stabilize all patients. The cheapest route for prescriptions: GoodRx coupons, Walmart’s $10 for 90-day supply of generics, or Cost Plus Drug Company (costplusdrugs.com) for hundreds of medications near manufacturing cost (all confirmed KFF Health News, February 2026).
Five immediately actionable options: (1) FQHC โ enter your zip code at findahealthcenter.hrsa.gov. Federal law prohibits denial of care due to inability to pay. Sliding scale. Open now. (2) Free charitable clinic โ search nafcclinics.org/find-clinic. Free care staffed by volunteer medical professionals. (3) 2-1-1 helpline โ call from any phone for live, local guidance to every free health service in your zip code. (4) Planned Parenthood โ accepts uninsured patients for primary and reproductive health (1-800-230-7526). (5) County health department โ free vaccines, testing, screenings; no income check. Additionally, if you think you might qualify for Medicaid (household income under ~$22,025/year for a single person in an expansion state), apply at healthcare.gov or call 1-800-318-2596 โ there is no open enrollment window, you can apply today, and if approved, Medicaid is retroactive in many states to the first day of the application month.
Yes โ there are thousands. The three best tools for finding one near you: (1) findahealthcenter.hrsa.gov โ enter your zip code; shows FQHCs, which serve 52 million patients annually and cannot deny care for inability to pay. Results appear in 60 seconds. (2) nafcclinics.org/find-clinic โ locates the 1,400+ NAFC free and charitable clinics by zip code; these are often completely free with no income verification. (3) 211.org or dial 2-1-1 โ live navigator knows local resources that aren’t in national databases. Beyond clinics: freeclinics.com offers another searchable directory covering both free clinics and income-based health centers. The Patient Advocate Foundation (patientadvocate.org) provides a directory searchable by diagnosis that includes disease-specific foundations covering specialized care costs. For seniors specifically: State Health Insurance Assistance Programs (SHIP โ find at shiptacenter.org) provide free one-on-one Medicare counseling in every state, helping seniors identify all available coverage and savings programs they may be missing.
KFF Health News kffhealthnews.org Feb 2026 (all quotes; Cynthia Cox prices negotiable; Ateev Mehrotra; Caitlin Donovan; ER most expensive; Planned Parenthood uninsured; community health centers operating; GoodRx WellRx Walmart $10 generics; Cost Plus Drugs); HRSA hrsa.gov (findahealthcenter.hrsa.gov zip search); NAFC nafcclinics.org (1,400+ clinics; nafcclinics.org/find-clinic); HealthCare.gov (Medicaid apply any day; 1-800-318-2596; retroactive coverage); BudgetSeniors.com Apr 2026 (~$22,025 Medicaid 2026 single; Extra Help); 211 211.org; freeclinics.com; PAF patientadvocate.org; SHIP shiptacenter.org
- Step 1 โ Check Medicaid eligibility first. Go to healthcare.gov or call 1-800-318-2596. In expansion states, single adults earning under ~$22,025/year may qualify for full free coverage. Apply any day of the year โ no open enrollment required. If you have children, apply for CHIP for them at the same time.
- Step 2 โ Find your nearest FQHC. Go to findahealthcenter.hrsa.gov and enter your zip code. FQHCs legally cannot deny care due to inability to pay. Sliding-scale fees start at $0. They offer primary care, dental, mental health, and prescriptions in one location.
- Step 3 โ Search for a free charitable clinic. Go to nafcclinics.org/find-clinic. These clinics are often completely free, staffed by volunteer doctors and nurses. No income verification is required at many locations.
- Step 4 โ For prescriptions: use GoodRx or Cost Plus Drugs before paying full price. Download GoodRx (goodrx.com) or visit costplusdrugs.com before filling any prescription. These tools can reduce most generic medications to under $20, and some to under $5 โ often cheaper than your insurance copay.
- Step 5 โ Dial 2-1-1 if you need local guidance. The 211 helpline (2-1-1 from any phone; 211.org) connects you with a live navigator who knows every free health, food, and social service in your specific county โ including services not listed in national directories. Free, confidential, available 24/7 in most states, in multiple languages.
This guide is independently researched and written for informational purposes only. We are not affiliated with, compensated by, or endorsed by any program listed. Contact information, eligibility requirements, service availability, and funding status change frequently โ always verify directly with each program before relying on it. Program availability may be affected by ongoing federal and state budget changes. This page does not constitute medical, legal, or financial advice. If you are experiencing a medical emergency, call 911.
Primary sources: HRSA hrsa.gov (FQHCs federal funding; cannot deny care; findahealthcenter.hrsa.gov; Hill-Burton 1-800-638-0742; rural health clinics 5,000+; 1-800-221-9393); NAFC nafcclinics.org 2025 Data Report (1,400+ clinics pharmacies; 200,000+ volunteers; 2M+ patients annually; nafcclinics.org/find-clinic; 1-703-647-7427); HealthCare.gov healthcare.gov (Medicaid 79M Dec 2024; CHIP children pregnant women; ACA marketplace; 1-800-318-2596; any day of year; state Medicaid contacts; EMTALA ER obligation); KFF Health News kffhealthnews.org Feb 2026 (52M FQHC patients NACHC; ~1,500 FQHCs; 2/3 Americans worried healthcare; prices negotiable; Cynthia Cox KFF SVP ACA; Ateev Mehrotra Brown University; Caitlin Donovan PAF; ERs most expensive still bill; Planned Parenthood uninsured; CDC NBCCEDP free screenings all states; GoodRx WellRx drug comparison; Walmart Target Costco $10 generics; Cost Plus Drug Company; NIH NCI clinical trials confirm costs; PAF vetted foundations; county health depts free vaccinations STI TB flu; state consumer assistance programs); BudgetSeniors.com Apr 2026 (Medicaid 138% FPL ~$22,025 single ~$45,540 family 4 HHS 2026; enhanced ACA expired Dec 31 2025; 114% premium increase KFF Mar 2026; Urban Institute 4.8M more uninsured; Medicare Part B $185/mo 2026; Extra Help ssa.gov 1-800-772-1213; FQHC $20-$40 sliding scale; findahealthcenter.hrsa.gov 60 seconds); GoodRx goodrx.com Sept 2025 (Medicaid 79M; FQHCs $20-$50; ACA 4/5 found plan $10/mo 2025; HDHP 2026 $1,700 min deductible); sommedicalpractice.com Feb 2026 (FQHC $20-$50; free some qualify; prescription 75-90% off; hospital charity care); Veterans Affairs va.gov 1-800-827-1000 (1,200+ locations); Indian Health Service ihs.gov 1-301-443-1083; CDC cdc.gov/cancer/nbccedp 1-800-232-4636; SAMHSA samhsa.gov 1-800-662-4357 findtreatment.gov; 211 211.org dial 2-1-1; PAF patientadvocate.org 1-800-532-5274; NeedyMeds needymeds.org 1-800-503-6897; GoodRx goodrx.com; costplusdrugs.com Mark Cuban; NIH clinicaltrials.gov 1-800-411-1222; freeclinics.com; Planned Parenthood plannedparenthood.org 1-800-230-7526; Medicare 1-800-633-4227 medicare.gov; CMS cms.gov (nonprofit hospital charity care ACA requirement)