How do you write a hardship sample letter for unpaid medical bills?

Subject: Request for Financial Hardship Assistance - Unpaid Medical Bills

[Your Name]

[Your Address]

[City, State, ZIP Code]

[Email Address]

[Contact Number]

[Date]

[Recipient's Name]

[Recipient's Designation]

[Company/Hospital/Medical Office Name]

[Address]

[City, State, ZIP Code]

Dear [Recipient's Name],

I hope this letter finds you in good health and spirits. I am writing to request financial assistance regarding my outstanding medical bills. I have genuinely struggled to meet the payment deadlines due to unforeseen financial circumstances and unavoidable medical expenses. Despite my sincere efforts, the accumulated medical bills have become a significant burden on my financial capabilities, leading me to seek your assistance.

Circumstances Leading to Financial Hardship:

- Medical Condition: I have been battling [medical condition] for the past [number of months/years]. While the treatment has provided relief, it has also resulted in substantial medical expenses, including [mention treatments, procedures, medication, etc.].

- Loss of Employment: Unfortunately, during my treatment phase, I lost my employment due to [reason for job loss]. This sudden loss of income further exacerbated my financial situation and made it challenging to cover the medical expenses without any steady income.

- Financial Challenges: With my limited financial resources, I have exhausted my savings and borrowed funds from family and friends to address the immediate medical needs. However, the accumulated medical bills continue to mount, and despite my best efforts, I find myself in a position where fulfilling these obligations is no longer feasible.

Request for Financial Hardship Assistance:

I earnestly request your assistance in the form of financial hardship relief to help alleviate the burden of my outstanding medical bills. I kindly ask if there are programs, policies, or payment plans available for individuals facing hardships that can offer some relief. Your consideration in this matter would be deeply appreciated.

Supporting Documentation:

Enclosed with this letter, you will find supporting documentation that corroborates my financial circumstances. These include:

1. Medical bills and invoices reflecting unpaid amounts

2. Proof of income, including tax returns and recent pay stubs (if applicable)

3. Proof of medical condition and treatment (doctor's reports, prescriptions)

4. Evidence of job loss (termination letter, unemployment documentation, etc.)

Proposed Repayment Plan:

I am committed to fulfilling my financial obligations and would like to propose a mutually agreeable payment plan. I believe a [amount] monthly payment for a [number of months] duration would be manageable for my current circumstances. However, I am open to discussing alternative repayment arrangements if necessary.

I understand that granting financial hardship relief may require careful evaluation and consideration on your part. I want to assure you of my sincere gratitude and willingness to cooperate fully with any requirements or procedures you deem necessary.

Thank you for your time, attention, and understanding in considering this request. I value your compassion and hope for a favorable resolution. I am available for any further information or discussion regarding my hardship situation.

Sincerely,

[Your Signature]

[Your Typed Name]

Enclosures: Supporting documentation (copies)