![Medicaid / Health / Government / Medicare / Health insurance coverage in the United States / Health insurance / United States National Health Care Act / Medi-Cal / Social Security / Healthcare reform in the United States / Federal assistance in the United States / Presidency of Lyndon B. Johnson Medicaid / Health / Government / Medicare / Health insurance coverage in the United States / Health insurance / United States National Health Care Act / Medi-Cal / Social Security / Healthcare reform in the United States / Federal assistance in the United States / Presidency of Lyndon B. Johnson](https://www.pdfsearch.io/img/abd2d2ede5c62cbb43a2db867516d6f1.jpg) Date: 2014-12-23 16:44:56Medicaid Health Government Medicare Health insurance coverage in the United States Health insurance United States National Health Care Act Medi-Cal Social Security Healthcare reform in the United States Federal assistance in the United States Presidency of Lyndon B. Johnson | | Dear Patient, To apply for financial assistance for services provided at an SSM Health member facility, we ask that you provide copies of the following items: • Checking and savings account bank statements for the last
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