If you are unable to pay your balance in full within 30 days, call us to make an interest-free payment arrangement.
You may also qualify for financial assistance through your provider. Contact List for Provider Assistance
If you want to apply for financial assistance through HPS, please provide the following documents:
1. Copy of most recently filed Federal Tax return (I.e., pg. 1-2 of 1040 Tax doc) or W-2 for each member of household.
2. Copy of most recent check stub for each member of the household.
3. Proof of unemployment, Unemployment Statement, Disability and/or Social Security income for each adult member of the household.
*Qualifying for HPS's financial assistance will not reduce your overall debt, but can reduce your monthly payments.
You can submit the forms by attaching them here or by mailing them to us at the address below:
Health Payment Systems
1000 North Water Street
Milwaukee, WI 53202