Patient Assistance
Program
Patient Financial Assistance Program
InfuSystem offers financial assistance to individuals who meet our eligibility requirements. Patients may be required to apply for financial assistance by completing our Financial Assistance Application. We will also honor any uninsured or financial assistance discount that your healthcare provider offers. We require a copy of the award or approval letter to apply the discount.
Patient Financial Assistance Application
Please ensure to complete all required information to the best of your ability. This information is confidential and is only used for the purpose of determining your discount.
If you do not meet the income guidelines for the assistance program but are having difficulty paying your entire balance you may be eligible for a payment plan.
Mail Completed Application to:
InfuSystem
Patient Services
3851 W. Hamlin Rd.
Rochester Hills, MI 48309
PATIENT FINANCIAL ASSISTANCE APPLICATION
Products
Services
Therapies
Patients
3851 W. Hamlin Rd
Rochester Hills, MI 48309
P: 1-800-962-9656
F: 1-800-455-4338
General Inquires
InfuSystem is a leading national health care service provider, facilitating outpatient care for durable medical equipment manufacturers and health care providers by delivering ambulatory pumps and supplies, along with related clinical, biomedical and billing services, to practices and patients nationwide. With a comprehensive suite of services, InfuSystem improves clinician access to quality medical equipment and promotes patient wellness and safety while reducing the overall cost of infusion care.
InfuSystem offers Oncology, Pain Management and Wound Care therapies, including Negative Pressure Wound Therapy. The company’s Durable Medical Equipment (DME) Services are composed of direct payer rentals, pump and consumable sales, and biomedical services and repair, including on-site and depot services. InfuSystem provides the sale, rental, lease and associated supplies, including infusion pumps, nerve blocks for acute pain, nerve block catheters, postoperative pain pumps, central venous catheters, IV pumps, pole-mounted pumps, syringe pumps, enteral pumps, Huber needles, clean room supplies, IV extension tubing, pump tubing, ambulatory pumps, replacement pumps, disposable products, central venous access devices, closed system transfer devices, negative pressure wound therapy vacs, wound vac, and chemotherapy and oncology infusion pumps. Biomedical services include both on-site and depot preventive maintenance, repair and warranty services, ranging from equipment inspections to extensive repairs, including compression device systems, defibrillators, EKG machines, electrosurgical units, external pacemakers, humidifiers, infusion pumps, LCDs, light sources, modules, patient monitors, printers, pulse oximeters, telemetry transmitters and tourniquets – all completed to factory specifications.
Headquartered in Rochester Hills, Michigan, InfuSystem delivers local, field-based customer support and operates Centers of Excellence in Michigan, Kansas, California, Massachusetts, Texas and Ontario, Canada.