Who pays for what

Four free agencies that answer how you're going to pay for care, and what to ask each.

The call sheet (PDF)

Print one for each call, or tape it up next to the phone.

Call sheet page 1 with readiness checklist and four agency cardsCall sheet page 2 with questions and call log section

What’s inside

  • What to have ready before calling
  • Four agencies, each with room for the number
  • Questions to ask
  • Call log

Not sure which agency fits your situation? Answer three questions to see which one to call first and what to ask.

En español

Imprimir y llenar mientras llama.

What’s the catch?

There is none. Just download it, no strings attached! If it’s useful to you, share it with someone else who needs it.

Can I use it on my phone or computer?

You can use both.

What if I don't have a printer?

You can fill it in on your computer using a PDF app and save it. Libraries and pharmacies have print counters if you need a paper copy later.

Have the sheet beside you when you call.

Checked July 2026. Program rules change and they differ state to state.