Hospital Patient Eligibility Screening

Thank you for visiting Human Arc’s free and confidential benefits pre-screening tool.

Human Arc works on behalf of your hospital. This screening tool is 100 percent confidential and will help determine if you might qualify for Medicaid or another government-funded benefit program.

The questions are simple and should take only a few minutes. Please be sure to fill out as much information as possible, including the contact information. If you are potentially eligible for a government benefit, a Human Arc representative will contact you to help you with the next step of the process.

Thank you for your participation.