mayo clinic travel assistance

Charitable Care and Financial Assistance at Mayo Clinic

Mayo Clinic's mission is to provide the best care to every patient through integrated clinical practice, education and research. Mayo Clinic strives to benefit humanity through work in these three areas, while supporting the communities in which we live and work. Mayo Clinic appropriately serves patients in difficult financial circumstances and offers financial assistance to those who have an established need to receive medically necessary services and meet criteria for assistance.

Mayo Clinic seeks to provide support for those unable to pay for medically necessary care. Services include:

• Using fair and consistent billing and collection practices, including charitable care and financial assistance policies and a standard application process
• Providing extended payment plan options and medically necessary services at reduced rates or at no cost for patients eligible for financial assistance
• Providing emergency care, regardless of ability to pay

Mayo Clinic determines the need for financial assistance by reviewing the medically necessary services requested by the referring provider; any care previously provided; available insurance coverage or other sources of payment; and an applicant's financial profile. This method allows for a fair and accurate way to assist patients who are experiencing financial hardship.

Required financial information may include annual household income, applicable assets, household size, and confirmation of application for all sources of coverage, including Medicaid, if eligible. International patients are not generally eligible for financial assistance.

If you're experiencing financial hardship, please contact Patient Account Services to discuss options such as a payment plan or financial assistance. You may visit our offices in any of the following locations:

Mayo Clinic's campuses in Arizona

• Mayo Clinic Building, Scottsdale campus
• Mayo Clinic Specialty Building, Phoenix campus
• Mayo Clinic Hospital, Phoenix campus

You may also call Patient Account Services toll free at 844-217-9591 Monday through Friday, 8 a.m. to 5 p.m. Mountain time.

Mayo Clinic's campus in Florida

• Davis Building
• Mayo Clinic Hospital
• Mayo Building

You may also call Patient Account Services toll free at 844-217-9591 Monday through Friday, 8 a.m. to 5 p.m. Eastern time.

Mayo Clinic's campus in Minnesota

• Mayo Clinic — Gonda Building, Lobby Level East
• Mayo Clinic Hospital, Methodist Campus — Eisenberg Building, Lobby Level
• Mayo Clinic Hospital, Saint Marys Campus — Mary Brigh Building, Main Floor

You may also call Patient Account Services toll free at 844-217-9591 Monday through Friday, 8 a.m. to 5 p.m. Central time.

A completed Mayo Clinic Financial Assistance Application (PDF) will help us evaluate your eligibility for charity care. Note that until your financial statement has been reviewed and approved by our financial counselors, you are financially responsible for your medical care. Completing a financial assistance application may not absolve you of your full financial responsibility with Mayo Clinic.

Please return the completed financial assistance application and all required information to Patient Account Services:

• Mayo Clinic RO WE 01 800K-R 200 First Street SW Rochester, MN 55905-0001

Additional documents

• Arizona-specific financial assistance documents, including translated versions
• Florida-specific financial assistance documents, including translated versions
• Minnesota-specific financial assistance documents, including translated versions
• Non-Hospital Charitable Care and Financial Assistance Policy (PDF)
• Financial Assistance Application (PDF)
• Billing and Collection Policy (PDF)
• Provider List (PDF)

Related information

• Financial Assistance for a Mayo Clinic Health System location
• Dec. 13, 2019
• ART-20163686

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Mayo Clinic Minute: Strategies for safe holiday travel

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The Centers for Disease Control and Prevention and Mayo Clinic recommend delaying travel until you and your family are fully vaccinated against COVID-19. If you are traveling, Dr. Nipunie Rajapakse, a pediatric infectious diseases physician with Mayo Clinic Children's Center, says it's important to have strategies to help mitigate your risks.

Watch: The Mayo Clinic Minute.

Journalists: Broadcast-quality video (0:59) is in the downloads at the end of this post. Please courtesy: "Mayo Clinic News Network." Read the  script .

"Travel is difficult, especially in a situation where you might have children and family members of multiple ages, some who are vaccinated and some who are not," says Dr. Rajapakse.

To make it less difficult, along with being fully vaccinated, Dr. Rajapakse says wear a mask, practice good hand-washing and avoid large crowds when possible when traveling.

"On the airplane itself, it's difficult to physically distance. But having some of these other strategies that you're using can reduce the risk of getting infected on an airplane."

Anyone who is not fully vaccinated at the time of travel should get tested for COVID-19 one to three days before travel and three to five days after they return.

"That can also help to reduce the risk not only for yourself but for everyone else and to reduce the chances that you spread the infection if you were to get infected during your travels," says Dr. Rajapakse.

Flu vaccination is equally important. Kids, pregnant women and older adults are at risk of complications, so apply the same good hygiene strategies because flu is spread in very much the same ways that COVID-19 is spread, says Dr. Rajapakse.

Related posts:

• Mayo Clinic Minute: Fighting influenza .
• Flu shots and COVID-19 .
• Preventing, treating COVID-19 infection.

Information in this post was accurate at the time of its posting. Due to the fluid nature of the COVID-19 pandemic, scientific understanding, along with guidelines and recommendations, may have changed since the original publication date . 

For the safety of our patients, staff and visitors, Mayo Clinic has strict masking policies in place.  Anyone shown without a mask was either recorded prior to COVID-19 or recorded in a nonpatient care area where social distancing and other safety protocols were followed.

For more information and all your COVID-19 coverage, go to the  Mayo Clinic News Network  and  mayoclinic.org .

Learn more about:  Tracking COVID-19 and COVID-19 trends .

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There is a different procedure in place for arranging the limited number of trip days allowed after retirement and a different mechanism for reimbursement. The following guidelines and tools provide assistance in navigating the retirement travel policy.

Procedure for Mayo Trips - the travel policy and procedure for arranging and receiving reimbursement of Mayo trips has  changed but is still distinctly different than you experienced when you were an active staff member.

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Travel & Tropical Medicine Clinic

With more and more people leaving the U.S. for business and pleasure trips, medical concerns while traveling are becoming increasingly complicated. If you or members of your family are involved in these trips, we offer the Travel & Tropical Medicine Clinic in La Crosse, Wisconsin.

Our travel clinic can help you have a healthy trip by providing:

• A detailed list of diseases and other health risks for each country you plan to visit.
• Vaccinations and international vaccination certificates.
• Advice on how to prevent jet lag, motion sickness, insect bites and diarrhea.
• Suggestions for traveling with medications and documentation for restricted substances.
• A list of reputable clinics in destination countries that have English-speaking physicians and contact information for foreign embassies.

Anyone planning a trip overseas can benefit from seeing one of our travel medicine specialists. However, a travel clinic appointment is especially important if you are traveling to underdeveloped or developing countries where there's a higher risk of contracting malaria and other serious illnesses.

These areas include:

• Central America
• South America
• Southeast Asia

We recommend scheduling a travel clinic appointment at least six weeks before you depart. Some vaccines require several weeks for immunity to develop while others require more than one dose of vaccine for full protection. If your trip is to an underdeveloped or developing country, you may need to schedule an appointment up to two months in advance to receive a full set of immunizations.

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Healthcare in Moscow – Personal and Family Medicine

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About medical services in Moscow

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Emergency medical care is provided free to all foreign nationals in case of life-threatening conditions that require immediate medical treatment. You will be given first aid and emergency surgery when necessary in all public health care facilities. Any further treatment will be free only to people with a Compulsory Medical Insurance, or you will need to pay for medical services. Public health care is provided in federal and local care facilities. These include 1. Urban polyclinics with specialists in different areas that offer general medical care. 2. Ambulatory and hospitals that provide a full range of services, including emergency care. 3. Emergency stations opened 24 hours a day, can be visited in a case of a non-life-threatening injury. It is often hard to find English-speaking staff in state facilities, except the largest city hospitals, so you will need a Russian-speaking interpreter to accompany your visit to a free doctor or hospital. If medical assistance is required, the insurance company should be contacted before visiting a medical facility for treatment, except emergency cases. Make sure that you have enough money to pay any necessary fees that may be charged.

Insurance in Russia

Travelers need to arrange private travel insurance before the journey. You would need the insurance when applying for the Russian visa. If you arrange the insurance outside Russia, it is important to make sure the insurer is licensed in Russia. Only licensed companies may be accepted under Russian law. Holders of a temporary residence permit or permanent residence permit (valid for three and five years respectively) should apply for «Compulsory Medical Policy». It covers state healthcare only. An employer usually deals with this. The issued health card is shown whenever medical attention is required. Compulsory Medical Policyholders can get basic health care, such as emergencies, consultations with doctors, necessary scans and tests free. For more complex healthcare every person (both Russian and foreign nationals) must pay extra, or take out additional medical insurance. Clearly, you will have to be prepared to wait in a queue to see a specialist in a public health care facility (Compulsory Medical Policyholders can set an appointment using EMIAS site or ATM). In case you are a UK citizen, free, limited medical treatment in state hospitals will be provided as a part of a reciprocal agreement between Russia and UK.

Some of the major Russian insurance companies are:

Ingosstrakh , Allianz , Reso , Sogaz , AlfaStrakhovanie . We recommend to avoid  Rosgosstrakh company due to high volume of denials.

Moscow pharmacies

A.v.e pharmacy in Moscow

Pharmacies can be found in many places around the city, many of them work 24 hours a day. Pharmaceutical kiosks operate in almost every big supermarket. However, only few have English-speaking staff, so it is advised that you know the generic (chemical) name of the medicines you think you are going to need. Many medications can be purchased here over the counter that would only be available by prescription in your home country.

Dental care in Moscow

Dentamix clinic in Moscow

Dental care is usually paid separately by both Russian and expatriate patients, and fees are often quite high. Dentists are well trained and educated. In most places, dental care is available 24 hours a day.

Moscow clinics

«OAO Medicina» clinic

It is standard practice for expats to visit private clinics and hospitals for check-ups, routine health care, and dental care, and only use public services in case of an emergency. Insurance companies can usually provide details of clinics and hospitals in the area speak English (or the language required) and would be the best to use. Investigate whether there are any emergency services or numbers, or any requirements to register with them. Providing copies of medical records is also advised.

Moscow hosts some Western medical clinics that can look after all of your family’s health needs. While most Russian state hospitals are not up to Western standards, Russian doctors are very good.

Some of the main Moscow private medical clinics are:

American Medical Center, European Medical Center , Intermed Center American Clinic ,  Medsi , Atlas Medical Center , OAO Medicina .

Several Russian hospitals in Moscow have special arrangements with GlavUPDK (foreign diplomatic corps administration in Moscow) and accept foreigners for checkups and treatments at more moderate prices that the Western medical clinics.

Medical emergency in Moscow

Moscow ambulance vehicle

In a case of a medical emergency, dial 112 and ask for the ambulance service (skoraya pomoshch). Staff on these lines most certainly will speak English, still it is always better to ask a Russian speaker to explain the problem and the exact location.

Ambulances come with a doctor and, depending on the case, immediate first aid treatment may be provided. If necessary, the patient is taken to the nearest emergency room or hospital, or to a private hospital if the holder’s insurance policy requires it.

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Travel Surgical Technologist

Our Travel Surgical Technologists (ST) are respected members of a world-class interdisciplinary team.  Transforming healthcare by innovation and collaboration to provide an unparalleled patient experience.

Our Mission

We believe there’s a better way to deliver healthcare – one that centers on the patient and inspires optimism.  Our unique team travels to all Mayo Clinic locations to deliver compassion, expertise, innovation, and answers.

What is the Travel Program?

The Mayo Clinic Travel Program provides contingency staffing support across nursing sites as determined by staffing and patient care needs.  Flexibility and adaptability are essential in work assignments and schedules.

As part of the Mayo Clinic team, you will receive our complete benefits package  starting day one of employment.

• Competitive salary of $60 an hour
• Monthly stipend for travel and housing
• PTO accrued each pay period

Travel Locations

Our unique travel program grants Travel STs the rare opportunity to travel to Mayo Clinic hospital locations.  Members of the program travel to Minnesota, Arizona and Florida.

This program is evolving and because of this, hiring managers are regularly assessing and monitoring the needs of the program. To keep fluidity and momentum in the traveling nurse program, we are reviewing applications on an ongoing basis.

For more information please contact our travel team recruiters to discuss opportunities as a Travel ST at Mayo Clinic.

[email protected]

Travel Jobs

• Registered Nurse RN - ICU Travel Team 319113
• Surgical Tech ST or Certified Surgical Tech CST - Travel Team 316300
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All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, gender identity, sexual orientation, national origin, protected veteran status, or disability status. Learn more about "EEO is the Law." Mayo Clinic participates in E-Verify and may provide the Social Security Administration and, if necessary, the Department of Homeland Security with information from each new employee's Form I-9 to confirm work authorization.

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Comparison of Pheochromocytoma-Specific Morbidity and Mortality Among Adults With Bilateral Pheochromocytomas Undergoing Total Adrenalectomy vs Cortical-Sparing Adrenalectomy

Collaborators.

• International Bilateral-Pheochromocytoma-Registry Group : Sanjeet Kumar Jaiswal ,  Stefan Zschiedrich ,  Maria C. B. V. Fragoso ,  Maria A. A. Pereira ,  Minghao Li ,  Josefina Biarnes Costa ,  Carl Christofer Juhlin ,  David Gross ,  Alice H. D. Violante ,  Tomaz Kocjan ,  Joanne Ngeow ,  Uri Yoel ,  Merav Fraenkel ,  Ilgin Yildirim Simsir ,  M. Umit Ugurlu ,  Athanasia Ziagaki ,  Luis Robles Díaz ,  Inna Stepanovna Kudlai ,  Oliver Gimm ,  Christina Rebecca Scherbaum ,  Gadi Abebe-Campino ,  Angelica Malinoc ,  Valeryevna Khudiakova ,  Nikita V Ivanov ,  Marija Pfeifer ,  Stefania Zovato ,  Ursula Ploeckinger ,  Özer Makay ,  Barbara Jarzab ,  Andrzej Januszewicz ,  Nalini Shah ,  Jochen Seufert ,  Giuseppe Opocher ,  Catharina Larsson

Affiliations

• 1 Section of Preventive Medicine, Medical Center-University of Freiburg, Faculty of Medicine, Albert-Ludwig-University Freiburg, Freiburg, Germany.
• 2 Neuroendocrinology Laboratory, Endocrinology Institute, Almazov National Medical Research Centre, St Petersburg, Russia.
• 3 Division of Endocrinology, Diabetes, Metabolism, and Nutrition, Mayo Clinic, Rochester, Minnesota.
• 4 Aix Marseille University, INSERM, Marseille Medical Genetics, Department of Endocrinology, Assistance Publique Hopitaux de Marseille, Marseille, France.
• 5 Department of Surgery, Huyssens Foundation Clinics, Essen, Germany.
• 6 Neuroendocrine Tumors Service, Sheba Medical Center and Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
• 7 Division of General Surgery, Mayo Clinic, Rochester, Minnesota.
• 8 Department of Oncologic and Urologic Surgery, the 903rd PLA Hospital, Wenzhou Medical University, Hangzhou, Zhejiang, People's Republic of China.
• 9 Department of Endocrinology, Seth GS Medical College and KEM Hospital, Mumbai, India.
• 10 Department of Surgical Oncology, Bakhrushin Brothers Moscow City Hospital, Moscow, Russia.
• 11 Department of Surgery, Endocrinology Research Center, Moscow, Russia.
• 12 Department of Endocrinology, University of Groningen, University Medical Center Groningen, Groningen, the Netherlands.
• 13 Instituto do Cancer do Estado de São Paulo (ICESP), Serviço de Endocrinologia, Hospital das Clínicas (HCFMUSP), Faculdade de Medicina da Universidade de São Paulo, São Paulo, Brazil.
• 14 Familial Cancer Clinic and Oncoendocrinology, Veneto Institute of Oncology IOV-IRCCS, Padua, Italy.
• 15 Operative Unit of the Endocrinology Department of Medicine (DIMED), University of Padua, Padua, Italy.
• 16 Department of Molecular Endocrinology, Institute of Endocrinology, Prague, Czech Republic.
• 17 Department of Endocrine Oncology and Nuclear Medicine, Maria Sklodowska-Curie Institute-Oncology Center, Gliwice Branch, Gliwice, Poland.
• 18 Institute of Endocrinology and Metabolism NAMS of Ukraine, Kiev, Ukraine.
• 19 Institute of Cardiology, Department of Hypertension, Warsaw, Poland.
• 20 Department of Endocrinology, Ospedale Niguarda Cà Granda, Milan, Italy.
• 21 Department of Medicine, Division of Endocrinology, Tufts Medical Center, Boston, Massachusetts.
• 22 Department of Radiology, Medical Center-University of Freiburg, Faculty of Medicine, University of Freiburg, Freiburg, Germany.
• 23 Department of Urology, Xiangya Hospital, Central South University, Changsha, China.
• 24 Department of Biochemistry and Molecular Biology, School of Life Sciences, Central South University, Changsha, China.
• 25 Hospital Universitari de Girona, Gerencia Territorial Girona, Institut Català de la Salut, Girona, Spain.
• 26 Endocrine Section, Hospital del Salvador, Santiago de Chile, Department of Medicine University of Chile, Santiago, Chile.
• 27 Department of Endocrinology and Metabolic Diseases, Leiden University Medical Center, Leiden, the Netherlands.
• 28 Department of Endocrinology, E.E. Eichwald Clinic, I.I. Mechnikov Northwestern State Medical University, St Petersburg, Russia.
• 29 Department of Molecular Medicine and Surgery, Karolinska Institutet, Stockholm, Sweden.
• 30 Neuroendocrine Tumor Unit, Endocrinology and Metabolism Service, Department of Medicine, ENETS Centre of Excellence, Hadassah-Hebrew University Medical Center, Jerusalem, Israel.
• 31 Division of Endocrinology and Metabolism, Siriraj Hospital, Mahidol University, Bangkok, Thailand.
• 32 Endocrinology, Abdominal Center, University of Helsinki and Helsinki University Hospital, Helsinki, Finland.
• 33 Department of Nuclear Medicine and Endocrinology, Second Faculty of Medicine, Charles University in Prague and Motol University Hospital, Prague, Czech Republic.
• 34 Department of Medicine II, Medical Center-University of Freiburg, Faculty of Medicine, University of Freiburg, Freiburg, Germany.
• 35 Genomic Medicine Institute, Lerner Research Institute and Taussig Cancer Institute, Cleveland Clinic, Cleveland, Ohio.
• PMID: 31397861
• PMCID: PMC6692838
• DOI: 10.1001/jamanetworkopen.2019.8898

Importance: Large studies investigating long-term outcomes of patients with bilateral pheochromocytomas treated with either total or cortical-sparing adrenalectomies are needed to inform clinical management.

Objective: To determine the association of total vs cortical-sparing adrenalectomy with pheochromocytoma-specific mortality, the burden of primary adrenal insufficiency after bilateral adrenalectomy, and the risk of pheochromocytoma recurrence.

Design, setting, and participants: This cohort study used data from a multicenter consortium-based registry for 625 patients treated for bilateral pheochromocytomas between 1950 and 2018. Data were analyzed from September 1, 2018, to June 1, 2019.

Exposures: Total or cortical-sparing adrenalectomy.

Main outcomes and measures: Primary adrenal insufficiency, recurrent pheochromocytoma, and mortality.

Results: Of 625 patients (300 [48%] female) with a median (interquartile range [IQR]) age of 30 (22-40) years at diagnosis, 401 (64%) were diagnosed with synchronous bilateral pheochromocytomas and 224 (36%) were diagnosed with metachronous pheochromocytomas (median [IQR] interval to second adrenalectomy, 6 [1-13] years). In 505 of 526 tested patients (96%), germline mutations were detected in the genes RET (282 patients [54%]), VHL (184 patients [35%]), and other genes (39 patients [7%]). Of 849 adrenalectomies performed in 625 patients, 324 (52%) were planned as cortical sparing and were successful in 248 of 324 patients (76.5%). Primary adrenal insufficiency occurred in all patients treated with total adrenalectomy but only in 23.5% of patients treated with attempted cortical-sparing adrenalectomy. A third of patients with adrenal insufficiency developed complications, such as adrenal crisis or iatrogenic Cushing syndrome. Of 377 patients who became steroid dependent, 67 (18%) developed at least 1 adrenal crisis and 50 (13%) developed iatrogenic Cushing syndrome during median (IQR) follow-up of 8 (3-25) years. Two patients developed recurrent pheochromocytoma in the adrenal bed despite total adrenalectomy. In contrast, 33 patients (13%) treated with successful cortical-sparing adrenalectomy developed another pheochromocytoma within the remnant adrenal after a median (IQR) of 8 (4-13) years, all of which were successfully treated with another surgery. Cortical-sparing surgery was not associated with survival. Overall survival was associated with comorbidities unrelated to pheochromocytoma: of 63 patients who died, only 3 (5%) died of metastatic pheochromocytoma.

Conclusions and relevance: Patients undergoing cortical-sparing adrenalectomy did not demonstrate decreased survival, despite development of recurrent pheochromocytoma in 13%. Cortical-sparing adrenalectomy should be considered in all patients with hereditary pheochromocytoma.

Publication types

• Comparative Study
• Multicenter Study
• Research Support, Non-U.S. Gov't
• Adrenal Gland Neoplasms / mortality
• Adrenal Gland Neoplasms / surgery*
• Adrenalectomy / adverse effects
• Adrenalectomy / methods
• Adrenalectomy / mortality*
• Neoplasm Recurrence, Local
• Organ Sparing Treatments / mortality*
• Pheochromocytoma / mortality
• Pheochromocytoma / surgery*
• Retrospective Studies
• Young Adult