Who pays for what
Four free agencies that answer how you're going to pay for care, and what to ask each.
Print one for each call, or tape it up next to the phone.
Print it and write by hand, or fill it in on your computer and save it.
Example pagesAn example page so you can see how it works.
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. Imprímala y complete a mano, o llénela en la computadora y guárdela.
Questions
All the printables & tools
What’s the catch?
There is none. It’s a free PDF, no email required, and we won’t follow up with anything. 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. You might just need to install a free PDF viewer on your phone.
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.
- The free caregiver binder has a page for tracking what they own.
- “Is it really time?” is for deciding if it's time for a facility.
- The hospital and discharge sheet has the Medicare paperwork deadlines.
You can photocopy the call sheet and hand it to someone else.
Checked July 2026. Program rules change and they differ state to state. Check with your state agency for current rules.
