• Medical Electric Affordability Program Application

    Offered by Xcel Energy and Administered by the Energy CENTS Coalition

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    Please contact Xcel Energy at 1-866-975-7327 to speak to a personal account representative regarding your necessary medical equipment.  A Critical Life-sustaining medical equipment and emergency form must be on file with Xcel in order to qualify for the Medical Electric Affordability Program.

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    You do not qualify for the Medical Electric Affordability Program.  You must need medical equipment or have a medical condition that requires electricity in order to sustain life.  You may qualify for the POWER On and/or the Gas Affordability Program.  Click the link below to complete that application.

    https://form.jotform.com/72894728277171

     

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    You do not qualify for the Medical Electric Affordability Program.  You must need medical equipment or have a medical condition that requires electricity in order to sustain life.  

     

    We may abe able to assist you with the POWER On/GAP program, but you first need to receive a grant from the Energy Assistance Program (LIHEAP).  Click on the link below for more information on the Energy Assistance program in Minnesota.

    https://mn.gov/commerce/consumers/consumer-assistance/energy-assistance/

     


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  • Mail your income verification to:

    Energy CENTS Coalition

    823 East 7th St

    St Paul, MN 55106

  • email your income verification to:

     ecc@energycents.org

     

  • By signing this document, I am giving Energy CENTS Coalition and Xcel Energy permission to obtain information about me and I am agreeing to the following:

    • I agree to allow Xcel Energy to use payment information in the evaluation  of the program.
    • I agree to allow the Energy CENTS Coalition to obtain account information, including LIHEAP status, from Xcel Energy necessary to process  this application.
    • I understand I must make my monthly bill payment in order to stay in  the program, to receive credit toward past due amounts and to prevent service disconnection.
    • I understand that enrollment on this program is based on a first come first served basis.
    • I agree to notify Xcel Energy and Energy CENTS Coalition if there are changes in my income,  household size or if I move.
    • I understand that enrollment in this program will automatically cancel my Averaged Monthly Payment enrollment or any other previously agreed upon payment plan.
    • I agree to allow the Energy CENTS Coalition to share any of the above information with other organizations that provide energy assistance, conservation and other services.
    • I agree to allow heating and electricity companies to give data about my account and energy use to the Energy CENTS Coalition for the PowerOn program and any Energy CENTS Coalition conservation programs.
    • I understand that I must have a certified medical form on file with Xcel Energy in order to be eligible for this program.
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