金融援助

For the purposes of this policy, 十大正规博彩网站评级正规博彩平台卫生 system members include:

  • 爱丽丝·派克纪念医院
  • 柴郡医疗中心
  • 十大正规博彩网站评级正规博彩平台希区柯克诊所
  • Dartmouth Hitchcock Medical Center
  • Mt. Ascutney Hospital and 健康 Center
  • 新伦敦医院
  • Visiting Nurse and Hospice for Vermont and New Hampshire (VNH)

All other hospitals in New Hampshire and Vermont are considered non-member facilities.

This policy applies to 十大正规博彩网站评级正规博彩平台希区柯克诊所, 玛丽·希区柯克纪念医院, 爱丽丝·派克纪念医院, 新伦敦医院, 和柴郡医疗中心.

Please refer to the following sections:

Financial assistance policy brochure

十大正规博彩网站评级正规博彩平台卫生 will provide care for emergency medical conditions and medically necessary services to individuals despite their inability to pay or eligibility for financial or government assistance regardless of age, 性别, 比赛, 社会或移民身份, sexual orientation or religious affiliation.

十大正规博彩网站评级正规博彩平台卫生 provides financial assistance to persons who have healthcare needs and are uninsured, 保额不足, or ineligible for a government program or are otherwise unable to pay, for medically necessary care or emergency medical conditions based on their individual financial situation.

十大正规博彩网站评级正规博彩平台卫生 will make reasonable efforts to determine whether a patient is eligible for financial assistance before pursuing collection actions.

欲了解更多信息，请致电 1-844-808-0730 或者看看我们的 金融援助 Policy brochure (PDF).

This summary is available in the following languages:

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Financial assistance for healthcare services policy

你有什么资格??

资格是:

  • You must be a resident of New Hampshire or Vermont or a non-resident who experiences a medical emergency; and
  • You don’t have insurance or have a high out of pocket responsibility, are not eligible for any government healthcare benefit program, or are unable to pay for your care due to financial hardship; and
  • Your services are medically necessary; or
  • You have a NH 健康 Access Network Card; or
  • You meet established charity criteria

有关详细信息，请参阅我们的 金融援助 for 健康care 服务 Policy (PDF).

This summary is available in the following languages:

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申请经济资助

如何申请??

First, you will work with our financial counselor to be sure there are no other payment options.

Then you will complete a financial assistance application with required documentation.

十大正规博彩网站评级正规博彩平台健康中心的病人: 金融援助 Application (PDF)

This summary is available in the following languages:

请注意:

  • You can apply at any point during your care at 十大正规博彩网站评级正规博彩平台卫生
  • 十大正规博彩网站评级正规博彩平台卫生 will accept your NH 健康 Access Network Card

常见问题

  • How is your financial assistance determined?
    You may qualify for a partial or full reduction of your balance based on your income and assets in comparison to the Federal Poverty Levels (FPL) or the impact of the circumstances.
  • When will you know if you are approved?
    You will receive a letter in 30 to 45 days after your application is completed.
  • What happens if you are denied or not approved for 100%?
    If you don't agree with why you were denied or received partial approval for financial assistance, you may send a letter within 30 days of the denial that states why you don't agree. If your application is denied or approved for anything less than 100%, instructions and the mailing address will be sent to you.

If you have other questions, call us at 1-844-808-0730.

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没有保险的折扣

病人 without insurance cannot be charged any more than amounts generally billed to people who have insurance covering the same care. 十大正规博彩网站评级正规博彩平台卫生 applies a discount against gross charges to all balances where there is no insurance, resulting in a balance which the patient is expected to pay. The discount is based on the "prospective Medicare" method as described under applicable regulations implementing Section 501(r) of the Internal Revenue Code. This discount is applied prior to billing the patient and prior to applying any financial assistance adjustments. This discount doesn’t apply to any copayments, 共同保险, 可扣除的金额, pre-payment or package services which already reflect any required discount, or to services classified as non-covered by all insurance companies.

To view the full details regarding the 没有保险的折扣 policy, see the attach the English version of 十大正规博彩网站评级正规博彩平台卫生 Uninsured Discount Policy (PDF).

This summary is available in the following languages:

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信贷和托收政策

To view the full details regarding payment expectations, see the 十大正规博彩网站评级正规博彩平台卫生 Credit and Collection Policy (PDF).

This summary is available in the following languages:

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预算支付政策

To view the full details regarding payment expectations, see the 十大正规博彩网站评级正规博彩平台卫生 Budget Payment Policy (PDF).

This summary is available in the following languages:

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