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If you are financially unable to meet your obligations, our Financial Assistance Service Department may be able to help. Fully staffed with bi-lingual employees, these caring professionals can help you complete applications needed to obtain:
If you do not qualify for any of these programs, you may be eligible for free care or a fee reduction based on the Hospital Financial Assistance Program.
Patient eligibility for free care or partial financial assistance application is determined by measuring family income and liquid assets against the Income Poverty Guidelines established by the U.S. Department of Health and Human Services according to the table contained in the financial assistance application: Note: Net income is defined as gross income less hospital charges. A further discount is available based on your gross income.
If you think that you may qualify for free care or care at reduced rates and wish to be considered, please complete the financial assistance application and return it to the Financial Assistance Department at the address listed on the application form. Documentation to support the income for all household members residing at the same address must also be submitted.
The Financial Assistance Department will make a written determination of eligibility after reviewing the application and the information submitted to support the household income reported. If based on income and family size, it is determined that you may qualify for Medicaid benefits, New York State's Family Health Plus or other similar programs, eligibility determination will be not be made until such applications are completed and acted upon.
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