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  • Application For Charity Free Care Program (proof Of ...

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BRATTLEBORO MEMORIAL HOSPITAL 17 BELMONT AVENUE BRATTLEBORO VT 05301 802 257 0341 ATTN: PATIENT FINANCIAL SERVICES CFC REPRESENTATIVE 802 257 8240 APPLICATION FOR CHARITY FREE CARE PROGRAM Patient.

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Related content

Department of Health | Charity Care - New Jersey...
The New Jersey Hospital Care Payment Assistance Program (Charity Care) is available to...
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Patients qualify for 100% of Charity Care if their family income is at or below 200% of the Federal Poverty Level (FPL).

NJ Charity Care is free or reduced charge care which is provided to patients who receive inpatient and outpatient services at acute care hospitals throughout the state of New Jersey. Charity Care is available only for emergent or medically necessary hospital care.

Who is eligible for Charity Care? Uninsured patients: California law now requires hospitals to provide free or discounted care to uninsured patients who earn up to 400% of the federal poverty level. You may qualify if you earn $4,530 per month for one person or up to $9,250 per month for a family of four in 2022.

Claim Medic: 1-888-910-9599. Medical Bill Gurus: 1-800-674-7836. Medical Cost Advocate: 201-891-8989. Medliminal: 855-288-2334.

WakeMed's value to the community is significant and is measured in numerous ways - by the amount of charity care provided; the unreimbursed costs incurred to care for Medicare and Medicaid patients; and the value of our outreach activities, volunteer services, and program support.

Charity Care is available for North Carolina residents who meet family income and residency criteria as defined in the Requirement Definitions for Charity Care (Appendix C).

Urgent and emergency care covered by our financial assistance policy includes: Care provided in a DUHS Emergency Department. Inpatient (overnight) care at a DUHS hospital. Follow-up treatment for services received through an emergency department.

If you can answer yes to all of the following questions and would like to apply for Charity Care, see an Admissions or Front Desk Representative, or call the Financial Assistance Unit toll free at 866.704. 5286 or visit our website at: https://.unchealthcare.org/site/healthpatientcare/ patient/other/financial.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232