Financial Assistance Summary
Adirondack Health recognizes that there are times when patients in need of care will have difficulty paying for the services provided. Adirondack Medical Center provides discounts to qualifying individuals based on your income. In addition, we can help you apply for free or low-cost insurance if you qualify. Just contact our Financial Counselor at 518-897-2217 for confidential assistance.
Who qualifies for a discount?
Financial Assistance is available for patients with limited incomes and no health insurance. High deductible amounts, non covered services due to Medical Necessity limitations will be considered on a case-by-case basis.
Everyone in New York State who needs emergency services can receive care and get a discount if they meet the income limits.
Everyone who is a New York State resident can get a discount on non-emergency, medically necessary services at Adirondack Medical Center if they meet the income limits. You cannot be denied medically necessary care because you need financial assistance. You may apply for a discount regardless of immigration status.
What are the income limits?
The amount of the discount varies based on your income and the size of your family.
The income limits for eligibility are based on the yearly established HHS Poverty Guidelines which can be located by clicking here.
What if I do not meet the income limits?
If you cannot pay your bill, Adirondack Medical Center offers a payment plans. Payment plans are based on the total amount owed and not greater than 10% of the gross monthly income.
Can someone explain the discount? Can someone help me apply?
Yes, free, confidential help is available from our Financial Counselor at 518-897-2217 or one of our Certified Enrollers or CAC’s.
If you do not speak English, someone will help you in your own language.
The Counselor will help you fill out all the forms and tell you what documents you need to bring.
What do I need to apply for a discount?
1. A completed application.
2. Income Verification: The lesser of the last twelve (12) weeks gross income (paycheck stubs, statements from employer, etc) or the last twelve (12) months gross income from the date of the application.
3. A copy of a determination notice regarding medical coverage.
If you cannot provide any of these, you may still be able to apply for financial assistance.
What services are covered?
All medically necessary services provided by Adirondack Medical Center are covered by the discount. This includes outpatient services, emergency care, and inpatient admissions.
Charges from private doctors who provide services in the hospital may not be covered. You should talk to private doctors to see if they offer a discount or payment plan.
How much do I have to pay?
Our Financial Counselor will give you the details about your specific discount(s) once your application is processed.
How do I get the discount?
You have to fill out the application form. As soon as we have a completed application and all supporting documentation, we can process your application for a discount according to your income level.
You can apply for a discount when you come to the hospital to get care or when the bill comes in the mail.
Send the completed form to Adirondack Medical Center or bring it to the Financial Counselor’s office. You have up to 240 days after receiving services to request, complete and return your application.
How will I know if I was approved for the discount?
Adirondack Medical Center will send you a letter within 30 days after completion and submission of documentation, telling you if you have been approved and the level of discount received.
What if I receive a bill while I’m waiting to hear if I can get a discount?
You cannot be required to pay a hospital bill while your application for a discount is being considered. If your application is turned down, the hospital must tell you why in writing and must provide you with a way to appeal this decision to a higher level within the hospital.
What if I have a problem I cannot resolve with the hospital?
You may call the New York State Department of Health complaint hotline at 1-800-804-5447.
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