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About our financial assistance policy (FAP)

Read the complete Northwell Health financial assistance policy, or the plain language summary.

Financial assistance is available only for services provided directly by a Northwell Health hospital facility or by a physician employed by Northwell Health. For a list of Northwell Health hospital services that are performed by employed physicians who are covered under this policy, please click here

The appendices below are listings of independent service providers or practitioners, that are not employees at a Northwell Health facility, but deliver emergency or medically necessary care, and whose services may not be covered under this FAP.

To view each location's additional policies, click any link below:

Financial assisstance policy languages available


Eligibility

In general, eligible patients may receive financial assistance, using a sliding scale, when their family income is at or below 500 percent of the federal government’s Federal Poverty Guidelines (FPG). Eligibility for financial assistance means that eligible patients will have the cost of their care reduced in full or in part, and they will not be billed more than “Amounts Generally Billed” (AGB) to insured persons (AGB, as defined in IRC Section 501(r) by the Internal Revenue Service). The following financial assistance is available to eligible patients:

  • Family income at 0 to 100 percent of FPG
    • Full financial assistance
    • $0 or the nominal payment level as defined by New York State Department of Health is billable to the patient.
  • Family income at 101 to 500 percent of FPG
    • Partial financial assistance
    • AGB is maximum amount billable to the patient.

Other relevant criteria in addition to FPG may be considered in determining eligibility, which may result in exceptions to the preceding. Northwell’s financial assistance departments will review submitted applications which are complete, and determine financial assistance eligibility in accordance with the financial assistance policy. Applicants who provide incomplete FAP applications will be notified and given an opportunity to provide the missing documentation/information in order for a determination to be made with respect to eligibility for financial assistance.


How to apply

FAP and related application form may be obtained/completed/submitted as follows:

  1. Submit a completed application and required documentation to the respective financial assistance department based upon the hospital facility that provided the services.
  2. Applications for financial assistance can be obtained as follows: 
    • At each Northwell hospital facility’s main registration desk or emergency room desk
    • Request documents to be mailed to you by calling Northwell Health’s Financial Assistance Unit at (800) 995-5727
    • Request documents by mail/or in person at the respective hospital facility that provided services
    • Download the documents here

For more information

Northwell also translates its financial assistance policy, financial assistance application and this plain language summary in to other languages. Translated versions are available on Northwell’s website or upon request in person at the addresses below. For assistance or questions, please visit a Northwell hospital facility’s main registration desk or emergency room desk or the locations listed below, Monday through Friday from 9am to 5pm. A financial counselor can also be reached by phone at (800) 995-5727.

Northwell Health Financial Assistance Unit provides services for the following facilities: North Shore University Hospital, Long Island Jewish Medical Center, Cohen Children’s Medical Center, Zucker Hillside Hospital, Huntington Hospital, Lenox Hill Hospital, Manhattan Eye, Ear and Throat Hospital, Staten Island University Hospital, Franklin Hospital, Forest Hills Hospital, Glen Cove Hospital, Plainview Hospital, Southside Hospital and Syosset Hospital

Northwell Health
Financial Assistance Unit
35 Pinelawn Road
Melville, NY 11747-9001
Phone: (800) 995-5727


Mailing addresses

Northwell Health
Financial Assistance Unit
PO Box 9001
Melville, NY 11747-9001

Northern Westchester Hospital 
Patient Accounts Department
34 South Bedford Road, 2nd Floor
Mount Kisco, NY 10549-1096
Phone: (914) 666-1512

Phelps Memorial Hospital Center
Financial Counseling
701 North Broadway
Sleepy Hollow, NY 10591-1096
Phone: (914) 366-3133
Email: [email protected]

Peconic Bay Medical Center
Financial Assistance Coordinator
1300 Roanoke Avenue
Riverhead, NY 11901
Phone: (631) 548-6099