About

Northwell Health’s Financial Assistance Policy (“FAP”) exists to provide eligible patients, discounted fees for emergency or medically necessary healthcare services provided by Northwell hospital facilities and certain related entities. Patients seeking financial assistance must apply for the program, which is summarized herein. 

  • Eligible Services – In general, the FAP applies to emergency or medically necessary health services provided and billed by Northwell Health’s hospitals and certain related entities.
  • Eligible Patients – In general, patients within Northwell Health’s service area, receiving eligible services, who submit a complete Financial Assistance Application (“Application”), (including related documentation/information), and who are determined eligible for financial assistance by Northwell Health

View the complete Financial Assistance Policy.

Eligibility

In general, eligible patients may receive financial assistance, using a sliding scale, when their Family Income is at or below 500% 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% 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% 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 (see Financial Assistance Policy), which may result in exceptions to the preceding. Northwell Health’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.

Northwell Health also translates its Financial Assistance Policy, Financial Assistance Application and this Plain Language Summary in to other languages.  Translated versions are available on Northwell Health’s website or upon request in person at the addresses below.

For help, assistance or questions please visit a Northwell Health hospital facility’s main registration desk or emergency room desk or the locations listed below, Monday through Friday from 9:00 AM to 5:00 P.M. A financial counselor can also be reached by phone at 1-800-995-5727.

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 Health 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 1-800-995-5727;
    • Request documents by mail/or in person at the respective hospital facility, that provided services. 
    • Download the documents from Northwell Health’s website: https://www.northwell.edu/manage-your-care/financial-assistance

For more information

Northwell Health also translates its Financial Assistance Policy, Financial Assistance Application and this Plain Language Summary in to other languages.  Translated versions are available on Northwell Health’s website or upon request in person at the addresses below.

For help, assistance or questions please visit a Northwell Health hospital facility’s main registration desk or emergency room desk or the locations listed below, Monday through Friday from 9:00 AM to 5:00 P.M. A financial counselor can also be reached by phone at 1-800-995-5727.

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, The 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: 1-800-995-5727

Mailing address:

Northwell Health
Financial Assistance Unit
PO Box 9001
Melville, NY  11747-9001
www.northwell.edu/manage-your-care/financial-aid-programs/financial-assi...

Northern Westchester Hospital
Patient Accounts Department
34 South Bedford Road, 2nd Floor
Mount Kisco, NY  10549-1096
Phone: 1-914-666-1512
www.nwhc.net/for-patients-and-visitors/billing-and-payment-information

Phelps Memorial Hospital Center
Financial Counseling
701 North Broadway
Sleepy Hollow, NY  10591-1096
Phone: 1-914-366-3133
Email - [email protected]
www.phelpshospital.org/patient-visitor-info/billing

Peconic Bay Medical Center
Financial Assistance Coordinator
1300 Roanoke Avenue
Riverhead, NY  11901
Phone: 1-631-548-6099
www.pbmchealth.org/medical-centers-and-services/peconic-bay-medical-cent...

Financial assistance policy

To view the complete financial assistance policy

Financial assistance application

To obtain a copy of the financial assistance application