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Frequently Asked Questions: Uninsured

 Financial Assistance Program — Questions

  1. I just got a bill from North Shore-LIJ but I am uninsured or underinsured and can’t afford to pay it. How can North Shore-LIJ help me?
  2. Can you tell me more about the household income requirements?
  3. OK, I meet the income requirements. What else does North Shore-LIJ look at when reviewing my request for financial assistance?
  4. What charges are NOT covered by the Financial Assistance Program?
  5. How can I apply for the Financial Assistance Program?
  6. What documentation should I submit with my Financial Assistance Application?
  7. If I apply for financial assistance, is this information made public?
  8. I have completed an application. Now what?
  9. What happens if my financial assistance application is denied?
  10. I was approved for the Financial Assistance Program in the past, but I need more medical care – what should I do?

Sliding Fee Scale Program — Questions

  1. I am uninsured and need to find out about where I can go to receive low-cost health care services. How can North Shore-LIJ help me?
  2. Can you tell me more about the household income requirements?
  3. OK, I meet the income requirements. What else does North Shore-LIJ look at when reviewing my request to participate in the Sliding Fee Scale Program?
  4. What charges are NOT covered by the Sliding Fee Scale Program?
  5. If I need to have ambulatory medical procedures/tests, how much will I be responsible to pay?

If you have a problem with an existing account or need more help, please call us toll free at (888) 214-4065. You can also contact us and we will get back to you promptly.


 Financial Assistance Program — Answers 

  1. I just got a bill from North Shore-LIJ but I am uninsured or underinsured and can’t afford to pay it. How can North Shore-LIJ help me?
    The North Shore-LIJ Financial Assistance Program provides reduced fees for uninsured or underinsured patients. Eligibility for our program is based on your household income and where you live. Please see our income guidelines to see if you may be eligible. If you are eligible or we believe you may be eligible for Medicaid or other Public Health Insurance, you must apply for it and fully comply with all state documentation requirements before you can apply for Financial Assistance. We can help you with your Public Insurance application.

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  2. Can you tell me more about the household income requirements?
    To be eligible for the North Shore-LIJ Financial Assistance Program you must live in a household with an annual income of under 500% of the Federal Poverty Level. You can call us, toll-free, at (888) 214-4065 to speak with a Financial Assistance representative, or you can review our income guidelines at Financial Assistance Program to see if you qualify and download a copy of the application.

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  3. OK, I meet the income requirements. What else does North Shore-LIJ look at when reviewing my request for financial assistance?
    We look to see if you live within the North Shore-LIJ service area (Long Island and New York City) and sometimes we will ask you questions about certain assets not including your home, car, pension, college funds and retirement funds, and general savings account valued below the state defined maximum levels.

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  4. What charges are NOT covered by the Financial Assistance Program?
    Only services that your doctor thinks are medically necessary will be considered for the Financial Assistance Program. In addition, the following items are NOT covered under the Financial Assistance Program: (1) Prescriptions, (2) Co-Pays (3) Co-Insurance (4) Deductibles and (5) personal items (telephone, private room differential, guest meals, etc.). 

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  5. How can I apply for the Financial Assistance Program?
    To apply for Financial Assistance please call us at (888) 214-4065 or visit Financial Assistance Programto download an application.  (Applications are available in multiple languages.) You have 90 days from the date of service to apply for the Financial Assistance Program. You will be asked to provide supporting documentation as part of the application. Please review the instructions carefully.

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  6. What documentation should I submit with my Financial Assistance Application?
    To apply for FA you must provide proof of your current household income and household size. In some instances you may be asked to provide your recent bank statements of general savings.

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  7. If I apply for financial assistance, is this information made public?
    NO. All information in your application is kept confidential.

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  8. I have completed an application. Now what?
    First, make sure that you attach all requested documentation to your application. If we do not receive all of your documentation, we can not process your request. Please mail your completed application and documents to the Financial Assistance Unit, P.O. Box 9001, Melville, NY 11747. If you have any questions, feel free to call the Financial Assistance Unit at (888) 214-4065.

    Once you have submitted a complete application with all requested documentation, you can disregard all bills for the services that you are requesting Financial Assistance on until a final decision is made.

    We will contact you, in writing, within 30 days with a decision on your application. If you are approved, we will let you know what your new account balance is. If you need help with a payment plan for your new account balance, the Financial Assistance Unit can set up a monthly payment plan for the new balance.

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  9. What happens if my financial assistance application is denied?
    You can appeal the decision by writing to us and submitting any additional information and/or documents that you would like for us to review. If you do not wish to appeal the decision, please call our Financial Assistance Unit at (888) 214-4065 to set up an affordable monthly payment plan. You can also go to Make a Payment to set up a monthly payment plan and pay online.

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  10. I was approved for the Financial Assistance Program in the past, but I need more medical care – what should I do?
    If you need more medical care, please contact the Financial Assistance Unit so that your prior application can be re-evaluated. It may be necessary for you to provide more up-to-date financial information/documents at that time.

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Sliding Fee Scale Program — Answers

  1. I am uninsured and need to find out about where I can go to receive low-cost health care services. How can North Shore-LIJ help me?
    North Shore-LIJ has a Sliding Fee Scale Program where you can get routine medical care at a low cost. Eligibility for the Sliding Fee Scale Program is based on your household income and where you live. Please see our income guidelines to see if you may be eligible. If you are eligible or think you may be eligible for Medicaid or other public insurance, you must apply for it. We can help you with your Public Insurance application.

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  2. Can you tell me more about the household income requirements?
    To be eligible for the North Shore-LIJ Sliding Fee Scale Program, you must live in a household with an annual income of under 500% of the Federal Poverty Level.  Please see our income guidelines to see if you qualify. Call or visit our ambulatory care centers to make an appointment to see a doctor and apply for our program.   

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  3. OK, I meet the income requirements. What else does North Shore-LIJ look at when reviewing my request to participate in the Sliding Fee Scale Program?
    We look to see if you live within the North Shore-LIJ service area (Long Island and New York City) and sometimes we will have to ask you questions about certain assets not including your home, car, pension, college funds and retirement funds, and general savings account valued below the state defined maximum levels.

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  4. What charges are NOT covered by the Sliding Fee Scale Program?
    Only services that your doctor thinks are medically necessary will be considered for the program. In addition, the following items are NOT covered under the Sliding Fee Scale Program: (1) Prescriptions, (2) Co-Pays (3) Co-Insurance (4) Deductibles and (5) personal items.

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  5. If I need to have ambulatory medical procedures/tests, how much will I be responsible to pay?
    As an established sliding fee scale patient, you will always be entitled to reduced fees for medically necessary services.  For ambulatory services/tests, the registration representative or financial counselor will advise you on your responsible amount before your scheduled procedure/test date and you will be able to make a financial arrangement before your scheduled visit.

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