Charitable Care Policy
It is the policy of the Elliot Hospital, Elliot Physician Network and Elliot Professional Services to offer medical care to all who may have difficulty in paying for services due to limited income without regard to their race, religion, sex, or age.
NOTE: All departments with the exception of the departments listed here follow NHHAN. EPS hospital departments (NICU, Wound Center, Pain Center, PICU and Hospitalist, ED, UCC and Intensivist) follow NHHAN if the patient qualifies for 100% otherwise they will follow the Elliot Hospital Charitable Care.
All patients who qualify for NHHAN or Elliot Hospital Charitable Care will be responsible to pay a Community Co-Payment. Please refer to the EHS Community Co-Payment policy for established guideline.
NHHAN
Generally, individuals whose income falls within the 200% NH HAN Sliding Fee Scale guidelines qualify for some level of assistance for medically necessary services. NHHAN provided can range from the patient having no financial obligation (after the community co-payment has been paid), to a percentage of their hospital/physician charges.
Elliot Hospital Charitable Care
Generally, individuals whose income falls below 400% of the federal poverty guidelines qualify for some level of assistance for medically necessary services. The Elliot Hospital Charitable Care provided can range from the patient having no financial obligation (after the community co-payment has been paid), to a percentage of their hospital/physician charges.
Elliot Hospital Charitable Care Guidelines (7/1/2009-6/30/2010)
FAMILY |
20% |
40% |
60% |
80% |
100% |
1 |
43,320.00 |
37,905.00 |
32,490.00 |
27,075.00 |
21,660.00 |
2 |
48,280.00 |
50,995.00 |
43,710.00 |
36,425.00 |
29,140.00 |
3 |
73,420.00 |
64,085.00 |
54,930.00 |
45,775.00 |
36,620.00 |
4 |
88,200.00 |
77,175.00 |
66,150.00 |
55,125.00 |
44,100.00 |
5 |
103,160.00 |
90,265.00 |
77,370.00 |
64,475.00 |
51,580.00 |
6 |
118,120.00 |
103,355.00 |
88,590.00 |
73,825.00 |
59,060.00 |
7 |
133,080.00 |
116,445.00 |
99,810.00 |
83,175.00 |
66,540.00 |
| 8 9 10 |
148,040.00 |
129,535.00 |
110,030.00 |
83,175.00 |
74,020.00 |