Patient Financial Assistance

General Information

In the spirit of our mission to improve the health of people in our region by providing access to exceptional, affordable, and patient-centered care, Glens Falls Hospital is committed to providing healthcare services to all patients based on medical necessity. For patients who require financial assistance or who experience temporary financial hardship, Glens Falls Hospital offers assistance and payment options, including charity and discounted care, short-term and long-term payment plans.  Click here to read the full Patient Financial Assistance Policy.  To view our list of employed and non-employed providers at Glens Falls Hospital, please click here.

Uninsured Patients

Glens Falls Hospital extends discounts to all uninsured patients who receive medically necessary services. Uninsured discounted amounts are based on Federal Poverty Level (FPL) guidelines. Patient statements will show the discounted amount and the adjusted balance owed.

Description of Service Areas

All medically necessary services qualify for uninsured discounts. Glens Falls Hospital may qualify patients based on residency requirements. Our primary service area includes the following counties: Saratoga, Washington, Hamilton, Essex, and Warren. An application will be accepted from a patient from outside the GFH service area who qualifies under the financial assistance program and presents to the hospital with an urgent, emergent or life-threatening condition.

Covered Service

Patient Financial Assistance funds will be utilized for all services rendered by Glens Falls Hospital, including the Glens Falls Medical Group. Services such as cosmetic procedures, hearing aids, dental and eye care that normally are not covered by insurance are not included in our financial assistance program and are priced at packaged rates with no additional discount. All payments are expected at the time of service.

Short-Term and Long-Term Payment Plans

Patients who cannot pay some or all of their financial responsibility may qualify for short-term or long-term payment plans. The payment plans are interest-free and patient balances must be paid in full within ninety days. Longer term payment plans are available through a zero percent bank loan for those patients who cannot pay their balances within ninety days.

Financial Assistance Policy

A 100% discount for medically necessary services is available to patients who earn 138% or less of the Federal Poverty Level guidelines. Individuals who earn between 200-400% of the Federal Poverty Level guidelines may be eligible for a partial discount equal to the Medicare discount rate.

Patient copays and deductibles may be eligible for discounted rates if a patient qualifies for financial assistance and earns less than 330% of the Federal Poverty Level Guidelines.

Discounts are also available for those patients who are facing catastrophic costs associated with their medical care. Catastrophic costs occur when a patient’s medical expenses for an episode of care exceed 20% of their annual income. In these cases, patient copays and deductibles may also be included in the discount.

Financial assistance discounts may be denied if patients are eligible for other funding sources such as a Health Insurance Exchange plan or Medicaid eligibility and refuse or are unwilling to apply for these sources.

Eligibility

A patient’s eligibility for Patient Financial Assistance will be based upon the size of the applicant’s family and is limited to those families whose income is less than or equal to 3.3 times [330%] of the current poverty level income guidelines and determined by the Community Services Administration. In addition, applicants must demonstrate that they are unable to pay for the services rendered. Glens Falls Hospital will then use the attached guidelines to determine the appropriate level of financial assistance.

Application Process

Patients seeking access to the Patient Financial Assistance program will complete an application. During this process, the determination of eligibility will be made contingent upon the patient producing acceptable income verification and a Medicaid denial, if applicable.  Financial Counselors are available to work with patients in completing financial assistance applications to determine what assistance is available. This includes assessing eligibility for Medicaid and Health Insurance Exchange plans.

Acceptable Income Verification:

  1. Most recent income tax return [Federal Tax Return will be used to determine family size].
  2. Self-Employed individual’s income calculation will be based on adjusted gross income reported on IRS tax form – 1040.
  3. Other income documentation [example: SSI, SSD or pension statement]. Patient Financial Assistance will only be applied after all insurance coverage has been exhausted or for uninsured self-pay patients.

The Patient Financial Services department will render a decision within ten [10] business days of receipt of all necessary patient documentation. Any application will be considered withdrawn if all necessary patient documentation is not presented within twenty [20] days of the request. If the documentation used to prove eligibility is found to be fraudulent, any Patient Assistance awarded will be revoked and all normal collection efforts will be pursued.

Copies of the application, plain language summary, and complete policy can be obtained free of charge from a financial counselor at the hospital where care was received.  You may also call a financial counselor at 518-926-5111 to request an application or request an application by mail by writing to the Glens Falls Hospital Financial Assistance Unit, Attn: Christine LaFountain 100 Park St, Glens Falls, NY  12801. These documents are also available in Spanish, Burmese and Arabic or any other language where the population is five percent or more of the community population that the hospital serves.

No patient who qualifies for financial assistance will be charged more than the amounts generally billed by the hospital, which are Medicare rates.

The Health Insurance Marketplace

The Affordable Care Act (ACA) requires everyone legally living in the U.S. to have health insurance beginning January 1, 2014. It also gives millions of individuals with too little or no insurance, access to health plans at different cost levels. The law also provides financial assistance to those who qualify based on family size and income. Please see a financial counselor at the facility where you receive care for more information.

A Patient Financial Assistance application must be made within 90 days after receipt of the initial bill from Glens Falls Hospital. For more information, please click here.

If you are unable to resolve any concerns or issues after working with a Glens Falls Hospital representative you may call the New York State Department of Health at 1-800-804-5447.

Contact Us

For more information, please call 518-926-5111.

 

Patient Financial Assistance

Your Story is our Story - Glens Falls Hospital "We cannot say enough positive things about our experience at the Joyce Stock Snuggery. All of the staff made us feel comfortable, encouraged, and exhibited patience with our questions. At the end of our stay, I found myself not wanting to leave!" Michelle Mann-Saumier Glens Falls, NY