Screening Tool for Financial Assistance

Program You may qualify if... How to apply
Health insurance or help paying your health care bills through a state program like MassHealth, the Health Connector, or Health Safety Net.
You live in Massachusetts, and

You meet income requirements (each program has different rules and income limits)
Visit a patient financial counselor at your hospital or health center.

or

Go to www.MAhealthconnector.org
70% to 100% discount on bills for an emergency or other medically necessary services, depending on your household income.
You do not qualify for public insurance programs in your home state, and

Your bills are for an emergency and related follow-up care, and

Your household income is below 301% of the Federal Poverty Guide, and

Your bills are not for insurance co-payments, co-insurance, or deductibles.
A paper application must be completed and submitted along with ID and income verification.

Call (617) 726-3884 or use our Financial Assistance Application.

Visit a patient financial counselor at your hospital or health center if you need help.
60% to 100% discount on bills for care received at Spaulding Rehabilitation Network and McLean Hospital, depending on your household income.
You do not qualify for public insurance programs in your home state, and

Your bills are for care received at Spaulding Rehabilitation Network or McLean Hospital, and

Your bills are not for insurance co-payments, co-insurance, or deductibles.
A paper application must be completed and submitted along with ID and income verification.

Call (617) 726-3884 or use our Financial Assistance Application.

Visit a patient financial counselor at your hospital or health center if you need help.
25% discount on any bills.
Your bills are not for insurance co-payments, co-insurance, or deductibles, and

You pay or set up a payment plan within 2 months of the date on your first bill.
Call (617) 726-3884 to pay or set up a payment plan.
Monthly payment plan on any bills.
You have any bill that you are having difficulty paying, even a bill for a health insurance co-payment, co-insurance, or deductible.
Call (617) 726-3884 to pay or set up a payment plan.