Financial Assistance

Important Documents & Information

Hospitals in New Hampshire work hard to make quality health care available, affordable, and accessible to all, regardless of ability to pay. New London Hospital offers financial assistance to ensure that cost will not be a barrier to receiving health care services. If payment of your health care expenses could create a financial hardship for you, our staff will work with you to apply for financial assistance. Information you provide is confidential and is only reviewed by staff processing your application.

Even if you’re uncertain about your eligibility, please feel free to call us. Many factors are taken into consideration when determining eligibility.

As part of the financial assistance application process, the hospital will assess your potential eligibility for health insurance coverage through federal or state programs such as New Hampshire Medicaid and the Marketplace. If it is determined that you may be eligible for one of these programs, the hospital will assist you in the application process. You will be required to supply the financial or medical documentation that is necessary to secure such insurance coverage.

Criteria Categories for Financial Assistance

  • Family income
  • Assets (e.g. second home, bank account, and stocks)
  • Any additional financial hardship
  • You must be receiving medically necessary care.
  • You must be a resident of our 15-town service area, or a non-resident who has a Primary Care Physician at New London Hospital/Newport Health Center or experiences a medical emergency.

Amount of Financial Assitance

The amount of financial assistance you receive is based upon your total assets and income compared to the federal poverty guidelines, also known as FPL. If a patient is approved for financial assistance, the amount of such assistance to be provided will be as follows:

  • Family income at or below 200% of FPL will receive 100% financial assistance.
  • Family income between 201% – 250% of FPL will receive a 75% discount.
  • Family income between 251% – 300% of FPL will receive a 50% discount.
  • Family income between 301% – 400% of FPL will receive a 25% discount.

Cosmetic procedures and infertility services are not eligible for financial assistance. All other elective or non-emergent services are covered at the discretion of the health provider or hospital.

Financial Assistance Exclusions

Cosmetic procedures and infertility services are not eligible for financial assistance. All other elective or non-emergent services are covered at the discretion of the health care provider or hospital.

How to Apply for Financial Assistance

Please call New London Hospital Financial Couseling in the Revenue Cycle Services Department at 603-526-5292. A financial counselor will advise you and investigate other sources that might provide financial assistance.

Click here for Financial Assistance Application
Click here for our Financial Assistance Policy
Services covered by the NLH Financial Assistance Policy
Credit Collections Policy

Notification

We will notify patients of approval or denial of financial assistance by letter. If approved, the letter will state the discount percentage and will include a card. Patients approved for financial assistance will be expected to present the card when they register for the duration of the term. Please note that financial assistance approval is valid for 6 months (12 months for patients on a fixed income) and a new application will have to be submitted after that time.

Appeals

You may appeal your denial or partial approval within 30 days of the notification by sending a letter to:

VP of Revenue
New London Hospital
Post Office Box 2150
New London, NH 03257

Making payments

We know that health care costs can come up unexpectedly. Whether you are insured or uninsured, whether or not you qualify for financial assistance, we understand that you may have difficulty paying your health care costs in full at the time of service or in a lump sum. We are happy to work with any patient to set up a payment plan. Please contact us at the number below or click “Financial Counselor” below for a direct link to our email.

Financial Counselor
PO Box 2150
New London, NH 03257-2150
(603) 526-5292

We welcome your e-mail about your account but due to our dedication to keeping your information confidential, we will respond to emails securely; a password is required to open the emails.