Mt Ascutney Hospital: Financial Assistance & Charity Care

Can't afford a bill from Mt Ascutney Hospital? You may not have to pay all of it. Nonprofit hospitals must offer financial assistance — here are this hospital's actual income limits and how to apply, taken from its own published policy.

Quick facts

250%of the federal poverty level — the free-care income limit

Free care: Free care if your household income is at or below 250% of the federal poverty level.

Discounted care: Discounted care if your household income is between 251% and 400% of the federal poverty level — 75% off at 251-300%, 50% off at 301-350%, and 40% off at 351-400%.

How to apply: Mt. Ascutney Hospital (Dartmouth Health): Financial assistance

Phone: 844-808-0730 — Dartmouth Health financial assistance (toll-free).

How to apply

  1. Check the income limits above — you must be a Vermont or New Hampshire resident (or have had a medical emergency here), and your care must be medically necessary.
  2. Work with a Dartmouth Health financial counselor first to make sure there are no other ways to cover the bill, such as Medicaid.
  3. Fill out the Dartmouth Health financial assistance application and attach proof of income (a recent tax return or pay stub).
  4. Submit the application — you will get a decision letter in 30 to 45 days.

Good to know

See what Mt Ascutney Hospital charges

Check if you qualify at other hospitals

Sources