Financial Assistance
Your Options
If you cannot pay your hospital bill, you have options.
- Emerson Health’s Financial Assistance Policy
- Financial Assistance Policy – Plain Language Summary
- Participating Providers in Emerson’s Financial Assistance Policy
- Financial Assistance Application – This application must be printed; it cannot be completed electronically. If you need assistance accessing or completing this form, please contact our Financial Assistance Department at 978-287-3432.
- Amounts Generally Billed
- Massachusetts Healthcare Connector
Eiligibility
If your total family income is within poverty guidelines established by the U.S. Department of Health and Human Services, or income and resource standards established by the Massachusetts Department of Medical Security, we can assist you in qualifying for financial aid. These income guidelines* are:
| Family Size | Full Free Care | Partial Free Care |
|---|---|---|
| 1 | $20,388 | $40,776 |
| 2 | $27,468 | $54,936 |
| 3 | $34,548 | $69,069 |
| 4 | $41,628 | $83,256 |
| 5 | $48,708 | $97,416 |
| 6 | $55,788 | $111,576 |
| 7 | $62,868 | $125,736 |
| 8 | $69,948 | $139,896 |
For each additional family member, add $7,080 for full free care and $14,160 for partial free care.
*These figures are subject to change by the U.S. government. Final approval regarding eligibility rests with the Commonwealth of Massachusetts.
Questions?
You can apply for financial assistance directly through the Commonwealth of Massachusetts (call 800-408-1253 for more information).
Or, if you would like more information, please call our Financial Services office at 978-287-3432 between 8 a.m. and 5:30 p.m., Monday through Friday.