MOUNT AUBURN HOSPITAL

"Charity Care: MAH will provide care at 100% discount under this policy for patients/Guarantors whose Family Income is at or below 400% of the current FPL, who otherwise meet other eligibility criteria set forth in this policy."

documented · checked 2026-10-09 · Financial Assistance Policy

"Important information you need to know about applying for MassHealth Limited and the Health Safety Net can be found on page 3."

documented · checked 2026-10-02 · download

"On the MAH public website: https://www.mountauburnhospital.org/patients-visitors/billinginsurance/billing-policies/"

documented · checked 2026-10-09 · Financial Assistance Policy

"In addition to the Financial Assistance Application we also need the following documentation attached to this application: • Current state or federal income tax returns • Current Forms W2 and/or Forms 1099 • Four most recent payroll stubs • Four most recent checking and/or savings account statements • Health savings accounts • Health reimbursement arrangements • Flexible spending accounts"

documented · checked 2026-10-09 · mah-application-for-financial-assistance- ...

"Mount Auburn Hospital Financial Assistance Department 330 Mount Auburn Street, 1st Floor Needham Building, Cambridge, MA 02138 • Request copies to be mailed or sent electronically by calling (617) 499-5560 (you may also call this number to request assistance with the application process)"

documented · checked 2026-10-09 · Financial Assistance Policy Plain Language Summary

"The deadline to return the application is 240 days from the first billing statement for the services which financial assistance is being requested."

documented · checked 2026-10-09 · mah-application-for-financial-assistance- ...

"Please allow 30 days from the date the completed application is received for eligibility determination."

documented · checked 2026-10-09 · mah-application-for-financial-assistance- ...

"Phone: (617) 499-5560"

documented · checked 2026-10-09 · mah-application-for-financial-assistance- ...

"Financial Assistance Policies, Applications and Plain Language Summaries are available in the following languages: English Spanish French Haitian Creole Simplified Chinese Traditional Chines Portuguese Greek Russian Armenian"

documented · checked 2026-10-09 · Financial Assistance Policy Plain Language Summary

"If eligible, financial assistance is granted for six months from the date of approval and is valid for all Beth Israel Lahey Health affiliates as set forth in Appendix 5 of their respective Financial Assistance Policies: • Anna Jaques Hospital • Addison Gilbert Hospital • BayRidge Hospital • Beth Israel Deaconess Medical Center-Boston • Beth Israel Deaconess Milton • Beth Israel Deaconess Needham • Beth Israel Deaconess Plymouth • Beverly Hospital • Lahey Hospital & Medical Center, Burlington • Lahey Medical Center, Peabody • Mount Auburn Hospital • New England Baptist Hospital • Winchester Hospital"

documented · checked 2026-10-09 · mah-application-for-financial-assistance- ...