MERRIMACK HEALTH LAWRENCE HOSPITAL

"Patients who are uninsured and have a household income at or below 300% of the Federal Poverty Guidelines (FPG) may receive financial assistance."

documented · checked 2026-10-02 · [PDF] Lawrence General Hospital Financial Assistance Policy for ...

"Patients that are Massachusetts residents with primary health insurance and MassHealth MAGI Household income or Medical Hardship Family Countable Income, as described in 101 CMR 613.04(1), between 0 and 300% of the FPL may be determined eligible for Health Safety Net Eligible Services."

documented · checked 2026-10-02 · [PDF] Lawrence General Hospital Financial Assistance Policy for ...

"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

"o Attestation of Income Verification The hospital will not deny financial assistance under its financial assistance policy for information or documentation unless the information or documentation is described in its financial assistance policy or application form. E.3 Role of the Hospital Financial Counselor The hospital will help uninsured and underinsured individuals apply for health coverage through a public assistance program (including but not limited to MassHealth, the premium assistance payment program operated by the Health Connector, and the Children’s Medical Security Program), and work with individuals to enroll them as appropriate. The hospital will also help patients that wish to apply for financial assistance from the hospital, which includes coverage through the Health Safety Net and Medical Hardship. The hospital will: a) provide information about the full range of programs, including MassHealth, the premium assistance payment program operated by the Health Connector, the Children’s Medical Security Program, Health Safety Net, and Medical Hardship; b) help individuals complete a new application for coverage or submit a renewal for existing coverage; c) work with the individual to obtain all required documentation; d) submit applications or renewals (along with all required documentation); e) interact, when applicable and as allowed under the current system limitations, with the Programs on the status of such applications and renewals; f) help to facilitate enrollment of applicants or beneficiaries in Insurance Programs; and g) offer and provide voter registration assistance. The hospital will advise the patient of their obligation to provide the hospital and the applicable state agency with accurate and timely information regarding their full name, address, telephone number, date of birth, social security number (if available), current insurance coverage options (including home, motor vehicle, and other liability insurance) that can cover the cost of the care received, any other applicable financial resources, and citizenship and residency information."

documented · checked 2026-10-02 · [PDF] Lawrence General Hospital Financial Assistance Policy for ...

"Financial Counselors are available to speak with patients and are located at Lawrence General Hospital’s main campus Admitting Office located at 1 General Street, Lawrence MA 01841; telephone number is 978-683-4000 extension 2069, 2174, 2820 or 2833."

documented · checked 2026-10-02 · [PDF] Lawrence General Hospital Financial Assistance Policy for ...

"[978-683-4000](tel:+19786834000)"

documented · checked 2026-10-02 · Financial Assistance Policy | Merrimack Health

"Hours of operation are Monday through Friday 8:00 am until 4:30 pm."

documented · checked 2026-10-02 · [PDF] Lawrence General Hospital Financial Assistance Policy for ...

"C. Hospital Locations providing medically necessary services and covered by the Financial Assistance Policy: The hospital’s financial assistance policy covers the following locations where patients can also obtain information on the availability of public assistance programs:  LGH Hospital o Main Campus, 1 General Street, Lawrence, MA 01841 o Andover Medical Center, 323 Lowell Street, Andover, MA 01810 o 140 Haverhill Street, Andover, MA 01810 o YMCA, 165 Haverhill Street, Andover, MA 01810  Community Medical Associates – physician practices located at: o Marston Medical Building, 25 Marston Street, Lawrence, MA 01841 o Doctors Park II, 138 Haverhill Street, Andover, MA 01810 o YMCA, 165 Haverhill Street, Andover, MA 01810"

documented · checked 2026-10-02 · [PDF] Lawrence General Hospital Financial Assistance Policy for ...