Waive

ANNA JAQUES HOSPITAL

NEWBURYPORT, MA · version 4 · published · JSON

eligibility.free_care_max_fpl400% of the federal poverty level

"Charity Care: Patients, or their Guarantors, with annualized Family Income at or below 400% of the FPL, who otherwise meet other eligibility criteria set forth in this policy, will receive a 100% waiver of patient responsible balance for eligible medical services provided by AJH."

documented · checked 2026-10-03 · Anna Jaques Hospital Financial Assistance Policy

eligibility.asset_testYes

"*If a patient/Guarantor has an HSA, HRA, FSA or similar fund designated for Family medical expenses, such individual is not eligible for assistance under this policy until such assets are exhausted."

documented · checked 2026-10-03 · Anna Jaques Hospital Financial Assistance Policy

eligibility.insured_patients_coveredYes

"We make it easy to apply for medical financial help, even if you have some insurance."

documented · checked 2026-10-03 · Financial Assistance | Anna Jaques Hospital

programs.state_programsHealth Safety Net (Massachusetts) — Apply through the MassHealth application; a hospital financial counselor can file it for you. The hospital's own financial assistance and the Health Safety Net are separate programs.

"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

apply.documents_requiredProof of income
Insurance card
Other documents

"and • Other resources that may be used to pay their bill, including other insurance programs, motor vehicle or homeowners insurance policies if the treatment was due to an accident, workers’ compensation programs, student insurance policies, and any other Family Income such as an inheritances, gifts, or distributions from an available trust, among others."

documented · checked 2026-10-03 · Anna Jaques Hospital Financial Assistance Policy

apply.submit_methodsMail: Request that a copy be sent via mail by calling (978) 463-1134
In person: Visit our Financial Counseling Office (Office of financial counseling) at: Anna Jaques Hospital 25 Highland Avenue Newburyport, MA 01950
Portal: AJH website: https://www.ajh.org/patients-and-visitors/billing-and-insurance

"Come ottenere copia della Politica e della richiesta per il nostro programma di assistenza finanziaria È possibile ottenere gratuitamente una copia della nostra politica e del modulo di richiesta come segue: • Sito AJH: https://www.ajh.org/patients-and-visitors/billing-and-insurance • Visitando il nostro Financial Counseling Office (Ufficio consulenza finanziaria) presso: Anna Jaques Hospital 25 Highland Avenue Newburyport, MA 01950 • Richiedere che una copia venga inviata tramite posta o elettronicamente chiamando il (978) 463-1134 (è possibile telefonare a questo numero per richiedere assistenza nella procedura di richiesta)"

documented · checked 2026-10-03 · Riassunto semplificato della Politica di Assistenza ...

apply.window_days_from_first_bill240 days

"I pazienti/garanti possono richiedere l’assistenza finanziaria in qualsiasi momento, fino a duecentoquaranta (240) giorni dopo il rilascio del primo estratto conto post-dimissioni."

documented · checked 2026-10-03 · Riassunto semplificato della Politica di Assistenza ...

contacts.phone978-463-1123

"[978-463-1123](tel:978-463-1123)"

documented · checked 2026-10-03 · Financial Assistance | Anna Jaques Hospital

contacts.hoursOur team is available to answer your questions between 8:30 am and 3:30 pm, Monday through Friday.

"Our team is available to answer your questions between 8:30 am and 3:30 pm, Monday through Friday."

documented · checked 2026-10-03 · Financial Assistance | Anna Jaques Hospital

contacts.languagesEnglish
Spanish
French
Italian
Simplified Chinese
Traditional Chinese
Portuguese
Vietnamese
Arabic
Haitian Creole
Greek
Mon-Khmer, Cambodian
Russian

"Le politiche di assistenza finanziaria, le richieste e i riepiloghi semplificati sono disponibili nelle seguenti lingue: Inglese Spagnolo Francese Italiano Cinese (Semplificato) Cinese (Tradizionale) Portoghese Vietnamita Arabo Creolo Haitiano Greco Mon-Khmer, Cambogiano Russo"

documented · checked 2026-10-03 · Riassunto semplificato della Politica di Assistenza ...

coverage.facilitiesAnna Jaques Hospital
Addison Gilbert Hospital
BayRidge Hospital
Beth Israel Deaconess Medical Center
Beth Israel Deaconess Hospital - Milton
Beth Israel Deaconess Hospital - Needham
Beth Israel Deaconess Hospital - Plymouth
Beverly Hospital
Lahey Hospital & Medical Center
Lahey Medical Center, Peabody
Mount Auburn Hospital
New England Baptist Hospital
Winchester Hospital

"Se concessa, l’assistenza finanziaria si applica a: • Anna Jaques Hospital • Addison Gilbert Hospital • BayRidge Hospital • Beth Israel Deaconess Medical Center • Beth Israel Deaconess Hospital - Milton • Beth Israel Deaconess Hospital -Needham • Beth Israel Deaconess Hospital -Plymouth • Beverly Hospital • Lahey Hospital & Medical Center • Lahey Medical Center, Peabody • Mount Auburn Hospital • New England Baptist Hospital • Winchester Hospital"

documented · checked 2026-10-03 · Riassunto semplificato della Politica di Assistenza ...

Sources

Financial Assistance | Anna Jaques Hospital — fetched 2026-10-02

Anna Jaques Hospital Financial Assistance Policy — fetched 2026-10-02

Riassunto semplificato della Politica di Assistenza ... — fetched 2026-10-02

download — fetched 2026-10-02