{"hospital":{"ccn":"220029","name":"ANNA JAQUES HOSPITAL","city":"NEWBURYPORT","state":"MA","zip":"01950","phone":"978-463-1000","ownership":"Voluntary non-profit - Private","website_domain":"ajh.org","system":null},"version":4,"status":"published","eligibility":{"free_care_max_fpl":{"value":"400","layer":"documented","quote":"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.","source_id":"fap-52b8051d808c0553","checked_on":"2026-10-03","confidence":1.0,"support_count":0},"discount_tiers":null,"asset_test":{"value":true,"layer":"documented","quote":"*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.","source_id":"fap-52b8051d808c0553","checked_on":"2026-10-03","confidence":1.0,"support_count":0},"residency":null,"insured_patients_covered":{"value":true,"layer":"documented","quote":"We make it easy to apply for medical financial help, even if you have some insurance.","source_id":"billing-f1e8db075ca01d32","checked_on":"2026-10-03","confidence":1.0,"support_count":0},"min_balance":null,"services_excluded":null},"programs":{"presumptive":null,"state_programs":{"value":[{"name":"Health Safety Net (Massachusetts)","how_to_apply":"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."}],"layer":"documented","quote":"Important information you need to know about applying for MassHealth Limited and the Health Safety Net can be found on page 3.","source_id":"state-mass-cafb5ebe5d7f","checked_on":"2026-10-02","confidence":1.0,"support_count":0}},"apply":{"form_url":null,"form_version":null,"documents_required":{"value":["proof_of_income","insurance_card","other"],"layer":"documented","quote":"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.","source_id":"fap-52b8051d808c0553","checked_on":"2026-10-03","confidence":1.0,"support_count":0},"documents_reported":null,"submit_methods":{"value":[{"kind":"mail","detail":"Request that a copy be sent via mail by calling (978) 463-1134"},{"kind":"in_person","detail":"Visit our Financial Counseling Office (Office of financial counseling) at: Anna Jaques Hospital 25 Highland Avenue Newburyport, MA 01950"},{"kind":"portal","detail":"AJH website: https://www.ajh.org/patients-and-visitors/billing-and-insurance"}],"layer":"documented","quote":"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)","source_id":"summary-ed72eef082954b1e","checked_on":"2026-10-03","confidence":1.0,"support_count":0},"window_days_from_first_bill":{"value":240,"layer":"documented","quote":"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.","source_id":"summary-ed72eef082954b1e","checked_on":"2026-10-03","confidence":1.0,"support_count":0},"decision_days":null,"decision_days_reported":null},"collections":{"eca_wait_days":null,"collection_agencies":null},"contacts":{"phone":{"value":"978-463-1123","layer":"documented","quote":"[978-463-1123](tel:978-463-1123)","source_id":"billing-f1e8db075ca01d32","checked_on":"2026-10-03","confidence":1.0,"support_count":0},"hours":{"value":"Our team is available to answer your questions between 8:30 am and 3:30 pm, Monday through Friday.","layer":"documented","quote":"Our team is available to answer your questions between 8:30 am and 3:30 pm, Monday through Friday.","source_id":"billing-f1e8db075ca01d32","checked_on":"2026-10-03","confidence":1.0,"support_count":0},"languages":{"value":["English","Spanish","French","Italian","Simplified Chinese","Traditional Chinese","Portuguese","Vietnamese","Arabic","Haitian Creole","Greek","Mon-Khmer, Cambodian","Russian"],"layer":"documented","quote":"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","source_id":"summary-ed72eef082954b1e","checked_on":"2026-10-03","confidence":1.0,"support_count":0}},"coverage":{"facilities":{"value":["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"],"layer":"documented","quote":"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","source_id":"summary-ed72eef082954b1e","checked_on":"2026-10-03","confidence":1.0,"support_count":0},"provider_list_url":null},"sources":[{"id":"billing-f1e8db075ca01d32","kind":"hospital_web","url":"https://ajh.org/patients-visitors/billing-financial-services/assistance","title":"Financial Assistance | Anna Jaques Hospital","fetched_on":"2026-10-02","sha256":"f1e8db075ca01d32e19c38c9b4207c0b649141cb534410be5184dc727b553785","effective_date":null},{"id":"fap-52b8051d808c0553","kind":"hospital_web","url":"https://ajh.org/-/media/files/ajh/financial-assistance/english/ajh-fap-english.pdf","title":"Anna Jaques Hospital Financial Assistance Policy","fetched_on":"2026-10-02","sha256":"52b8051d808c0553eea7682641877cbd9c2553d2965681c4ec04f4e6dcde0e90","effective_date":null},{"id":"summary-ed72eef082954b1e","kind":"hospital_web","url":"https://ajh.org/-/media/files/ajh/financial-assistance/italian/ajh-italian-financial-assistance-policy-plain-language-summary.pdf","title":"Riassunto semplificato della Politica di Assistenza ...","fetched_on":"2026-10-02","sha256":"ed72eef082954b1e8d8e2fe5278706e836017a50f07844e848307ddefe789a3a","effective_date":null},{"id":"state-mass-cafb5ebe5d7f","kind":"state_repository","url":"https://www.mass.gov/doc/senior-guide-to-health-care-coverage-4/download","title":"download","fetched_on":"2026-10-02","sha256":"cafb5ebe5d7fd181e3c87567b6609c3aa6ee7fff9af006d521a3a53700a99472","effective_date":null}],"accuracy":null}