{"hospital":{"ccn":"220060","name":"BETH ISRAEL DEACONESS HOSPITAL PLYMOUTH","city":"PLYMOUTH","state":"MA","zip":"02360","phone":"508-746-2000","ownership":"Voluntary non-profit - Private","website_domain":"bidplymouth.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 BIDHP.","source_id":"fap-0e015560b83c2dc8","checked_on":"2026-10-02","confidence":1.0,"support_count":0},"discount_tiers":null,"asset_test":{"value":true,"layer":"documented","quote":"Assets: Consists of: • Savings accounts • Checking accounts • Health savings accounts (HSA)* • Health reimbursement arrangements (HRA)* • Flexible spending accounts (FSA)* *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-0e015560b83c2dc8","checked_on":"2026-10-02","confidence":1.0,"support_count":0},"residency":null,"insured_patients_covered":{"value":true,"layer":"documented","quote":"We provide emergency and other medically necessary care at low or no cost to you when you qualify for financial assistance.\n\nWe make it easy to apply for medical financial help, even if you have some insurance.","source_id":"billing-3a6114679d4912d5","checked_on":"2026-10-02","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","proof_of_residency","insurance_card","other"],"layer":"documented","quote":"• Full name, address, telephone number, date of birth, social security number (if available), current health insurance coverage options, citizenship and residency information, and the patient’s applicable financial resources that may be used to pay their bill; • If applicable, the full name of the patient’s Guarantor, their address, telephone number, date of birth, social security number (if available), current health insurance coverage options, and their applicable financial resources that may be used to pay for the patient’s bill; 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-0e015560b83c2dc8","checked_on":"2026-10-02","confidence":1.0,"support_count":0},"documents_reported":null,"submit_methods":{"value":[{"kind":"mail","detail":"Financial Counseling Unit\n Beth Israel Deaconess Hospital–Plymouth\n 275 Sandwich Street\n Plymouth, MA 02360"}],"layer":"documented","quote":"Once you complete your forms, you can mail them to:\n\nFinancial Counseling Unit\n Beth Israel Deaconess Hospital–Plymouth\n 275 Sandwich Street\n Plymouth, MA 02360","source_id":"billing-3a6114679d4912d5","checked_on":"2026-10-02","confidence":1.0,"support_count":0},"window_days_from_first_bill":{"value":240,"layer":"documented","quote":"Application Period: The period in which applications will be accepted and processed for Financial Assistance. The application period begins on the date that the first post-discharge billing statement is provided and ends on the 240th after that date.","source_id":"fap-0e015560b83c2dc8","checked_on":"2026-10-02","confidence":1.0,"support_count":0},"decision_days":null,"decision_days_reported":null},"collections":{"eca_wait_days":null,"collection_agencies":null},"contacts":{"phone":{"value":"508-746-2000","layer":"documented","quote":"275 Sandwich Street\nPlymouth, MA 02360\n\n508-746-2000","source_id":"billing-a163bfe3d1f75b3a","checked_on":"2026-10-02","confidence":1.0,"support_count":0},"hours":null,"languages":{"value":["Chinese (Traditional)","English","Spanish (Español)","Portuguese (Português)","Vietnamese (Tieng Viet)"],"layer":"documented","quote":"We provide our financial assistance policies, applications and plain language summaries in the following languages:\n\n* Chinese (Traditional)\n* English\n* Spanish (Español)\n* Portuguese (Português)\n* Vietnamese (Tieng Viet)","source_id":"billing-3a6114679d4912d5","checked_on":"2026-10-02","confidence":1.0,"support_count":0}},"coverage":{"facilities":{"value":["Beth Israel Deaconess Medical Center","Beth Israel Deaconess Hospital–Milton","Beth Israel Deaconess Hospital–Needham","Beth Israel Deaconess Hospital–Plymouth"],"layer":"documented","quote":"If you are approved for financial assistance, it will apply at these locations:\n\n* Beth Israel Deaconess Medical Center\n* Beth Israel Deaconess Hospital–Milton\n* Beth Israel Deaconess Hospital–Needham\n* Beth Israel Deaconess Hospital–Plymouth","source_id":"billing-3a6114679d4912d5","checked_on":"2026-10-02","confidence":1.0,"support_count":0},"provider_list_url":null},"sources":[{"id":"billing-3a6114679d4912d5","kind":"hospital_web","url":"https://bidplymouth.org/patients-visitors/billing-financial-services/assistance","title":"Financial Assistance | Beth Israel Deaconess Hospital–Plymouth","fetched_on":"2026-10-02","sha256":"3a6114679d4912d59003dfb02fa5d9dd22d49170457e735d9c1a111dc77a438f","effective_date":null},{"id":"billing-a163bfe3d1f75b3a","kind":"hospital_web","url":"https://bidplymouth.org/patients-visitors/billing-financial-services","title":"Billing & Financial Services | Beth Israel Deaconess Hospital–Plymouth","fetched_on":"2026-10-02","sha256":"a163bfe3d1f75b3a6d95998dc8eb9129a559c3c903cba2228ab896022a31b414","effective_date":null},{"id":"billing-473cccbd7ac6afda","kind":"hospital_web","url":"https://www.bidplymouth.org/patients-visitors/billing-financial-services","title":"Billing and Collections Policy","fetched_on":"2026-10-02","sha256":"473cccbd7ac6afda82b003d6ef955951b32cfaafa35dd16f73f8eb98a6360196","effective_date":null},{"id":"billing-2d0a7c1ced85dd9b","kind":"hospital_web","url":"https://www.bidplymouth.org/patients-visitors/billing-financial-services/assistance","title":"Billing and Collections Policy","fetched_on":"2026-10-02","sha256":"2d0a7c1ced85dd9bd4a5c502eae7ba8a6e4bb61ddbb332397ab187a9c7daa289","effective_date":null},{"id":"fap-0e015560b83c2dc8","kind":"hospital_web","url":"https://www.bidplymouth.org/-/media/files/plymouth/financial-assistance/bid-plymouth-fap-english.pdf","title":"BID Plymouth Financial Assistance Policy (PDF)","fetched_on":"2026-10-02","sha256":"0e015560b83c2dc88ba880d9963278d4cc9001fc44e06b11172b5eaeaf81ed22","effective_date":null},{"id":"fap-e6dd6e63f032220d","kind":"hospital_web","url":"https://www.bidplymouth.org/-/media/files/plymouth/financial-assistance/bid-plymouth-fap-spanish.pdf","title":"BID Plymouth Financial Assistance Policy (PDF) / Política de Asistencia Financiera de BID Plymouth (PDF)","fetched_on":"2026-10-02","sha256":"e6dd6e63f032220d3ccc4af07a9134367ece7b6702a8c02913728e92985bbae7","effective_date":null},{"id":"fap-ecdee181c431ceec","kind":"hospital_web","url":"https://www.bidplymouth.org/-/media/files/plymouth/financial-assistance/bid-plymouth-fap-portuguese.pdf","title":"BID Plymouth Financial Assistance Policy (PDF) / Política de Assistência Financeira do BID Plymouth (PDF)","fetched_on":"2026-10-02","sha256":"ecdee181c431ceec37917cb459d99f53811ba03e844db1f7c40d0a914de3afdc","effective_date":null},{"id":"fap-7e946d06572bf921","kind":"hospital_web","url":"https://www.bidplymouth.org/-/media/files/plymouth/financial-assistance/bid-plymouth-fap-vietnamese.pdf","title":"BID Plymouth Financial Assistance Policy (PDF)","fetched_on":"2026-10-02","sha256":"7e946d06572bf921bc007d010a77d39750e473496fa773116bb949b18911875d","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}