BAYSTATE MEDICAL CENTER

"generally provides payment for certain Medically Necessary Services provided to uninsured patients whose MassHealth Modified Adjusted Gross Income ("MAGI") Household Income or Medical Hardship Family Countable Income is equal to or less than 150% of the Federal Poverty Income Guidelines"

documented · checked 2026-10-02 · Hospital financial assistance policy (pdf)

"Health Safety Net -Secondary generally provides payment for certain Medically Necessary Services provided to insured patients whose MAGI Household Income or Medical Hardship Family Countable Income is equal to or less than 150% of the Federal Poverty Income Guidelines if the services are not paid by the patient’s insurance."

documented · checked 2026-10-02 · Hospital financial assistance policy (pdf)

"BH Hospitals are permitted by MassHealth/Health Safety Net ("HSN") to make presumptive eligibility determinations for certain patients who appear to be eligible for Medicaid/HSN coverage ("Hospital Determined Presumptive Eligibility")."

documented · checked 2026-10-02 · Hospital financial assistance policy (pdf)

"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

"Necessary documentation includes proof of: (1) annual household income (payroll stubs, record of social security payments, and a letter from the employer, tax returns, or bank statements), (2) citizenship and identity, and (3) immigration status for non-citizens (if applicable)."

documented · checked 2026-10-02 · Hospital financial assistance policy (pdf)

"Written notifications by a BH Hospital regarding the Hospital Supplemental Financial Assistance Program and a patient’s eligibility to apply for financial assistance will include a deadline after which the BH Hospital will no longer accept and process a FAP application seeking assistance under the Hospital Supplemental Financial Assistance Program submitted by the individual for the previously-provided care. The deadline will be no earlier than the later of 30 days after the date that the written notice specified above is provided or 240 days after the date of the first post-discharge billing statement for the previously provided care (the "Application Period")."

documented · checked 2026-10-02 · Hospital billing and collections policy (pdf)

"ECAs may not begin until at least 120 days after the first post-discharge billing statement. If a BH Hospital aggregates an individual’s outstanding bills for multiple episodes of care before initiating one or more ECAs to obtain payment for those bills, it will refrain from initiating any ECAs until 120 days after it has provided the first post-discharge billing statement for the most recent episode of care included in the aggregation."

documented · checked 2026-10-02 · Hospital billing and collections policy (pdf)

"Please call [413-794-2452](tel:4137942452) for help with the application process."

documented · checked 2026-10-02 · Healthcare Prices & Billing | Baystate Health

"English, Russian, and Spanish versions of the Policy, the Financial Assistance Policy application form, and this plain language summary are available at https://www.baystatehealth.org/patients-and-visitors/healthcare-prices-and-billing, and up on request and without charge by mail and in public locations at Baystate Health hospitals."

documented · checked 2026-10-02 · Hospital financial assistance plain language summary (pdf)

"Baystate Medical Center Address: 759 Chestnut St., Daly Entrance, Springfield, MA 01104 Telephone: (413) 794-2452 Baystate Franklin Medical Center Address: 164 High St., Greenfield, MA 01301 Telephone: (413) 773-8249 Baystate Wing Hospital Address: 40 Wright St., Palmer, MA 01069 Telephone: 413-370-5540 Baystate Noble Hospital Address: 115 W. Silver St., Westfield, MA 01085 Telephone: 413-562-2811 ext. 5850"

documented · checked 2026-10-02 · Hospital financial assistance policy (pdf)