{"hospital":{"ccn":"220105","name":"WINCHESTER HOSPITAL","city":"WINCHESTER","state":"MA","zip":"01890","phone":"781-729-9000","ownership":"Voluntary non-profit - Private","website_domain":"winchesterhospital.org","system":null},"version":3,"status":"published","eligibility":{"free_care_max_fpl":{"value":"400","layer":"documented","quote":"Charity Care: WH will provide care at 100% discount under this policy for patients/Guarantors whose Family Income is at or below 400% of the current FPL, who otherwise meet other eligibility criteria set forth in this policy.","source_id":"fap-b28a7dfc0a8fe420","checked_on":"2026-10-02","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-b28a7dfc0a8fe420","checked_on":"2026-10-02","confidence":1.0,"support_count":0},"residency":null,"insured_patients_covered":{"value":true,"layer":"documented","quote":"Financial Assistance will be extended to Uninsured Patients, Underinsured Patients and their respective Guarantors who meet specific criteria as defined below.","source_id":"fap-b28a7dfc0a8fe420","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":{"value":"https://www.winchesterhospital.org/my-visit/insurance-billing--records/financial-assistance","layer":"documented","quote":"On the WH public website: https://www.winchesterhospital.org/my-visit/insurance-billing--records/financial-assistance","source_id":"fap-b28a7dfc0a8fe420","checked_on":"2026-10-02","confidence":1.0,"support_count":0},"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-b28a7dfc0a8fe420","checked_on":"2026-10-02","confidence":1.0,"support_count":0},"documents_reported":null,"submit_methods":{"value":[{"kind":"mail","detail":""},{"kind":"portal","detail":""},{"kind":"in_person","detail":""}],"layer":"documented","quote":"can be obtained in any of the following ways: a. On the WH public website: https://www.winchesterhospital.org/my-visit/insurance-billing--records/financial-assistance b. In person at the Financial Counseling Unit 41 Mall Road Burlington, MA 01803 (781) 744-8815 c. Call the number above to request a copy to be mailed d. Call the number above to request an electronic copy","source_id":"fap-b28a7dfc0a8fe420","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-b28a7dfc0a8fe420","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":"781-744-5554","layer":"documented","quote":"To request financial help or ask questions, please call our Financial Services office at [781-744-5554](tel:1-781-744-5554 \"Call Financial Services\"), Monday through Friday from 8:00 am. to 4:30 pm.","source_id":"billing-db78d7d84fe1bcb7","checked_on":"2026-10-02","confidence":1.0,"support_count":0},"hours":{"value":"Monday through Friday from 8:00 am. to 4:30 pm.","layer":"documented","quote":"To request financial help or ask questions, please call our Financial Services office at [781-744-5554](tel:1-781-744-5554 \"Call Financial Services\"), Monday through Friday from 8:00 am. to 4:30 pm.","source_id":"billing-db78d7d84fe1bcb7","checked_on":"2026-10-02","confidence":1.0,"support_count":0},"languages":null},"coverage":{"facilities":{"value":["Addison Gilbert Hospital","Anna Jaques Hospital","BayRidge Hospital","Beth Israel Deaconess Hospital–Milton","Beth Israel Deaconess Hospital–Needham","Beth Israel Deaconess Hospital–Plymouth","Beth Israel Deaconess Medical Center","Beverly Hospital","Lahey Hospital & Medical Center","Lahey Medical Center, Peabody","Mount Auburn Hospital","New England Baptist Hospital","Winchester Hospital"],"layer":"documented","quote":"If you are approved for financial help, it will apply at these locations:","source_id":"billing-db78d7d84fe1bcb7","checked_on":"2026-10-02","confidence":1.0,"support_count":0},"provider_list_url":null},"sources":[{"id":"fap-b28a7dfc0a8fe420","kind":"hospital_web","url":"https://winchesterhospital.org/-/media/files/winchester/wh-fap-english.pdf","title":"WH Financial Assistance Policy","fetched_on":"2026-10-02","sha256":"b28a7dfc0a8fe42084fdaf1c1b487fad7b5c7178aca58236f95e2a6ee6bab68d","effective_date":null},{"id":"billing-db78d7d84fe1bcb7","kind":"hospital_web","url":"https://winchesterhospital.org/patients-visitors/billing-financial-services/assistance","title":"Financial Assistance | Winchester Hospital","fetched_on":"2026-10-02","sha256":"db78d7d84fe1bcb7cb650fe9863c81600f39d3f5aca7dab69d16f92e2835699d","effective_date":null},{"id":"billing-0c0bd04beead1e30","kind":"hospital_web","url":"https://winchesterhospital.org/patients-visitors/billing-financial-services","title":"Billing & Financial Services | Winchester Hospital","fetched_on":"2026-10-02","sha256":"0c0bd04beead1e3083e1c70f07abfc852f590bd71d1654f90566e1160cd27b57","effective_date":null},{"id":"billing-ef519c16ff4dce02","kind":"hospital_web","url":"https://winchesterhospital.org/patients-visitors/billing-financial-services/bill-pay","title":"Bill Pay | Winchester Hospital","fetched_on":"2026-10-02","sha256":"ef519c16ff4dce022ea9f9caf6c15826adda58137907a852381b66685a46c308","effective_date":null},{"id":"fap-3c74721b65af76da","kind":"hospital_web","url":"https://www.winchesterhospital.org/-/media/files/winchester/wh-fap-arabic.pdf","title":"Financial Assistance Policy (PDF) (Arabic)","fetched_on":"2026-10-02","sha256":"3c74721b65af76da62239c9cf5b88dd3e241222f6a2556edb07bb8646690c0eb","effective_date":null},{"id":"fap-aa11ad881b8a858c","kind":"hospital_web","url":"https://www.winchesterhospital.org/-/media/files/winchester/wh-fap-armenian.pdf","title":"Financial Assistance Policy (PDF) (Armenian)","fetched_on":"2026-10-02","sha256":"aa11ad881b8a858c9784f0976305dec0de14416b25a185ed6664a6e9640c2271","effective_date":null},{"id":"fap-cac525b53ede3f49","kind":"hospital_web","url":"https://www.winchesterhospital.org/-/media/files/winchester/wh-fap-cape-verdean.pdf","title":"Financial Assistance Policy (PDF) (Cape Verdean)","fetched_on":"2026-10-02","sha256":"cac525b53ede3f49bc10e7f87b3133e6a4b13da8fd43cb312631c4fe2155d721","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}