{"hospital":{"ccn":"330119","name":"LENOX HILL HOSPITAL","city":"NEW YORK","state":"NY","zip":"10075","phone":"212-434-2000","ownership":"Voluntary non-profit - Private","website_domain":"northwell.edu","system":null},"version":1,"status":"published","eligibility":{"free_care_max_fpl":{"value":"200","layer":"documented","quote":"Patients whose Family Income is at or below 200% of the FPG are eligible to receive Emergency Medical Care or Medically Necessary Services at no charge;","source_id":"fap-c8ce290e65cf1c26","checked_on":"2026-10-13","confidence":1.0,"support_count":0},"discount_tiers":null,"asset_test":null,"residency":null,"insured_patients_covered":{"value":true,"layer":"documented","quote":"This Financial Assistance Policy (“FAP” or the “Policy”) sets forth the process that will be used to determine whether Northwell Health patients, whether Uninsured or Underinsured, are eligible for Financial Assistance.","source_id":"fap-c8ce290e65cf1c26","checked_on":"2026-10-13","confidence":1.0,"support_count":0},"min_balance":null,"services_excluded":null},"programs":{"presumptive":null,"state_programs":null},"apply":{"form_url":null,"form_version":null,"documents_required":{"value":["bank_statements"],"layer":"documented","quote":"Minimum of three most recent bank statements for savings and checking accounts;","source_id":"fap-c8ce290e65cf1c26","checked_on":"2026-10-13","confidence":1.0,"support_count":0},"documents_reported":null,"submit_methods":{"value":[{"kind":"mail","detail":"Mail completed Applications (with all documentation/information specified in the application instructions) to the respective financial assistance department based upon the hospital facility that provided the services"},{"kind":"in_person","detail":"At each Northwell Health hospital facility’s main Registration desk or Emergency Room desk;"},{"kind":"portal","detail":"Download the documents from Northwell Health’s website: www.northwell.edu/billing-and-insurance/financial-assistance-programs-policies/financial-assistance-policy"}],"layer":"documented","quote":"How to Apply - FAP and related Application Form may be obtained/completed/submitted as follows:  At each Northwell Health hospital facility’s main Registration desk or Emergency Room desk;  Request documents to be mailed to you, by calling Northwell Health’s Financial Assistance Unit at 1.800.995.5727;  Request documents by mail/or visiting in person respective hospital facility, see listing;  Download the documents from Northwell Health’s website: www.northwell.edu/billing-and-insurance/financial-assistance-programs-policies/financial-assistance-policy;  Mail completed Applications (with all documentation/information specified in the application instructions) to the respective financial assistance department based upon the hospital facility that provided the services, see listing below.","source_id":"summary-ea436e37c934d104","checked_on":"2026-10-13","confidence":1.0,"support_count":0},"window_days_from_first_bill":null,"decision_days":{"value":30,"layer":"documented","quote":"Patients will receive a written notification of eligibility for Financial Assistance within thirty (30) days of submission of an Application.","source_id":"fap-c8ce290e65cf1c26","checked_on":"2026-10-13","confidence":1.0,"support_count":0},"decision_days_reported":null},"collections":{"eca_wait_days":null,"collection_agencies":null},"contacts":{"phone":null,"hours":null,"languages":null},"coverage":{"facilities":null,"provider_list_url":null},"sources":[{"id":"fap-cb5a73fcc76761a3","kind":"hospital_web","url":"https://www.northwell.edu/billing-and-insurance/financial-assistance-programs-policies/financial-assistance-policy","title":"Financial assistance policy - Financial assistance programs & policies | Northwell Health","fetched_on":"2026-10-13","sha256":"cb5a73fcc76761a3d9f9b199c1656f7a67dea3a5553a94a20f254f4fff749f9a","effective_date":null},{"id":"summary-ea436e37c934d104","kind":"hospital_web","url":"https://www.northwell.edu/sites/northwell.edu/files/2020-01/northwell-financial-assistance-policy-english.pdf","title":"Financial Assistance Policy - Plain Language Summary","fetched_on":"2026-10-13","sha256":"ea436e37c934d1049d8d128ed81eaf7eefe285125265f8ee84d6690e8884cb06","effective_date":null},{"id":"billing-76ca12300b242bcf","kind":"hospital_web","url":"https://www.northwell.edu/billing-and-insurance/financial-assistance-programs-policies/contact-us","title":"Contact the Financial Assistance Unit | Northwell Health","fetched_on":"2026-10-13","sha256":"76ca12300b242bcfeeff1064ffed0f780219ce2b2ae8de414b47335f5eb2eba3","effective_date":null},{"id":"billing-44c73b77c387fed7","kind":"hospital_web","url":"https://www.northwell.edu/billing-and-insurance/financial-assistance-programs-policies/financial-assistance-program","title":"Financial assistance program - Financial assistance programs & policies | Northwell Health","fetched_on":"2026-10-13","sha256":"44c73b77c387fed7904c75105b65d8bfdde91f3b887d267d5a572ba84b1a0c2d","effective_date":null},{"id":"fap-c8ce290e65cf1c26","kind":"hospital_web","url":"https://www.northwell.edu/sites/northwell.edu/files/2026-05/300.20-financial-assistance-policy-english-05-29-2026.pdf","title":"financial assistance policy","fetched_on":"2026-10-13","sha256":"c8ce290e65cf1c26f10730a250cd32c3efe07c06080da0b9529822307e62404c","effective_date":null},{"id":"fap-91ec48d211e2d08c","kind":"hospital_web","url":"https://www.northwell.edu/sites/northwell.edu/files/2024-08/northwell-health-financial-assistance-policy-appendix-a-2024-albanian.pdf","title":"Albanian","fetched_on":"2026-10-13","sha256":"91ec48d211e2d08ca80dc9d6968dbfe4553a34d559351c906d7bbee99cf84fe6","effective_date":null},{"id":"fap-0c04db48230bb92f","kind":"hospital_web","url":"https://www.northwell.edu/sites/northwell.edu/files/2024-08/northwell-health-financial-assistance-policy-appendix-a-2024-arabic.pdf","title":"Arabic","fetched_on":"2026-10-13","sha256":"0c04db48230bb92fb17788e95ef19b6e52715c79acfd6838a071f4c4424ef582","effective_date":null},{"id":"fap-6df8e42fee754c3d","kind":"hospital_web","url":"https://www.northwell.edu/sites/northwell.edu/files/2024-08/northwell-health-financial-assistance-policy-appendix-a-2024-bengali.pdf","title":"Bengali","fetched_on":"2026-10-13","sha256":"6df8e42fee754c3db73000959d335dbc3ee1aaa534081ccc13554148a503c0ad","effective_date":null}],"accuracy":null}