NYU LANGONE HOSPITALS

"The Hospital provides 100% discounts for eligible patients up to 600% FPL and lower discounts for eligible patients up to 800% FPL."

documented · checked 2026-10-14 · Reissue Dates: 06/2006 01/2025 NYU Langone Hospitals ...

"100% Discount 100% Discount 100% Discount 100% Discount 75% Discount 50% Discount 25% Discount Family Size 0% - 150% FPL 151% - 300% FPL 301% - 400% FPL 401% - 600% FPL 601% - 650% FPL 651% - 700% FPL 701% - 800% FPL"

documented · checked 2026-10-14 · Reissue Dates: 06/2006 01/2025 NYU Langone Hospitals ...

"Acceptable documentation of income may include any of the following: • Most Recent 1040 Tax Return • Recent and consecutive pay stubs (Requires 3-4) • W2 Forms • 1099 forms for self-employed applicants • Employer income letter • Unemployment benefit documentation, notarized letter attesting to unemployment income, or furlough or employment termination letters • Current school transcript for full-time students • Documentation of pension income, or 401(k) or IRA distributions • Income verification from public assistance, income verification from disability, or Social Security benefit verification letters • Income verification from alimony, or income verification from child support • Other supporting documentation may be considered on a case-by-case basis"

documented · checked 2026-10-14 · Financial Assistance Policy

"If you have questions or need help completing the application, please call Financial Counseling Services at (888) 279-1364."

documented · checked 2026-10-14 · Financial Assistance Program

"Patients will have at least two hundred and forty (240) days from the date of service or discharge to apply for financial assistance."

documented · checked 2026-10-14 · Financial Assistance Summary

"The Hospital reserves the right to turn over to collections or bring a legal action with respect to the accounts of patients who have an unpaid balance and who do not have a financial assistance application in process upon written notice to the patient not less than thirty (30) days prior to referral of debt for collection and not less than one hundred eighty (180) days after the first post-service bill has been issued and reasonable efforts have been made to determine whether a patient qualifies for financial assistance provided, however, that the Hospital will not:"

documented · checked 2026-10-14 · Reissue Dates: 06/2006 01/2025 NYU Langone Hospitals ...

"Speak with a financial counselor for free and confidential assistance by calling [888-279-1364](tel:888-279-1364), available Monday through Friday, 8:00AM to 5:00PM."

documented · checked 2026-10-14 · Insurance, Billing & Financial Assistance | NYU Langone Health

"Applications are available on the NYU Langone Health website (see https://nyulangone.org/insurance-billing-financial-assistance; go to “Patient Financial Counselors and Financial Assistance for Hospital Bills” and click on “financial assistance application”) or by visiting a Financial Counselor at NYU Langone Hospitals (Tisch): Skirball lobby (560 First Avenue, Rm SK, tel: 866-486-9847) or NYU Langone Hospital- Brooklyn (150 55th Street, Suite 2-40, tel: 718-630-6252) between the hours of 8 am to 5 pm."

documented · checked 2026-10-14 · Charity Care and Financial Assistance

"Applications for financial assistance will be available in multiple languages (English, Chinese (Cantonese and Mandarin), Spanish, Russian, Polish, Arabic, Bengali, Italian, Korean, Farsi, Haitian - Creole, Portuguese, and Greek) and translation services will be made available."

documented · checked 2026-10-14 · Reissue Dates: 06/2006 01/2025 NYU Langone Hospitals ...

"(a) NYU Langone Hospital Tisch: (560 First Avenue, MSB G-200, New York, NY 10016, Tel: 866-486-9847); (b) NYU Langone Hospital - Brooklyn (150 55th Street, Suite 2840, Brooklyn, NY 11220 Tel: 718-630-6252); (c) NYU Langone Hospital – Long Island (131 Mineola Boulevard, Suite 105, Mineola, NY 11501 Tel: 516-663-8373); (d) NYU Langone Hospital – Suffolk (101 Hospital Road, Room NW 1011, Patchogue, NY 11772 Tel: 631-687-4563)."

documented · checked 2026-10-14 · Reissue Dates: 06/2006 01/2025 NYU Langone Hospitals ...