AUBURN COMMUNITY HOSPITAL

"Patients that qualify at or below 200% of the federal poverty level (FPL) will not be charged."

documented · checked 2026-10-10 · 2026 ACH Financial Assistance Summary - English 4871-3020-5931

"Additionally, immigration status shall not be an eligibility criterion for the purpose of determining financial assistance. The following individuals are eligible: • Low-income individuals without health insurance; or • underinsured individuals (out-of-pocket medical costs accumulated in the past twelve months that amount to more than ten percent of such individual's gross annual income); or • those who have exhausted their health insurance benefits, and who can demonstrate an inability to pay full charges; or • at the hospital's discretion, individuals who can demonstrate an inability to pay their co-pay and/or deductible can request a reduced or discounted payment."

documented · checked 2026-10-10 · Financial Assistance Application

"The financial Counselor will assist them in seeing if they qualify for free or low-cost insurance, such as Medicaid, Child Health Plus and Family Health Plus."

documented · checked 2026-10-10 · ACH Financial Assistance Policy (Sept 2021 revision) ...

"We ask that you supply (1) a form of picture ID, and (2) pay stubs for the most recent one-month period, or proof of unemployment or other income (e.g., Social Security, pension, other compensation)."

documented · checked 2026-10-10 · 2026 ACH Financial Assistance Summary - English 4871-3020-5931

"Send your completed FA application to: Auburn Community Hospital, Attn, PFS Department, 17 Lansing Street, Auburn, New York 13021, or bring it in to our PFS Department."

documented · checked 2026-10-10 · 2026 ACH Financial Assistance Summary - English 4871-3020-5931

"Applications will be processed within 30 days from the date of receipt from patient."

documented · checked 2026-10-10 · ACH Financial Assistance Policy (Sept 2021 revision) ...

"Applications by patients for financial assistance will be accepted for at least 240 days after the date of the first post-discharge bill."

documented · checked 2026-10-10 · ACH Financial Assistance Policy (Sept 2021 revision) ...

"Just contact our Financial Counselor at (315) 255-7210 or go to our Patient Financial Services (PFS) Department between the hours of 7:00 AM and 3:00 PM for free, confidential assistance."

documented · checked 2026-10-10 · Financial Assistance - Income-Based Medical Bill Assistance | Auburn Community Hospital

"Just contact our Financial Counselor at (315) 255-7210 or go to our Patient Financial Services (PFS) Department between the hours of 7:00 AM and 3:00 PM for free, confidential assistance."

documented · checked 2026-10-10 · Financial Assistance - Income-Based Medical Bill Assistance | Auburn Community Hospital

"Auburn Community Hospital (ACH) recognizes that there are times when patients in need of medically necessary care will have dif fi culty paying for the services provided."

documented · checked 2026-10-10 · 2026 ACH Financial Assistance Summary - English 4871-3020-5931