{"hospital":{"ccn":"330235","name":"AUBURN  COMMUNITY  HOSPITAL","city":"AUBURN","state":"NY","zip":"13021","phone":"315-255-7011","ownership":"Voluntary non-profit - Private","website_domain":"auburnhospital.org","system":null},"version":2,"status":"published","eligibility":{"free_care_max_fpl":{"value":"200","layer":"documented","quote":"Patients that qualify at or below 200% of the federal poverty level (FPL) will not be charged.","source_id":"summary-c8548a97c9c76a92","checked_on":"2026-10-10","confidence":1.0,"support_count":0},"discount_tiers":null,"assistance_ceiling_fpl":null,"asset_test":null,"residency":null,"insured_patients_covered":{"value":true,"layer":"documented","quote":"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.","source_id":"application-da26cc22a4faec3d","checked_on":"2026-10-10","confidence":1.0,"support_count":0},"min_balance":null,"services_excluded":null},"programs":{"presumptive":{"value":["Medicaid"],"layer":"documented","quote":"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.","source_id":"fap-1f8b4f00bcc65510","checked_on":"2026-10-10","confidence":1.0,"support_count":0},"state_programs":null},"apply":{"form_url":null,"form_version":null,"documents_required":{"value":["photo_id","proof_of_income","pay_stubs","social_security_letter","other"],"layer":"documented","quote":"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).","source_id":"summary-c8548a97c9c76a92","checked_on":"2026-10-10","confidence":1.0,"support_count":0},"documents_reported":null,"submit_methods":{"value":[{"kind":"mail","detail":"Send your completed FA application to: Auburn Community Hospital, Attn, PFS Department, 17 Lansing Street, Auburn, New York 13021"},{"kind":"in_person","detail":"bring it in to our PFS Department"}],"layer":"documented","quote":"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.","source_id":"summary-c8548a97c9c76a92","checked_on":"2026-10-10","confidence":1.0,"support_count":0},"window_days_from_first_bill":null,"decision_days":{"value":30,"layer":"documented","quote":"Applications will be processed within 30 days from the date of receipt from patient.","source_id":"fap-1f8b4f00bcc65510","checked_on":"2026-10-10","confidence":1.0,"support_count":0},"decision_days_reported":null},"collections":{"eca_wait_days":{"value":240,"layer":"documented","quote":"Applications by patients for financial assistance will be accepted for at least 240 days after the date of the first post-discharge bill.","source_id":"fap-1f8b4f00bcc65510","checked_on":"2026-10-10","confidence":1.0,"support_count":0},"collection_agencies":null},"contacts":{"phone":{"value":"315-255-7210","layer":"documented","quote":"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.","source_id":"fap-38d0303ecec864cb","checked_on":"2026-10-10","confidence":1.0,"support_count":0},"hours":{"value":"7:00 AM and 3:00 PM","layer":"documented","quote":"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.","source_id":"fap-38d0303ecec864cb","checked_on":"2026-10-10","confidence":1.0,"support_count":0},"languages":null},"coverage":{"facilities":{"value":["Auburn Community Hospital"],"layer":"documented","quote":"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.","source_id":"summary-c8548a97c9c76a92","checked_on":"2026-10-10","confidence":1.0,"support_count":0},"provider_list_url":null},"sources":[{"id":"application-da26cc22a4faec3d","kind":"hospital_web","url":"https://www.auburnhospital.org/wp-content/uploads/2025/06/NY_UniformHFAL_Auburn_2025_en_unlocked.pdf","title":"Financial Assistance Application","fetched_on":"2026-10-10","sha256":"da26cc22a4faec3d0071feb2eb9736f2108429e3c3183055638d268ad8804590","effective_date":null},{"id":"billing-f69d9d693131d7f2","kind":"hospital_web","url":"https://www.auburnhospital.org/patients-and-visitors/billing","title":"Billing | Auburn Community Hospital","fetched_on":"2026-10-10","sha256":"f69d9d693131d7f2f4e338ffad88d1a55ff0139767e4ba40e832ad459844d992","effective_date":null},{"id":"fap-1f8b4f00bcc65510","kind":"hospital_web","url":"https://www.auburnhospital.org/wp-content/uploads/2024/02/Financial-Assistance-Policy.pdf","title":"ACH Financial Assistance Policy (Sept 2021 revision) ...","fetched_on":"2026-10-10","sha256":"1f8b4f00bcc65510f67ad4ad4d876e2420297385ee1878fdc27b21059565e0f5","effective_date":null},{"id":"fap-38d0303ecec864cb","kind":"hospital_web","url":"https://www.auburnhospital.org/patients-and-visitors/financial-assistance","title":"Financial Assistance - Income-Based Medical Bill Assistance | Auburn Community Hospital","fetched_on":"2026-10-10","sha256":"38d0303ecec864cb9f460f8a92c55fa3745402e5c9b159bba54b794bd5d3f250","effective_date":null},{"id":"summary-c8548a97c9c76a92","kind":"hospital_web","url":"https://www.auburnhospital.org/wp-content/uploads/2026/03/2026-ACH-Financial-Assistance-Summary-English-4871-3020-5931.3.pdf","title":"2026 ACH Financial Assistance Summary - English 4871-3020-5931","fetched_on":"2026-10-10","sha256":"c8548a97c9c76a929679d61fbb67c2b2080ac5518cbe6452efbabf491e0abf2c","effective_date":null}],"accuracy":null}