ELLENVILLE REGIONAL HOSPITAL
ELLENVILLE, NY · version 1 · published · JSON
eligibility.free_care_max_fpl200% of the federal poverty level"Is at 200% or below the FPL, they are entitled to a 100% discount."
documented · checked 2026-10-11 · [PDF] STATEMENT & PURPOSE: - Ellenville Regional Hospital
eligibility.insured_patients_coveredYes"Underinsured: A patient who does have health insurance coverage with cost share, such as co-pays, coinsurance and deductibles."
documented · checked 2026-10-11 · [PDF] STATEMENT & PURPOSE: - Ellenville Regional Hospital
apply.documents_requiredSocial Security letter"Recent pay stubs (4 if paid weekly, 2 if paid bi-weekly), unemployment benefits, award letter from Social Security Administration / Pension / Annuities."
documented · checked 2026-10-11 · [PDF] STATEMENT & PURPOSE: - Ellenville Regional Hospital
apply.submit_methodsMail: you may also reach out to us at (845) 210-4930 to request the information be mailed to you free of charge.In person: you may also reach out to us at (845) 210-4930 to request the information be mailed to you free of charge. You can also ask to speak with our Financial Assistance Counselor if you have any additional questions.
"While we provide all of our Financial Assistance documentation on our website, including our policy & procedure, application and an easy to understand plan language summary of the program, you may also reach out to us at (845) 210-4930 to request the information be mailed to you free of charge. You can also ask to speak with our Financial Assistance Counselor if you have any additional questions."
documented · checked 2026-10-11 · Financial Assistance Program and Medical Bill Help in Ellenville NY
apply.decision_days30 days"The hospital must approve or deny within 30 days of the completed application:"
documented · checked 2026-10-11 · [PDF] STATEMENT & PURPOSE: - Ellenville Regional Hospital
contacts.phone(845) 210-4930"(845) 210-4930"
documented · checked 2026-10-11 · Financial Assistance Program and Medical Bill Help in Ellenville NY
contacts.languagesEnglishSpanish
"Financial Assistance Application- Click Here ([English](https://erhny.org/wp-content/uploads/2024/12/ERH-FA-APP-English.pdf) / [Spanish](https://erhny.org/wp-content/uploads/2024/12/ERH-FA-APP-Spanish.pdf) / [Polish](https://erhny.org/wp-content/uploads/2024/12/ERH-FA-APP-Polish.pdf) / [Ukrainian](https://erhny.org/wp-content/uploads/2024/12/ERH-FA-APP-Ukrainian.pdf) / [Russian](https://erhny.org/wp-content/uploads/2024/12/ERH-FA-APP-Russian.pdf))"
documented · checked 2026-10-11 · Financial Assistance Program and Medical Bill Help in Ellenville NY
coverage.facilitiesEllenville Regional Hospital"Ellenville Regional Hospital is committed to patient care as well as to serving the community."
documented · checked 2026-10-11 · Financial Assistance Program and Medical Bill Help in Ellenville NY
Sources
Financial Assistance Program and Medical Bill Help in Ellenville NY — fetched 2026-10-11
Medical Billing and Payment Plans in Ellenville Ny — fetched 2026-10-11
[PDF] STATEMENT & PURPOSE: - Ellenville Regional Hospital — fetched 2026-10-11
h — fetched 2026-10-11
Spanish — fetched 2026-10-11
English — fetched 2026-10-11