Financial Assistance

It is the Policy of Westchester Medical Center Health Network (WMCHealth) to provide Financial Assistance in compliance with New York State.

New York State Uniform Hospital Financial Assistance Application

You may be eligible for hospital financial assistance to pay your bills if you are uninsured, if your insurance is exhausted, or if you have health insurance but have proof of paid medical expenses totaling more than 10 percent of your income. Completing this form will start your request for hospital financial assistance.

What do I need to do to apply for the program?

Free, confidential help is available for the program. We will help you complete an easy application and will let you know of a few documents that may be needed (photo identification, pay stubs, etc.). If you, your family members, or friends do not speak English, someone will assist you in your own language.

The Financial Counselor can also tell you if you qualify for free or low-cost health insurance such as Medicaid or Child Health Plus.

File for financial assistance electronically:

ENGLISH | SPANISH

A copy of our application is available by clicking the following links:

Find a list of required documents below:

For more information, please see any registration specialist or call 914.493.7830. We are here to help.

: Yes. WMCHealth remains devoted to continued excellence in patient care and serving the community. As a partner in the community we offer a Financial Assistance Program which allows us to provide care to patients without charge or at amounts less than our established rates.

Financial assistance is available for patients with limited income and no health insurance. Although WMCHealth’s primary service area is defined as the five counties of Westchester, Putnam, Orange, Rockland and Bronx, everyone in New York State who receives medically necessary services may be eligible for a discount if they meet certain income limits (See Policy). The amount of the discount varies based on your income and the size of your family. Do not be afraid to apply – you may qualify even if you work or own a home or car. Eligibility is based on the federal poverty guidelines (English) / (Spanish).

View our summaries:

: All medically necessary services may be covered under the financial assistance program. This may include outpatient services, inpatient care, and emergency services. Please note that charges from private doctors who provide certain services in the hospital are billed by the respective physicians and may not be covered under this program.

: To inquire about our Financial Assistance Program, please contact us at 914.493.7830 or ask any of our registration staff members for an informational packet.

: You can call the New York State Department of Health at 1.800.804.5447.

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