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Financial Assistance

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Financial Assistance

Atlantic Health System guarantees that patients receive essential health care services regardless of their ability to pay. Financial assistance is available through a variety of programs to low-income, uninsured and underinsured patients who do not otherwise have the ability to pay all or part of their hospital bills. To take advantage of any available federal or state financial assistance program, you must apply through the financial counseling department.  The financial counselor will explain the requirements for each program and determine your eligibility. Learn more about our financial assistance policy >

Financial assistance and discounts are available only for necessary hospital care. Some services such as physician fees, anesthesiology fees, radiology interpretation, and outpatient prescriptions are separate from hospital charges and may not be eligible for financial assistance through Atlantic Health System.

If you have questions, or if you would like to complete an application, please call 1-800-619-4024.

Charity Care

To complete a financial assistance application, you will need the following documents:

  • Proper patient and family identification documents. This can include any of the following: driver’s license, social security card, alien registry card, birth certificate, paycheck stub, passport, visa, etc.

  • Proof of New Jersey residency as of the date of service (note: under certain circumstances, emergency care is an exception to the residency requirement). This can include any of the following: driver’s license, utility bill, federal income tax return, state income tax return or lease.

  • Proof of gross income. This should include the detail required by the hospital to determine the patient’s gross income (one of the following):
    • Actual gross income for the 12 months immediately preceding services.
    • Actual gross income for the three months immediately preceding services.
    • Actual gross income for the month immediately preceding services.

  • Proof of assets as of the date of service. These are items which are readily convertible into cash, such as stocks, bonds, IRAs, CDs, checking and savings accounts, or equity in a non-primary residence.

Send applications to the applicable mailing address below:

Morristown Medical Center
100 Madison Avenue, Interoffice Box 111
Morristown, NJ 07960
Overlook Medical Center
99 Beauvoir Avenue, Interoffice Box 237
Summit, NJ 07902
Newton Medical Center
175 High Street
Newton, NJ 07860
Chilton Medical Center
97 West Parkway, Attn: Financial Counseling
Pompton Plains, NJ 07444

 

Eligibility for Discounted Care

Uninsured patients who are New Jersey residents with family gross income below 500 percent of the federal poverty level will be eligible to receive discounted care. Documentation requirements for discounted care are the same as charity care except that the individual and family asset thresholds shall not apply.

Atlantic Health System Financial Assistance Policy

Financial Assistance Policy - English Financial Assistance Policy - Haitian Creole
Financial Assistance Policy - Italian Financial Assistance Policy - Korean
Financial Assistance Policy - Polish Financial Assistance Policy - Russian
Financial Assistance Policy - Spanish Financial Assistance Policy - Tagalog
Financial Assistance Policy - Gujarati Financial Assistance Policy - Simplified Chinese
Financial Assistance Policy - Portuguese Brazil  
   
Appendix A: Provider List - English Appendix A: Provider List - Spanish

Plain Language Summary of Atlantic Health System Financial Assistance Policy

Plain Language Summary - English Plain Language Summary - Haitian Creole
Plain Language Summary - Italian Plain Language Summary - Korean
Plain Language Summary - Polish Plain Language Summary - Russian
Plain Language Summary - Spanish Plain Language Summary - Tagalog
Plain Language Summary - Gujarati Plain Language Summary - Simplified Chinese
Plain Language Summary - Portuguese Brazil  

 

Financial Assistance Application

Financial Assistance Application - English Financial Assistance Application - Haitian Creole
Financial Assistance Application - Italian Financial Assistance Application - Korean
Financial Assistance Application - Polish Financial Assistance Application - Russian
Financial Assistance Application - Spanish Financial Assistance Application - Tagalog
Financial Assistance Application - Gujarati Financial Assistance Application - Simplified Chinese
Financial Assistance Application - Portuguese Brazil  

Morristown Medical Center
100 Madison Avenue
Morristown, NJ 07960
973-971-5000

Overlook Medical Center
99 Beauvoir Avenue
Summit, NJ 07901
908-522-2000

Newton Medical Center
175 High Street
Newton, NJ 07860
973-383-2121

Chilton Medical Center
97 West Parkway
Pompton Plains, NJ 07444
973-831-5000

Hackettstown Medical Center
651 Willow Grove Street
Hackettstown, NJ 07840
908-852-5100

Goryeb Children's Hospital
100 Madison Avenue
Morristown, NJ 07960
973-971-5000

Atlantic Medical Group
1-800-247-9580

Morristown Medical Center

100 Madison Avenue
Morristown, NJ 07960
973-971-5000

Overlook Medical Center

99 Beauvoir Avenue
Summit, NJ 07901
908-522-2000

Newton Medical Center

175 High Street
Newton, NJ 07860
973-383-2121

Chilton Medical Center

97 West Parkway
Pompton Plains, NJ 07444
973-831-5000

Hackettstown Medical Center

651 Willow Grove Street
Hackettstown, NJ 07840
908-852-5100

Goryeb Children's Hospital

100 Madison Avenue
Morristown, NJ 07960
973-971-5000

Affiliated Providers

Atlantic Medical Group

More than 600 community-based health care providers.
1-800-247-9580