NOTICE MEDICAL CARE FOR THOSE WHO CANNOT AFFORD TO PAY

 In accordance with 22 MSRA 396-F (1) and the rules of the State of Maine, this hospital is required to provide Free Care to patients whose income falls below the poverty income guidelines.If you believe you qualify for Free Care, please apply at the Cashier Office.

Before providing Free Care, the hospital will ask for information about your income and also ask you to show that insurance or a governmental medical assistance program will not pay for your care.

 Proof of income (FOR THE LAST 3 MONTHS) is needed at the time of application.

 Services that are not medically necessary are not provided as free care (ex. dental, circumcision, sterilization)     

Sliding Fee Scale for those who cannot pay.

If you believe you may qualify for the Sliding Fee Discount, please apply at the Cashier’s Office.  Before providing the discount, we will ask for information about your income.  Also, you will be asked to show proof you are not covered by insurance or a government assistance program.  Proof of income will be needed at time of application.

You will be asked if you have insurance to help pay for your care and if you can show that insurance or a government program will not pay for it.
Only necessary medical care is given as free care.

If you do not qualify for free hospital care, you can ask for a fair hearing. We will tell you how to apply for a fair hearing.

Revised: February 26, 2025