PATIENT FINANCIAL SERVICES

The amount of the discount varies based on your household income and the number of people in your family. If you have no health insurance or underinsured, these are the income limits:

 

 Family SizeAnnual Family IncomeMonthly Family Income Weekly Family Income
 1 UP TO $38,640 UP TO $3,320 UP TO $743
 2 UP TO $52,260 UP TO  $4,355 UP TO $1,005
 3 UP TO $65,880 UP TO $5,490 UP TO $1,267
 4 UP TO $79,900 UP TO $6,558 UP TO $1,537
 5 UP TO $93,120 UP TO $7,760 UP TO $1,791
 6 UP TO $106,740 UP TO $8,895 UP TO $2,053
 7 UP TO $120,360 UP TO $10,030 UP TO $2,315
 8UP TO $133,360 UP TO $11,165 UP TO $2,577
 FAMILY OF MORE THAN 8 PERSONS EACH ADDITIONAL FAMILY MEMBER $4,540

Based on the 2021 Federal Poverty Guidelines

 

What If I Do Not Meet The Income Limits?

 

 

If you cannot pay your bill in full, St. John’s Riverside Hospital, offers a payment plan. The amount you may pay depends on your total household income. Payment plans are available to those who exceed the income limits based on the balance and patient responsibility.

Yes, confidential help is available, call St. John’s Riverside Hospital, Financial Counselor, at (914) 964-7799 or visit our website ‘www.riversidehealth.org’ for more information.

If you do not speak English, someone will help you in your language.  The Financial Counselor can tell you if you qualify for free or low-cost insurance, such as Medicaid, Child Health Plus and Family Health Plus.

If the Financial Counselor finds that you don’t qualify for low-cost insurance, they will help you apply for our “Health Solution” discount.  The Charity Care Program (HEALTH SOLUTION) is designed to provide financial assistance for patients who are unable to pay for all or a portion of their medical expenses incurred at the Hospital and who meet the eligibility guidelines established under the program.  The Counselor will help you complete all necessary applications and provide a list of documents you would need to provide.

Application: English | Español

The following documents are necessary to apply for Health Solution: 

1.      Either two current pay stubs, Social Security/Pension Award letter or other proof of income as advised by the Financial Counselor

2.      State/Federal Photo Identification

3.      Proof of address

 

If you can not provide any of these, you may still be able to apply for Health Solution.

All hospital services are covered by the discount except for Cosmetic Surgery and Physician services.

Charges from private doctors who provide services in the hospital may not be covered. These may include, but are not limited to: radiologists, pathologists, anesthesiologists, or emergency room physicians, or providers of nursing home services. You should talk to your private doctor to see if they offer a discount or payment plan.

The amount for an outpatient service or the emergency room starts at $0 for children and pregnant women, depending on your income. Other outpatient services starts from $8.80 and up, plus New York State Surcharge for adults, depending on your income. An Inpatient admission, depending on your income, will start at $150.00 and up plus New York State Surcharge. Ambulatory Surgery, CT Scan and MRI’s start at $150.00 and up plus New York State Surcharge.

Our Financial Counselor will give you the details about your specific discount(s) once your application is processed.

Either a deposit or payment in full is required prior to providing services depending on your income, for non-emergency services. If you cannot pay the amount in full a payment plan may be set up for your convenience. The payment plan will not be more than 10% of your income before tax.

HOW DO I GET THE DISCOUNT?

 

You must complete a Health Solution application and provide all necessary documents.  As soon as all documentation is provided, we can process your application for a discount according to your income level.

 

You may apply for Health Solution before you have an appointment, when you come to the hospital to get care, or when the bill comes in the mail.

 

Bring the completed application to 2 Park Avenue, Yonkers, New York 4th floor, Financial Assistance Unit.  You have up to 120 days after receiving services to submit the application.

 

 

HOW WILL I KNOW IF I WAS APPROVED FOR THE DISCOUNT?

St. John’s Riverside Hospital will send you a letter within 30 days after completion and submission of documentation, telling you if you have been approved and the level of discount you will received. If your application is turned down, the hospital will inform you in writing stating the reason why your application was denied.

 

 

HOW MAY I  APPEAL  THE   DECISION?

You may appeal this decision by sending a written letter to the Manager of the Financial Assistant Unit at 2 Park Care, Yonkers, New York 10703.

 

 

WHAT IF I RECEIVED A BILL WHILE I’M WAITING TO HEAR IF I CAN GET A DISCOUNT?

Should you receive a statement you may call the Financial Counselor at (914) 964-7799 to discuss your application.  You cannot be required to pay a hospital bill while your application for Health Solution is being considered as long as you have provided all necessary documents.

 

 

WHAT IF I HAVE A PROBLEM I CANNOT RESOLVE WITH THE HOSPITAL?

You may call the New York State Department of Health complaint hotline at 1-800-804-5447.