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Financial Assistance – HSS West Side ASC

If you are concerned that you may not be able to pay for your care, we may be able to help.

The HSS West Side ASC provides financial aid for medically necessary services based on a patient’s financial need and includes a sliding scale discount for patients who qualify. Aid may be available for patients who do not have insurance and for those who are underinsured. We may be able to work with you to arrange a manageable payment plan.

Our financial assistance policy applies to services provided by the HSS West Side ASC, and some services provided by certain HSS West Side ASC physicians and other clinical staff of the HSS West Side ASC.

The HSS West Side ASC uses poverty guidelines issued by the U.S. Department of Health and Human Services to determine a patient's eligibility for financial assistance. The amount of the discount varies based on your income and the size of your family. The income limits, based on seven times the 2019 Federal Poverty Guidelines (the “FPL”), are below:

Current Income Eligibility Limits

Family Size
1
2
3
4
5
6
7
8
Annual Family Income
Up to $87,430
Up to $118,370
Up to $149,310
Up to $180,250
Up to $211,190
Up to $242,130
Up to $273,070
Up to $304,010
 

Below, you can access the full policy, an application and additional information, including a full list of providers who participate in the HSS West Side ASC financial assistance policy. You can also call the HSS Financial Advisory Department at 212.606.1505, and we would be glad to provide information to you and answer any questions you may have.

Please note that if you are currently approved for Financial Assistance by HSS, the HSS West Side ASC will apply the same determination to HSS West Side ASC patients.

 

 

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