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Hospital & charity care

Dartmouth Health Financial Assistance Program

Free or discounted hospital care for uninsured and underinsured patients at Dartmouth Health facilities.

Free

Dartmouth Health offers financial assistance for qualifying patients with family incomes up to 300% of the federal poverty level. Patients may receive free or discounted care for medically necessary services at participating hospitals.

Who qualifies

A quick look at who this program is designed to help.

Where

Available in NH, VT

Income

Up to 300% of federal poverty level

Age

All ages

Conditions

intake.condition.options.*Heart DiseaseHeart FailureCoronary Artery DiseasePeripheral Artery DiseaseDeep Vein Thrombosis (DVT)Pulmonary EmbolismStrokeAortic AneurysmCardiomyopathyAtrial FibrillationHigh Blood PressureHigh CholesterolType 2 DiabetesType 1 DiabetesHypothyroidismHyperthyroidismThyroid DisorderObesityMetabolic SyndromePCOSAddison's DiseaseCushing's SyndromeGoutAsthmaCOPDPulmonary FibrosisSleep ApneaTuberculosisChronic BronchitisEmphysemaPneumoniaCrohn's DiseaseUlcerative ColitisIrritable Bowel Syndrome (IBS)Celiac DiseaseGERD / Acid RefluxLiver DiseaseCirrhosisHepatitis BHepatitis CPancreatitisGallbladder DiseaseEpilepsyMultiple SclerosisParkinson's DiseaseAlzheimer's DiseaseDementiaNeuropathyALS (Lou Gehrig's Disease)Traumatic Brain InjuryHuntington's DiseaseDepressionAnxietyBipolar DisorderPTSDOCDSchizophreniaADHDEating DisorderSubstance Use DisorderPostpartum DepressionArthritisRheumatoid ArthritisOsteoporosisOsteoarthritisChronic Back PainScoliosisSpinal StenosisFibromyalgiaKidney DiseaseKidney StonesUrinary IncontinenceProstate Enlargement (BPH)Dialysis DependentAnemiaSickle Cell DiseaseHemophiliaImmune DeficiencyCancerBreast cancerLung cancerProstate cancerColorectal cancerBladder cancerKidney cancerPancreatic cancerLiver cancerThyroid cancerUterine (endometrial) cancerOvarian cancerCervical cancerStomach cancerBrain cancerMultiple myelomaHead and neck cancerLeukemiaLymphomaMelanoma (skin cancer)PsoriasisEczemaSevere AcneGlaucomaMacular DegenerationCataractsDiabetic RetinopathyEndometriosisInfertilityMenopause ComplicationsUterine FibroidsPregnancyHIVLyme DiseaseLong COVIDMRSASTD / STICystic FibrosisMuscular DystrophyDown SyndromeMarfan SyndromePhenylketonuria (PKU)Spina BifidaCerebral PalsyAutism Spectrum DisorderChronic Fatigue SyndromeChronic PainOrgan TransplantAmputationHearing LossDental Diseaseintake.condition.options.testicular-cancer

Insurance

I don't have any insuranceI have insurance, but I still can't afford care

Stage of care

Currently in treatmentI have a bill I can't pay

What you'll need

Have these ready before you start the application.

  • Completed financial assistance application, proof of household income (pay stubs, tax return, W-2, Social Security benefit letter, or unemployment documentation), proof of identity (driver's license, state ID, or passport), proof of residency (utility bill or lease), and any medical bills or explanation of benefits (EOB) statements.

How it works

  1. 1

    Fill out the application

    The program runs its own application. We'll send you straight there.

  2. 2

    Submit your documents

    Upload or send the documents listed above, following the program's instructions.

  3. 3

    Receive your benefit

    If approved, the benefit kicks in based on the program's timeline.

Ready to apply?

Start your application on the program's own website. We'll keep your matches ready when you come back.