Hospital · Norwich, NY
Chenango Memorial Hospital
Free care to 200% of the federal poverty level.
Less than 200% of FPG 100%
What the policy says
Quoted from the hospital’s own documents · read by WaiveDiscounted careMatched83.5% discount above 200% to 250% FPL“Annual Family Income Amount of Discount Less than 200% of FPG 100% 201% to 250% of FPG 83.5% 251% to 300% of FPG 67%”Financial Assistance Program Plain Language Summary · read by Waive · nyuhs.org · retrieved Oct 16, 2026
Discounted careMatched67% discount above 250% to 300% FPL“Annual Family Income Amount of Discount Less than 200% of FPG 100% 201% to 250% of FPG 83.5% 251% to 300% of FPG 67%”Financial Assistance Program Plain Language Summary · read by Waive · nyuhs.org · retrieved Oct 16, 2026
Documents to includeMatchedPay stubs; proof of income; tax return; other“Documents required along with completed application are: 1. Pay Stubs: last 30 days 2. Other Income such as Investments, Child Support, Unemployment, Social Security, Workers’ Compensation 3. Most Recent Tax Return: if self-employed 4. Self-Attestation: if no income is reported 5. Family size: number of individuals in household”Financial Assistance Policy · read by Waive · retrieved Oct 16, 2026
How to applyMatchedMail: Mail completed and signed application to: UHS Financial Assistance 33 Lewis Road Binghamton, NY 13905“UHS Financial Assistance 33 Lewis Road Binghamton, NY 13905”Financial Assistance Application (English) · read by Waive · nyuhs.widen.net · retrieved Oct 16, 2026
DecisionMatched30 days“Eligibility will be determined within 30 days of receipt of your completed application.”Patient Financial Assistance · read by Waive · nyuhs.org · retrieved Oct 16, 2026
Presumptive eligibilityMatchedHomeless; food stamps; subsidized lunch program; state funded prescription medications; low-income or subsidized housing“Presumptive Eligibility: UHS will use external sources or other program enrollment information to assist in a decision when the patient lacks documentation to support eligibility. For example; patient is homeless, or is eligible for another state’s assistance programs, has food stamps or subsidized lunch program, state funded prescription medications, low-income or subsidized housing address.”Financial Assistance Policy · read by Waive · retrieved Oct 16, 2026
What Tender found
Chenango County · CMS · Tender’s own checksWebsiteUnverifiedNo verified websiteTender checks the price file only on a verified website
Price fileUncheckedWebsite not verified · not checkedTender’s own check · not yet checked · logged, not quoted
CMS actionNoneNo CMS penalty on fileCMS price transparency enforcement list · no notice names this hospital