Hospital · Patchogue, NY
Long Island Community Hospital
Free care to 300% of the federal poverty level.
Patients qualify for 100% financial assistance if their family income is at or below 300% of the Federal Poverty Level Guidelines (FPL).
What the policy says
Quoted from the hospital’s own documents · read by WaiveDiscounted careMatched90% discount above 300% to 350% FPL“Eligibility Percentage 100% 90% 80% % of Poverty Level 0% - 300% 301% - 350% 351% - 400%”Financial Assistance Eligibility Percentages · read by Waive · catholichealthli.org · retrieved Oct 13, 2026
Discounted careMatched80% discount above 350% to 400% FPL“Eligibility Percentage 100% 90% 80% % of Poverty Level 0% - 300% 301% - 350% 351% - 400%”Financial Assistance Eligibility Percentages · read by Waive · catholichealthli.org · retrieved Oct 13, 2026
Documents to includeMatchedProof of income; social security letter; tax return; pay stubs; bank statements“Acceptable forms of documentation to support family income (patient/guarantor and spouse) include the following:
o Four (4) most recent pay stubs
o Copy of Social Security payments that you and/or your spouse receive (benefit award letter or bank statement)
o Copy of unemployment benefits
o Copy of workers compensation benefits
o Other income (e.g., alimony/maintenance, rental income, veterans’ benefits)
o Three (3) most recent bank statements (checking and savings) (all pages)
o Proof of student status (unofficial transcript or current class schedule)
o Proof of support assistance from another person (letter from person supporting you if you are not paying rent)
o Prior year tax return”Catholic Health Services of Long Island · read by Waive · catholichealthli.org · retrieved Oct 13, 2026
How to applyMatchedMail: Complete, sign, date and return application, along with supporting documentation to: Catholic Health Services of Long Island 320 South Service Road Melville, NY 11747 Attn: Financial Assistance Department; in person: Paper copies of the full Catholic Health Hospital Financial Assistance Program documents (policy, policy summary and application, including instructions) shall be provided upon request and without charge, at points of intake and registration and by mail.“Complete, sign, date and return application, along with supporting documentation to: Catholic Health Services of Long Island 320 South Service Road Melville, NY 11747 Attn: Financial Assistance Department”Catholic Health Services of Long Island · read by Waive · catholichealthli.org · retrieved Oct 13, 2026
DecisionMatched30 days“Upon receipt of your completed application and all required documents, your application will be reviewed and our determination will be sent to you in writing within thirty (30) days.”Catholic Health Services of Long Island · read by Waive · catholichealthli.org · retrieved Oct 13, 2026
Before collectionsMatched120 days after the first bill“Catholic Health will not take "extraordinary collection actions" (lawsuits, arrests, liens, reporting of adverse information to credit agencies, or other similar actions) against individuals until it has made reasonable efforts to determine whether a patient is eligible for financial assistance; but not before 120 days from the first post-discharge billing statement.”Financial Assistance Policy | Catholic Health Long Island · read by Waive · catholichealthli.org · retrieved Oct 13, 2026
Presumptive eligibilityMatchedHomelessness“Presumptive Eligibility – Patients are presumed to be eligible for financial assistance discounts on the basis of individual life circumstances (e.g. homelessness, patients who have no income, patients who have qualified for other financial assistance programs, etc.) Catholic Health shall grant 100% financial assistance discounts to patients determined to have presumptive financial assistance eligibility.”Financial Assistance Policy | Catholic Health Long Island · read by Waive · catholichealthli.org · retrieved Oct 13, 2026
What Tender found
Suffolk 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