Hospital · Port Jefferson, NY
John T Mather Memorial Hospital of Port Jefferson
Free care to 200% of the federal poverty level.
If your family income is less than or equal to 200% of the FPG, you may qualify for free hospital or hospital clinic care.
What the policy says
Quoted from the hospital’s own documents · read by WaiveApplication formMatchedhttps://www.northwell.edu/manage-your-care/financial-aid-programs/financial-assistance-program“Applications may be obtained in the following ways: a) On-line at Northwell Health web address: www.northwell.edu/manage-your-care/financial-aid-programs/financial-assistance-program;”Financial Assistance Policy & Procedures · read by Waive · northwell.edu · retrieved Oct 13, 2026
Documents to includeMatchedProof of income; tax return; pay stubs; bank statements“In making the determination of financial assistance, some or all of the following items may need to be provided: a. A completed application; b. Prior year’s tax return(s); c. Minimum of two most recent pay stubs; d. Minimum of three most recent bank statements for savings and checking accounts; e. Other proof of income as defined by ‘Family Income’ listed in the Definitions section of this policy; f. All outstanding credit card statements; and g. Documentation of other debt as listed in the Definitions section of this policy.”Financial Assistance Policy & Procedures · read by Waive · northwell.edu · retrieved Oct 13, 2026
Time to applyMatched240 days after the first bill“Patients are encouraged to apply for financial assistance within ninety (90) days from the date noted on the first post-discharge billing statement; however patients are permitted a minimum of two hundred and forty (240) days to apply and submit a completed application.”Financial Assistance Policy & Procedures · read by Waive · northwell.edu · retrieved Oct 13, 2026
DecisionMatched30 days“The notification of eligibility for financial assistance should be received by the patient in writing within thirty (30) days of submission of a completed application.”Financial Assistance Policy & Procedures · read by Waive · northwell.edu · retrieved Oct 13, 2026
Before collectionsMatched120 days after the first bill“Northwell Health, or its agents, will not undertake ECA’s until 120 days after the hospital provides a patient with the first post-discharge billing statement.”Financial Assistance Policy & Procedures · read by Waive · northwell.edu · retrieved Oct 13, 2026
Presumptive eligibilityMatchedMedicaid; wIC; food stamp eligibility; subsidized school lunch program eligibility; low income/subsidized housing; limited service Medicaid programs“Other sources of data used to make a presumptive eligibility decision may include the patient’s participation in certain programs or the availability of externally obtained information such as: 1. State-funded prescription programs; 2. Homeless or received care from a homeless clinic; 3. Participation in Women, Infants and Children programs (WIC); 4. Food stamp eligibility; 5. Subsidized school lunch program eligibility; 6. Eligibility for other state or local assistance programs that are unfunded (i.e. Medicaid spend-down); 7. Low income/subsidized housing is provided as a valid address; 8. Patient is deceased with no known estate; 9. Patients enrolled in limited service Medicaid programs that use a defined family income at or below 100% of the Federal Poverty Guidelines, specifically, Medicaid for Pregnant Women-Pregnancy Related Services Only or Family Planning Services and EMSA;”Financial Assistance Policy & Procedures · read by Waive · northwell.edu · 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