Hospital · Delhi, NY
O'Connor Hospital
Free care to 200% of the federal poverty level.
Below 200% FPL Waive all charges
What the policy says
Quoted from the hospital’s own documents · read by WaiveDocuments to includeMatchedProof of income; social security letter; tax return; pay stubs“Please include the income information for the patient, their spouse, and any dependents (such as children). For example, this would include everyone on the same tax return (tax filer, spouse, and tax dependents) in the calculation of household income.
The following is a list of documents you can use to prove your income. You do not have to provide all these documents. You can also provide a statement of no household income if you have no income.
You may also provide the Eligibility determination page from the NY State of Health Marketplace. If you have this document, you do not have to provide any other income information listed below to the hospital.
If Household Receives:****Amount per Month:****Applicant May Provide:
Wages$Please provide one Paycheck Stub, or Letter from Employer on company letterhead, signed and dated, or most recently filed income tax return
Social Security Payment$Copy of award letter/certificate, or correspondence from the U.S. Social Security Administration, or annual benefit letter. To request a copy of your Social Security benefit letter, call 1-800-772-1213 or visit www.ssa.gov.
Unemployment Compensation$Copy of award letter/certificate, or monthly benefit statement from NYS Department of Labor, or Copy of Direct Payment Card with printout, or Correspondence from the NYS Department of Labor, or Printout of recipient’s account information from the NYS Department of Labor’s website (www.labor.state.ny.us).
Disability Payment$Copy of award letter/certificate, or correspondence from Social Security Administration, or copy of annual benefit
letter. To request a copy of your benefit letter, call 1-800-772-1213 or visit www.ssa.gov.
Workers Compensation$Copy of Award Letter or Check stub.
Alimony/Child Support$Copy of court order, or 3 months of cashed checks/receipts
Dividends/Interest$Quarterly dividend statements or 1 month statements.
Other$Letter stating the amount of non-wage earnings (if any), such as rental income, cash for odd jobs, etc.
No Income$0 Signed statement of no income.”Bassett NYS Uniform Hospital Financial Assistance Application (English) · read by Waive · bassett.org · retrieved Oct 14, 2026
How to applyMatchedMail: Completed applications with all required documentation should be mailed to: Community Services Program Bassett Medical Center One Atwell Road Cooperstown, NY 13326; mail: Completed applications with all required documentation should be mailed to: A.O. Fox Memorial Hospital Financial Assistance Representative Business Office 1 Norton Avenue Oneonta, NY 13820; mail: Completed applications with all required documentation should be mailed to: Community Services Program Little Falls Hospital Business Office 140 Burwell Street Little Falls, NY 13365; mail: Completed applications with all required documentation should be mailed to: Cobleskill Regional Hospital Business Office – CSP 178 Grandview Drive Cobleskill, NY 12043“Fox Memorial Hospital Financial Assistance Representative Business Office 1 Norton Avenue Oneonta, NY 13820”Financial Assistance Resource Guide · read by Waive · bassett.org · retrieved Oct 14, 2026
Before collectionsMatched180 days after the first bill“Hospitals cannot send unpaid bills to a collection agency for at least 180 days after your first bill.”Bassett NYS Uniform Hospital Financial Assistance Application (English) · read by Waive · bassett.org · retrieved Oct 14, 2026
What Tender found
Delaware 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