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Financial Assistance

We know that health care costs come up unexpectedly and, whether you are insured or not, it's a difficult issue.  We understand, and are happy to work with any patient to resolve an unpaid balance. For information on insurance & billing, please click here.

Our Patient Financial Services representatives are available to answer any questions you may have about your hospital bill. Representatives may be reached Monday thru Friday 8 AM–   4 PM at 603.663.6922.

Hospitals in New Hampshire work hard to make quality health care available, affordable and accessible to all, regardless of the patient’s ability to pay.  CMC participates in the following statewide programs:

  • New Hampshire Health Access Network 
  • Uninsured Discount—Patients who are uninsured will not be charged more than amounts generally billed to people who do have insurance covering the same care. Catholic Medical Center applies a discount toward gross charges when there is no insurance coverage. Click here to learn more. The discount is applied prior to billing the patient and prior to applying any financial assistance adjustments. The discount is not valid for patients who have health insurance coverage not contracted with CMC, including but not limited to: Medicare, Medicaid, third party liability motor vehicle claims or worker's compensation claims or any other state or federal programs.
Catholic Medical Center has its own financial assistance program that is available to patients who receive medically necessary care and don’t qualify for the above-mentioned statewide assistance programs. 

Criteria & Application
Patients must complete a formal financial assistance application for charitable care within 240 days of receiving medically necessary services from the hospital, and only after all insurance benefits, and/or financial aid from third party payers, state and federal assistance programs, charitable or endowment funds have been exhausted. Charitable care will be available only for medical services that are reasonable and necessary for the diagnosis and treatment of illness or injury. Individuals who receive or want a cosmetic procedure are not eligible for financial assistance.

Criteria Categories for Financial Assistance:

  • Family income, in relation to the established federal poverty guidelines
  • Assets (i.e., home, bank accounts and stocks)
  • Receipt of documents stating medically necessary care is required 
  • Other or additional hardship (explanation required)

Financial Assistance Forms

Use the link above to access the PDF fillable application—open the file, right click to "Save As", save locally, then open that file to type in the form

Financial Assistance Form (English)
Financial Assistance Form (Nepali)
Financial Assistance Form (Spanish)

Financial Assistance Policy (English)
Financial Assistance Policy (Nepali)
Financial Assistance Policy (Spanish)

Financial Assistance Summary (Plain Language)

Listing of CMC Services (English)
Listing of CMC Services (Nepali)
Listing of CMC Services (Spanish)


If you feel you may qualify, please call the Patient Financial Services team at 603.663.6922. A financial advisor will assist you with the application for charitable care and investigate other sources that might provide financial assistance for the medical care you need.