Understanding Costs and Coverage

Billing, Insurance, and Financial Assistance

On This Page:

Clear Answers About Your Care Costs

What to Know About Billing, Insurance & Financial Support

Our Billing Policy requests payment of your estimated out-of-pocket responsibility at the time of treatment.

If you are covered by insurance, you will be responsible for your copayment and/or the cost of any services not covered by your plan. If your insurer or HMO does not cover emergency treatment, or if you do not have insurance coverage, we may request a deposit equal to the average charge for treating a patient with your illness.

We accept major debit and credit cards, cash, and checks. We will never deny or delay emergency services based on a patient’s ability to pay.

Pay My Bill

Insurance

Today, many people are insured by health maintenance organizations (HMOs) or managed care organizations which require pre-approval for care provided in an emergency department for illnesses or injuries that are not life-threatening or true emergencies. If you’re not sure whether this applies to your insurance plan or what your plan covers, we encourage you to contact your insurance company. We will never deny you medical care based on ability to pay.

Are You a MassHealth Patient?

As of March 1, 2018, Sturdy Health practices belong to one MassHealth plan called WellSense Community Alliance. If you would like to continue to receive your primary care at Sturdy Health practices, you need to be enrolled with WellSense Community Alliance.

For more information, or for help with changing your plan, you can speak with one of Sturdy Health’s Certified Application Counselors at (508) 236-8128, or (508) 236-8127. You can call MassHealth at (800) 841-2900 (TTY: (800) 497-4648) Monday – Friday 7:00 a.m. – 3:30 p.m.

Visit WellSense Community Alliance for more information.

Medical Assistance Programs

If you have difficulty paying, our patient financial services department may be able to arrange terms that fit your budget. You may also qualify for medical assistance programs that can help with your medical expenses. If you’re having difficulty paying your medical bills, our financial services representatives will work with you to explore your options. Uninsured or underinsured patients can find information on how to apply for public or hospital financial assistance by accessing the hospital’s Financial Assistance Policy Applications and additional information are also available on our Financial Assistance Page.

Financial assistance is not applied to Sturdy Health’s medical practices.

Hospital Charges - Price Transparency

The information provided on this page is a comprehensive list of standard charges and estimated payer-specific reimbursement for each inpatient and outpatient service or item provided by the hospital, also known as a chargemaster. This list of services and the corresponding charges are subject to change throughout the year. Therefore, relying on the chargemaster is not a helpful tool for patients to estimate what their healthcare services are going to cost them out of their own pockets. The payer-specific reimbursement amounts are derived from both payor fee schedules and internal hospital reports.

A patient’s health plan is the best location to obtain information for actual out of pocket costs, as health plans know the exact plan a patient is enrolled in as well as annual deductibles, coinsurance amounts, etc. For more information about the cost of your care or financial assistance, please contact our Patient Financial Services staff at: (888) 894-0926.

Hospital Standard Charges (Machine Readable)
Shoppable Services

Financial Assistance

We offer guidance to low-income, uninsured and underinsured patients who are applying for financial assistance through either state public programs or hospital programs. These programs can help with bills for emergency and medically necessary services. Eligibility is determined by reviewing factors such as household income, assets, family size, expenses, and medical needs. Patients who qualify for assistance under the Financial Assistance Policy. (Politica de Asistencia Financiera) will not be charged more than amounts generally billed to patients who have insurance, for emergency and medically necessary care. Summaries (Resumen de la póliza de asistencia financiera) of the policies are also available.

Financial assistance is not applied to Sturdy Health medical practices.

Who Is Eligible?

Massachusetts residents and other patients who receive care at the hospital or its remote locations and have incomes up to 300% of the Federal Poverty Level (FPL) may be eligible for free or discounted care.

  • Patients with income at or below 150% of the FPL may receive free care.
  • Patients with income above 150% and up to 300% of the FPL may be eligible for partial or discounted care.

Patients who have questions or wish to apply can do so by calling the Financial Counselor’s office. After a telephone screening, if the Financial Counselor determines the patient needs to come in, they will arrange an appointment. Paper copies of the policy and application forms can also be mailed to you at no charge by contacting the financial counselor’s office.

Patients may be eligible for full or partial financial assistance on their bills through public assistance or hospital programs, including MassHealth, the Premium Assistance Payment Program operated by the Health Connector, the Children’s Medical Security Plan, the Health Safety Net and Medical Hardship.

Patients who qualify for financial assistance may receive services which are not covered under the hospital’s Financial Assistance Policy. These services are typically performed by providers not employed or contracted by the hospital.

The hospital will not charge any individual who is eligible for assistance under its financial assistance policy for emergency and medically necessary care more than the “amount generally billed [PDF]” to individuals who have insurance for such care.

Financial Counselors

Our financial counselors at the hospital can help determine whether you qualify for financial assistance programs. For assistance, please call (508) 236-8127 or (508) 236-8128.

Appointments are required.

Please note that Sturdy Health medical practices do not have financial counselors to assist patients with applying for MassHealth or other insurance.

Patient Financial Services

The links below provide Patient Financial Service Representatives are available to answer any questions about your charges and to help you make arrangements for payment. You can request an itemized bill listing all hospital services, medical supplies, medications, tests and treatments. You are responsible for assuring that the financial obligations of your healthcare are fulfilled. Professional services provided by the Radiology Department, Pathology, and Anesthesia are billed separately. Payment for these services should be made to the appropriate physician or testing facility and not the hospital. For any assistance, please call (888) 894-0926.