September 23, 2018
Robert R. Cawley, D.O.
Dover, NH 03802
Wentworth-Douglass Hospital offers many financial assistance and referral programs to ensure that cost will not be a barrier to anyone in our community getting the health care services they need. If payment of your health care expenses could create a financial hardship for you, our staff will work with you to apply for financial assistance. As part of the financial counseling application process the hospital will assess your potential eligibility for health insurance coverage through federal or state programs such as New Hampshire Medicaid. If it is determined that you may be eligible for one of these programs the hospital will assist you in the application process or guide you to the nearest agency avilable to assist you.
Exclusions for Eligibility
Cosmetic procedures and infertility services are not eligible for financial assistance. All other elective or non-emergent services are covered at the discretion of the health provider or hospital.
Wentworth-Douglass Hospital Financial Assistance Program and the following statewide program:
Call Financial Assistance at (603) 740-3234. They will advise you and investigate other sources that might provide financial assistance.
Complete a financial assistance application. You can print it from our website, pick it up at the Financial Assistance Office at 121 Broadway, Dover NH, Wentworth-Douglass Business Systems Office, or call us at (603) 740-3234 to request that one be mailed to you. Our office is open Monday through Friday, 8:00 a.m. - 4:00 p.m.
Submit the application with the following documents:
Use this checklist to be sure we have all the information we need to quickly and correctly process your application. We may ask you for additional information about your credit evaluation and income tax return. The information you provide is confidential.
You will continue to be financially responsible for any services you receive until we have learned whether you qualify for help.
If you have not heard from us in 30 days after returning your application, or you need help in understanding it, please call (603) 740-3234.
We know that health care costs can come up unexpectedly. Whether you are insured or uninsured, whether or not you qualify for financial assistance, we understand that you may have difficulty paying your healthcare costs in full at the time of service or in a lump sum. We are happy to work with any patient to set up a payment plan.
To discuss payment plan options, please contact our billing department toll free at 1-855-762-5219.
For more information please view our policies: