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Notice of Availability of Financial Assistance

 
  • Financial Assistance Policy

    The Valley Hospital offers financial assistance to eligible patients who are uninsured, underinsured, ineligible for a government health care program, or who are otherwise unable to pay for medically necessary care based on their individual financial situation. Patients seeking financial assistance must apply for the program, which is summarized below.

    Eligible Services
    How to Apply
    Determination of Financial Assistance Eligibility

    Relevant Documents

    • Click here for The Valley Hospital's Financial Assistance Policy (53.05)

    • Click here for the New Jersey Hospital Care Payment Assistance Fact Sheet

    • Click here for the New Jersey Hospital Care Assistance Program Application for Participation

       
    • Click here The Valley Hospital Financial Assistance Policy Application

       
    • Click here Financial Assistance Plain Language Summary

       
     
  • Governmental Programs

    The Valley Hospital will make available upon request, an application for the State Charity Care Assistance Program to any patient or responsible party. If you apply for financial assistance, you will be required to supply, at a minimum, a copy of your most recent federal tax return, bank statements, and a recent pay stub (if applicable). This will assist us in determining if you qualify for this program. Federal Poverty Guidelines are used to determine eligibility.

     
  • Uninsured Patients

    If your family gross income is between 300 and 500% of the federal poverty level (FPL), you could be eligible for a discounted rate if you are a New Jersey resident and are uninsured. This applies to dates of service beginning February 4, 2009 due to the recent law passed.

     
  • Cosmetic Procedures/Rates for Non-Covered Services:

    We offer flat package rates for certain procedures that are not covered by insurance. Please call Patient Financial Services at 201-291-6080 for more information.

 
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Call 201-447-8000, ext. 111-2110, or email adelmon@valleyhealth.com  
Outpatient Services Guide
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Mailing Address:
The Valley Hospital
223 N. Van Dien Avenue
Ridgewood, NJ 07450
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