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Free Care Guidelines

Free Care Guidelines

MEDICAL CARE FOR THOSE WHO CANNOT AFFORD TO PAY

In accordance with 22 MSRA 396-F (1) and the rules of the State of Maine, this hospital is required to provide Free Care to patients whose income falls below the poverty income guidelines.

 

If you believe you qualify for Free Care, please apply at the Cashier Office.

Before providing Free Care, the hospital will ask for information about your income and also ask you to show that insurance or a governmental medical assistance program will not pay for your care.

Proof of income (FOR THE LAST 3 MONTHS) is needed at the time of application.

Services that are not medically necessary are not provided as free care.

 Download,  Print And Return This Form To Apply.