Financial Services/Charity Care

We’re Here to Help

The mission of The Westerly Hospital is to compassionately provide a superior standard of community healthcare across generations. All patients are treated equally and are entitled to essential medical care required regardless of ability to pay.

Financial Services

Westerly Hospital Healthcare offers financial assistance to patients without insurance and to those who may be underinsured. Our financial services counselors are here to help you understand the programs and services that we offer and to help determine if you qualify for financial aid.

Our Hospital programs include:

  • Charity Care Program
  • Discount Programs
  • Payment Plans
  • EFT (Electronic Funds Transfer)
  • Payroll Deduction for Hospital Employees

Charity Care Program

The Westerly Hospital provides free essential healthcare services, based on number of people in your family and your annual income. You will need to fill out an application for financial assistance (see section “How to Apply for Charity Care” below).
The chart below shows the guidelines for those who qualify for 100% financial assistance based upon their income:

# of Persons in Family/Household Annual Income Limits
1 $22,980
2 $31,020
3 $39,060
4 $47,100
5 $55,140
6 $63,180
7 $71,220
8 $79,260
For each additional person, add: $8,040

Numbers based on 2013 Federal Health and Human Services Poverty Guidelines. Guidelines change periodically so consult our financial services counselors for most current numbers.

How to Apply for Charity Care
To qualify for charity care, you will need to fill out the form: Application for Hospital Financial Assistance (for downloadable form click here). You will be asked to provide our Financial Services Department with copies of these documents, if applicable:

  • Previous year’s Federal Income Tax Return
  • Four consecutive pay stubs for you (and your spouse, if applicable)
  • Your most recent bank statements (savings and checking) for you (and your spouse, if applicable)
  • Social Security benefit statements for you (and your spouse, if applicable)

Application for Hospital Financial Assistance

Discount Programs

Prompt Pay Discounts: We offer prompt pay discounts for uninsured who do not qualify for charity care. The patient is responsible for 75% of the balance within 30 days of receiving their bill. When we have received 75% of the total amount due, the Hospital will adjust the remaining balance to our Financial Assistance Program.

Discounted Care: If you do not qualify for full charity care, you may qualify for discounted care up to 40%. Speak with one of our financial counselors to find out if you qualify.

Payment Plans

We offer payment plans for patients with balances remaining after insurance and for patients who do not qualify for charity care. Contact our Financial Services Department.

Contact Financial Services

Call our financial services counselors about the Hospital’s charity care, discounted programs or payment plans. Our helpful and experienced financial counselors will help answer any of your questions and work with you through the financial aid application process.

If you last name begins with:

  • A through J Call: 401-348-3214
  • K through Z Call: 401-348-3215

Toll-free: 1-800-933-5960, ext. 3624

For an introduction to our Financial Services, click here.