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The document is an application form for the New Jersey Hospital Care Assistance Program, designed to assist patients in obtaining financial aid for medical services. It includes sections for personal information, asset and income criteria, and attestations regarding residency and financial status. The form requires detailed information about the patient's financial situation, including income sources and assets, as well as documentation to support the application. It emphasizes the importance of truthful reporting and outlines the consequences of misrepresentation.

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What is the asset limit for charity care in NJ?

ASSETS CRITERIA Individual assets cannot exceed $7,500 and family assets cannot exceed $15,000.

Can you apply for charity care online?

Most patients have to apply for charity care The application is normally posted online. Patients must fill it out, then fax, email, or mail it to the hospital.

How do I get help paying medical bills in NJ?

NJ 211. With the motto Need Help? Start Here, NJ 211 is a valuable resource for families in need of assistance. Whether youre looking for housing, healthcare, or help paying medical bills, NJ 211 offers an array of services through its network of community organizations across New Jersey.

What documents do I need for charity care in NJ?

Charity Care Income Criteria and Required Information Valid Identification. Drivers License Valid (unexpired) State/County ID. Social Security card. Proof of New Jersey Residency for Date(s) of Service. Utility bill for date of service. Valid (unexpired) drivers license with current address. Income Information.

Do you have to pay back charity care?

Hospitals benefit when they provide charity care If you apply, you arent taking away money that could be used for anyone else. If you are approved for financial assistance, the hospital writes off your bill like it never existed.

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Is charity care still available in NJ?

NJ Charity Care is free or reduced charge care which is provided to patients who receive inpatient and outpatient services at acute care hospitals throughout the state of New Jersey. Charity Care is available only for emergent or medically necessary hospital care.

What is the difference between bad debt and charity care?

Charity care is care for which hospitals never expected to be reimbursed. A hospital incurs bad debt when it cannot obtain reimbursement for care provided; this happens when patients are unable to pay their bills, but do not apply for charity care, or are unwilling to pay their bills.

Is charity care the same as Medicaid?

Charity care - If you still need help with medical bills after health insurance or Medicaid payments have been applied, a charity care program may assist you with the remaining costs. In most cases, you can apply for charity care through a doctor or hospital where you are seeking medical treatment.

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What is the asset limit for charity care in NJ?

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Do you have to pay back charity care?

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Is charity care still available in NJ?

What is the difference between bad debt and charity care?

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