Financial Assistance applications are provided to any individual seeking Granite VNA services who are uninsured, underinsured, or otherwise unable to pay the published fee for service. If you have already received financial assistance through Concord Hospital or the NH Health Access Network, we honor that reward.
$0 - $12,760*
$12,761 - $17,240*
$17,241 - $21,720*
$21,721 - $26,200*
$26,201 - $30,680*
$30,681 - And Over*
*The above chart shows the amount of charitable care based on your Annual Gross Income (Family size 1 person)
The current Health & Human Services Poverty Guidelines are used as a guide in the evaluation process for fee scaling. Adjustments may be made according to the current annual income level of the applicant.
Applying for Assistance
The completed application must be submitted to Utilization Review for review to be considered for fee scaling. Any applicant with total assets greater than $100,000 are not considered for financial assistance. Cash assets of $5,000 or more must be applied toward the Granite VNA medical bills before any financial assistance will be provided.
Applicants for Financial Assistance are notified of the decision in writing within 24 hours of receipt of the completed application. All applications received after 4 p.m. on Friday until Monday morning are responded to on Monday. All applicants for Financial Assistance or their representatives are encouraged to contact the Chief Financial Officer at (603) 224-4093, ext. 5669 if they want to discuss the application decision.