# Elliot Hospital

Hospital in Manchester, NH. Verified from the hospital's own policy.

Elliot Hospital likely gives free care to households with a yearly income up to $39,900 for 1 person, $54,100 for 2, $68,300 for 3, $82,500 for 4, $96,700 for 5 or $110,900 for 6. We have not found a discount for incomes above the free care level.

The hospital makes the final decision.

| Household size | Free care if yearly income is up to | Discount if yearly income is up to |
|---|---|---|
| 1 | $39,900 | not found |
| 2 | $54,100 | not found |
| 3 | $68,300 | not found |
| 4 | $82,500 | not found |
| 5 | $96,700 | not found |
| 6 | $110,900 | not found |

Dollar amounts use the 2026 federal poverty guidelines.

## How to apply

- Call (603) 663-7235 and ask for financial assistance.
- [Application form](https://www.elliothospital.org/download_file/view/76a930bf-71a2-4a9b-83d2-bd928174ee44/794)
- [SolutionHealth Financial Assistance, Billing and Collection Policy](https://www.elliothospital.org/download_file/view/568943e6-15c8-47a6-8753-909b257d59ff/794)
- The policy gives 120 days to apply. Ask the billing office which date the count starts from.
- Bring proof of New Hampshire residency, Medicaid denial letter, most recent tax return with all schedules, or a non-filing statement, three most recent pay stubs for each earner, Social Security or unemployment income proof, employer letter on insurance offered, if uninsured and working, notarized letter of support if no income, most recent bank and retirement account statements, mortgage statements and tax values of real property.
- Residency. New Hampshire resident, or a resident of Dunstable, Pepperell, Townsend or Tyngsboro, Massachusetts. Others only for an emergency that happens in New Hampshire.
- Savings and property. The policy counts savings or property, not only income.
- Very large bills. Medical hardship help for large out-of-pocket bills, plus a Catastrophic Relief Pool for long, costly illness or injury

## If you have insurance

Insured patients can also apply for help with deductibles and copays.
Keep your insurance. Financial assistance covers bills from this one place only.

## What is covered

Covered. Emergency and medically necessary care from SolutionHealth hospitals and practices.

Not covered. Physicians not employed by SolutionHealth bill separately and may not offer help. Cosmetic care, dental implants and retail pharmacy are excluded.

## Notes

Free care is a full write-off up to 250% of the poverty level. No partial-discount tier is published. Insured patients can get help only through the medical hardship route. Assets over $300,000 are weighed case by case. Approval lasts six months and reaches back twelve months. Decision in writing within 14 days of a complete application. Appeal in writing within 30 days of a denial. Policy board approved 12/14/2022. SolutionHealth financial advocates: (603) 663-8950. Uninsured patients are never charged more than what insured patients generally pay.

## Sources

- System https://www.elliothospital.org/download_file/view/568943e6-15c8-47a6-8753-909b257d59ff/794
  > there are physicians who provide services at the Elliot Hospital, Southern NH Medical Center and other SolutionHealth locations
- Free care level https://www.elliothospital.org/download_file/view/568943e6-15c8-47a6-8753-909b257d59ff/794
  > Financial assistance is available to patients, or their guarantors, with annual family income at or below 250% of Federal Poverty Guidelines (FPG).
- Discount steps https://www.elliothospital.org/download_file/view/568943e6-15c8-47a6-8753-909b257d59ff/794
  > Financial assistance is a complete write-off of SolutionHealth charges for eligible services.
- Insured patients https://www.elliothospital.org/download_file/view/568943e6-15c8-47a6-8753-909b257d59ff/794
  > Underinsured patients may be eligible for financial assistance due to medical hardship.
- Asset test https://www.elliothospital.org/download_file/view/568943e6-15c8-47a6-8753-909b257d59ff/794
  > Assets greater than $300,000 such as real estate, 401k, 403b, and savings will also be considered in determining eligibility on a case by case basis.
- Residency https://www.elliothospital.org/download_file/view/568943e6-15c8-47a6-8753-909b257d59ff/794
  > Applicants for financial assistance must reside in the State of New Hampshire or the Massachusetts border towns of Dunstable, Pepperell, Townsend or Tyngsboro
- Very large bills https://www.elliothospital.org/financial-assistance
  > A "Catastrophic Relief Pool" is available to provide substantial financial assistance to patients who experience costly and extended episodes of care
- Deadline https://www.elliothospital.org/download_file/view/568943e6-15c8-47a6-8753-909b257d59ff/794
  > completed applications must be received within 120 days of the first post-discharge (or outpatient encounter) billing statement from SolutionHealth.
- Documents https://www.elliothospital.org/download_file/view/568943e6-15c8-47a6-8753-909b257d59ff/794
  > Complete copy of most current tax return including all schedules, if filed; or non-filing statement if tax return not filed
- What is not covered https://www.elliothospital.org/download_file/view/568943e6-15c8-47a6-8753-909b257d59ff/794
  > Services that are not eligible under SolutionHealth’s financial assistance policy include: 1. cosmetic services or surgery, 2. dental implants, 3. retail pharmacy
- Financial counseling phone https://www.elliothospital.org/financial-assistance
  > please contact an Elliot patient care representative at 603-663-7235

Last checked 2026-11-10.

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