Monadnock Community Hospital

Nonprofit critical access hospital in Peterborough, NH.

Verified from the hospital's own policy

Monadnock Community Hospital likely gives free care to households with a yearly income up to $43,890 for 1 person, $59,510 for 2, $75,130 for 3, $90,750 for 4, $106,370 for 5 or $121,990 for 6. It likely gives a discount to households with a yearly income up to $63,840 for 1 person, $86,560 for 2, $109,280 for 3, $132,000 for 4, $154,720 for 5 or $177,440 for 6.

The hospital makes the final decision.

Discount steps

• 276% to 400% of poverty level, you pay 55% discount

How to apply

1. Call (603) 924-1717 and ask for financial assistance.
2. Application form
3. Financial Assistance (FA) (Charitable Care)
4. Plain language summary
5. Bring IRS tax return transcript (Form 4506-T), income verification.
6. The policy gives 240 days to apply. Ask the billing office which date the count starts from.

Residency

New Hampshire resident, or a non-resident with a medical emergency

Savings and property

The policy counts savings or property, not only income.

Very large bills

Case-by-case relief when what you owe the hospital for one episode of care is over $30,000

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

Medically necessary care from Monadnock Community Hospital and its own offices and physicians.

Not covered

Only offices and physicians owned by the hospital accept this program.

Notes

Monadnock generally requires you to be enrolled in insurance it contracts with. Uninsured patients can still get help for emergency department visits, with a marketplace exemption, or for good cause. Approval lasts one year (two years on fixed income). Decision within 60 days. Apply by phone, in person, fax (603) 924-1709, email [email protected], or mail to 452 Old Street Rd., Peterborough, NH 03458. Uses the New Hampshire Health Access Network application. Income guidelines appendix dated March 2025; summary dated 10/2026 lists 400% limits for 2026-2027. Monadnock is an independent nonprofit hospital.

Sources

• Free care level

  Household income calculated between 0% and 275% of the year’s current FPG will be awarded a level 1 (100%) discount.

• Discount level

  Household income calculated between 276% and 400% of the year’s current FPG will be awarded a level 2 (55%) discount.

• Discount steps

  level 1 (100% discount), or level 2 (55% discount); see Appendix D.

• Insured patients

  Be enrolled in insurance that is contracted with MCH

• Asset test

  Have gross household income including some assets at or below 400% of the current year’s Federal Poverty Guidelines

• Residency

  Be a resident of NH, or a non-resident who experiences a medical emergency

• Very large bills

  The policy provides relief to patients whose financial responsibility to MCH exceeds $30,000 for any single episode of care.

• Deadline

  Past dates of service may be considered eligible for FA if the first post-discharge statement was issued within 240 days of the FA application date.

• Documents

  you will need to contact the Financial Services team with a tax transcript from the IRS.

• What is not covered

  Offices and physicians that accept the FA are those which are MCH-owned.

• Financial counseling phone

  If you have any questions, contact the FA office directly at (603) 924-1717

Last checked. 2026-11-10