Financial Assistance Policy (Plain Language Summary)

Financial Assistance Policy | Financial Assistance Scale | Financial Assistance Application
Participating Physician Groups

View this page in Español or Kreyòl.

Nanticoke Memorial Hospital is a not-for-profit, 99 bed community hospital serving Western Sussex County in Delaware. Nanticoke is committed to providing quality health care to all patients regardless of their race, gender, sexual orientation, national origin, or ability to pay.

Nanticoke Memorial Hospital offers financial assistance to all patients with household income levels up to 250% of the Federal Poverty level. Individuals qualify for 100% financial assistance if their household income is less than 250% of the Federal Poverty Level (“FPL”) and do not qualify for financial assistance if there household income exceeds 250% of the FPL. Financial assistance is offered to all patients receiving care through inpatient, outpatient, emergency and physician network services provided by Nanticoke employed physicians. (Learn more.)

An individual who qualifies for financial assistance under this policy will not be charged more than the amount generally billed to individuals who have insurance covering such care. Financial assistance discounts are applied to charges based on “amounts generally billed” using Medicare rates.

Patients requesting financial assistance may apply prior to treatment by completing the Financial Assistance Application form maintained in the Business Office. Patients may be required to provide written verification of such income from all sources at time of application, such as:

  • copy of weekly payroll stubs from employer
  • letter from employer verifying income
  • letter from Federal or State agency indicating amount of assistance received
  • copy of most recently filed Federal income tax return and verification of monthly expenses

Patients will be required to sign a Credit Investigation Release when applying for charity.

Copies of the Financial Assistance Policy and well as the application can be obtained in both English and Spanish.