Please submit the above
documents through postal service mail or in person; do not email
copies of your documents as we cannot guarantee the security
of your personal information.
Your application will be processed within 10-business days of
receipt. If approved, you will receive a letter and a business
card in the mail with the determination. You may qualify
for both the NHHAN and Cottage Care programs at differing percentages. The
front of your card will state the NHHAN percentage and the back
of the card will state the Cottage Care percentage. This
card will also list your expiration date. As you approach
the expiration date of your card, you will need to re-apply to
If an application for Cottage Care is denied, the patient has
the right to request a review by the Business Office Manager
(BOM) and the Chief Financial Officer (CFO). The appeal
must be written and submitted with any additional information
that was not submitted with the original application.The BOM
or CFO will make a final decision within 30-days of receipt of
the written appeal.
The Cottage Care plan is honored only at Cottage Hospital, Cottage Hospital Internal Medicine Services, and Monroe Health Services for services provided
by Cottage Hospital staff. It does not include tests performed
at outside labs, or radiology readings performed by non-Cottage
Cottage Hospital participates in NH Health Access Network (click here to read more about this program) and this program is portable to other hospitals and/or specialist providers in the State of New Hampshire. A list of participating providers and hospitals are available here and click on View list of participating provider sites.
We know that health care costs can come up unexpectedly. Whether
you are insured or uninsured, whether or not you qualify for
financial assistance — we understand that you may have
difficulty paying your healthcare costs in full at the time of
service or in a lump sum. Cottage Hospital is happy to work with
any patient to set up a payment plans. Payment plans
are generally negotiated to pay the account balance in full within
12-months. However, payment plans for unusual circumstamces
or high balances may be negotiated with our Patient Financial
Counselor or Business Office Manager.
Cottage Hospital offers a 10% prompt pay discount, when payment
is received within the first 30-days of the billing cycle. And
payments may be made with the following credit cards.
Cottage Hospital’s Patient Financial Counselor is available
Monday-Friday 8-4 at (603) 747-9220 or firstname.lastname@example.org .