Financial Assistance

No insurance? No problem. Contact us to discuss options. We will never turn patients away for inability to pay.

Navigators and Certified Application Counselors

Lamprey Health Care Navigators and Certified Application Counselors are available to help you discover, apply, and understand what health care coverage you might be eligible for through programs such as:

  • Medicare, Part D, and Medicare Advantage Program
  • NH Medicaid
  • The Marketplace

There is no cost for this service. Ask to speak with a Navigator or Certified Application Counselor.

doctor and patient shaking hands
medication assistance

Medication Assistance

You may qualify for medication assistance if you need help paying for medications to treat a chronic condition. The pharmaceutical industry offers many different programs. 

Our staff can determine if you are eligible and help you with the application process. It can take up to four to six weeks to enroll. Renewal applications are required every three months. There is a $3.00 fee for each application.

Please ask to speak with the Prescription Assistance Coordinator for more information.

PLEASE NOTE: When refills are needed, contact the Prescription Assistance Coordinator. Allow for several weeks to avoid interruptions in your medication therapy.

Financial Assistance Program

What does the Financial Assistance Program Cover?

The Financial Assistance Card allows patients to receive a discount on services provided by Lamprey Health Care. The Financial Assistance Card only covers services offered by Lamprey Health Care and is NOT an insurance card.

Patients requiring labs, or other diagnostic services at other facilities need to apply for financial assistance at those organizations. Our Care Coordinators can assist you in determining which facilities in our area also offer financial assistance programs.

Applying for Financial Assistance

To be eligible for this program, patients must meet certain income guidelines. For information on the Financial Assistance Program, ask to speak with a Certified Application Counselor.

View the 2022 Sliding Fee Scale Grid (03/01/22)

To apply for the program, please complete the following form and follow the instructions to return the application.

English, Sliding Fee Discount Program Instructions & Application
Spanish, Sliding Fee Discount Program Instructions & Application
Portuguese, Sliding Fee Discount Program Instructions & Application

What will I have to pay?

Until the Financial Assistance application and necessary documents are received, you will be expected to pay the full fee for your visits and related care.

If you qualify, you will be issued a Financial Assistance Card, which will clearly state your level of discount. Discount ranges fall into four categories. You must bring this card to your visit so your discount can be applied.

All discount ranges within the program include a nominal fee to be paid by the patient. This fee will be collected at the time of the visit. The Financial Assistance Card covers services provided through our prenatal program as well.

Good Faith Estimates

Good Faith Estimate shows the costs of items and services that are reasonably expected for your health care needs. 

English, Good Faith Estimates
Spanish, Good Faith Estimates
Portuguese, Good Faith Estimates

What if I can’t pay?

All fees are expected at the time of each visit. If you are unable to pay for services at the time of the visit, you will be sent a bill for any unpaid balance.

We also offer payment plans to patients who are unable to pay their balance. You can speak with a Patient Service Representative at the health center, or you may contact our billing office by selecting option six on our telephone menu.

insurance

No Insurance?
No Problem.

You will never be turned away because you don’t have insurance.
portal

MY HEALTH Online Patient Portal

Access information and request services, all through one easy to use site.
newsletter

Receive Our Newsletter

Our caring professionals work as a team to create your Medical Home.