Hackensack Meridian Health Financial Assistance (Charity Care): Complete 2026 Guide

Hackensack Meridian Health is the largest health system in New Jersey with 18 hospitals. They offer 100% free care for patients at or below 200% of the Federal Poverty Level, sliding-scale discounts above that, and a special provision for insured patients whose out-of-pocket medical expenses exceed 30% of gross annual income. NJ residents also benefit from one of the strongest state charity care programs in the country.

Our Bill Defense team can apply for financial assistance on your behalf, follow up with the hospital, provide any additional documentation they request, and find other ways to reduce your bill (billing errors, insurance disputes, negotiation). You pay $0 unless we save you money.

Quick Eligibility Summary

100% Free Care

Income at or below 200% FPL

20-80% Discount

Sliding scale for income above 200% FPL

30% Income Rule

Also qualifies if medical expenses exceed 30% of gross income (even with insurance)

240 Days to Apply

From first billing statement (up to 1 year from service)

18 Hospitals

Largest health system in New Jersey

(551) 996-2000

Main Phone

Who Qualifies: Income Limits & Eligibility

Income LevelAssistanceDetails
200% FPL or below100% Free CareFull charity care, no patient responsibility
Above 200% FPL20-80% DiscountSliding scale based on income
Any income levelEligible if 30% Rule MetOut-of-pocket medical expenses exceed 30% of gross annual income

2026 Federal Poverty Level: $15,960 for individual, $33,000 for family of 4. Add $5,680 for each additional family member.

Asset Limits

  • • Individual: $7,500 in countable assets
  • • Family: $15,000 in countable assets
  • Spend-down option: If your assets exceed the limit, you can apply the excess toward your hospital bill. This can still result in significant savings on large bills.

Key Insight for Insured Patients: The 30% Rule

Many patients with insurance assume they do not qualify for financial assistance. However, Hackensack Meridian Health has a provision that extends eligibility to anyone whose out-of-pocket medical expenses exceed 30% of their gross annual income.

This means if you have insurance but face large deductibles, coinsurance, or out-of-network charges that push your total medical spending above 30% of what you earn, you may qualify for assistance regardless of your FPL level.

Example:

A family earning $80,000/year with $25,000 in out-of-pocket medical bills (31.25% of income) could qualify for financial assistance, even though their income is well above 200% FPL.

New Jersey State Charity Care Program

New Jersey has one of the strongest state charity care programs in the country, providing protections that go beyond the federal 501(r) requirements that apply to nonprofit hospitals. All licensed NJ hospitals are required to participate.

State-mandated charity care: NJ law requires all licensed hospitals to provide financial assistance to qualifying patients

NJ residency required: You must be a New Jersey resident (driver's license, utility bill, or other proof)

Beyond federal requirements: NJ charity care protections provide additional coverage and enforcement mechanisms beyond what federal law requires

State oversight: The NJ Department of Health oversees compliance and can assist patients who face difficulties

Note: NJ state charity care works alongside Hackensack Meridian's internal financial assistance program. You may be eligible under one or both. The hospital will typically evaluate you for both programs when you apply.

Covered Hackensack Meridian Health Facilities

Hackensack Meridian Health operates 18 hospitals across New Jersey. Financial assistance applies to all system facilities.

Hackensack University Medical Center
K. Hovnanian Children's Hospital
Jersey Shore University Medical Center
Ocean University Medical Center
JFK University Medical Center
Raritan Bay Medical Center
Riverview Medical Center
Bayshore Medical Center
Southern Ocean Medical Center
Palisades Medical Center
Pascack Valley Medical Center
Mountainside Medical Center
Old Bridge Medical Center
Jersey City Medical Center
Carrier Clinic
JFK Johnson Rehabilitation Institute
Hackensack Meridian Behavioral Health
Hackensack Meridian Health Network

Note: Some physician practices within these facilities may be independently operated. Confirm with the billing office that your specific provider is covered under the financial assistance program.

How to Apply (Step-by-Step)

1

Check Your Eligibility

Review the income table above. If your income is at or below 200% FPL, you likely qualify for 100% free care. If your out-of-pocket medical costs exceed 30% of your gross income, you may also qualify regardless of income.

5 minutes

2

Gather Required Documents

Collect proof of income (pay stubs or tax returns), proof of NJ residency (driver's license or utility bill), photo ID, Social Security information, household size documentation, and bank statements showing assets.

15-30 minutes

3

Obtain the Application

Request a Financial Assistance Application from the hospital billing office, patient access department, or download from the Hackensack Meridian Health website. You can also call (551) 996-2000 to have one mailed.

5 minutes

4

Complete the Application

Fill out all sections of the application. Include information about all household members, all sources of income, and all assets. Be thorough to avoid delays from incomplete applications.

20-30 minutes

5

Submit with All Documentation

Submit your completed application along with all supporting documents to the hospital financial counseling office. You can submit in person, by mail, or by fax depending on the facility.

5 minutes

6

Follow Up

Call to confirm receipt of your application. Ask for a timeline on the decision. If additional documents are requested, provide them promptly to avoid delays or denial.

Ongoing

Required Documents Checklist

Income Verification

  • Recent pay stubs (last 2-3 months) OR most recent tax return
  • Social Security, disability, or unemployment benefit statements (if applicable)

Identity and Residency

  • Proof of NJ residency: driver's license, utility bill, or lease agreement
  • Photo ID (state-issued)
  • Social Security number

Household and Assets

  • Household size documentation (names and dates of birth of all members)
  • Bank statements (checking, savings) for asset verification
  • Medical bills and EOBs (if applying under the 30% rule)

What Is Covered

Covered Services

  • Emergency medical care
  • Medically necessary inpatient services
  • Medically necessary outpatient services
  • Hospital-based physician services

Typically Not Covered

  • Cosmetic or elective procedures
  • Services not deemed medically necessary
  • Independent physician practices (non-employed)
  • Services with prior outstanding balance from non-cooperation

Application Timeline

1

First Billing Statement Sent

The clock starts when you receive your first post-discharge billing statement

2

240-Day Minimum Window

You have at least 240 days from that first billing statement to submit your application

3

Up to 1 Year from Date of Service

In many cases, you can apply up to 12 months from the date the service was provided

Important: Do not wait until the deadline. Apply as soon as possible to prevent collections activity, which can begin before the application window closes if no communication is established with the hospital.

What If You Are Denied?

Appeal the Decision

If denied, request a written explanation of the reason. Common issues include missing documentation, income slightly above thresholds, or assets above limits. You can resubmit with additional documentation or corrected information.

Try the 30% Rule

If you were denied based on income but have significant medical expenses, gather documentation of all out-of-pocket medical spending. If it exceeds 30% of your gross annual income, reapply under this provision.

Use the Asset Spend-Down

If denied due to assets exceeding $7,500 (individual) or $15,000 (family), ask about the spend-down option. You can apply excess assets toward the bill, which may still save you a significant amount compared to paying the full balance.

Outside Resources

  • Dollar For: Free nonprofit that helps patients apply for and appeal hospital financial assistance
  • NJ Department of Health: Oversees charity care compliance and can assist with disputes
  • NJ 2-1-1: Connects you to local assistance programs and resources
  • Legal Aid of NJ: Free legal help for low-income patients facing medical debt issues

Need help with a denial? CareRoute's Bill Defense team can appeal the denial, identify additional savings opportunities (billing errors, insurance disputes), and handle all communications with Hackensack Meridian on your behalf. You pay nothing unless we save you money.

Contact Information

Main Phone

Ask to be connected to Financial Counseling or Patient Access

Frequently Asked Questions

Who qualifies for Hackensack Meridian Health financial assistance?
Patients with household income at or below 200% of the Federal Poverty Level qualify for 100% free care (charity care). Those with income above 200% FPL may receive sliding-scale discounts of 20-80%. Additionally, any patient whose out-of-pocket medical expenses exceed 30% of gross annual income may qualify, even if they have insurance.
Can insured patients qualify for financial assistance?
Yes. If your out-of-pocket medical expenses (deductibles, coinsurance, out-of-network charges) exceed 30% of your gross annual income, you may qualify for financial assistance even with insurance. This is one of the most overlooked provisions. Gather all your medical bills and EOBs to document your total out-of-pocket spending.
What are the asset limits and the spend-down option?
Asset limits are $7,500 for individuals and $15,000 for families. However, if your assets exceed these limits, you can use the "spend-down" option: apply the excess amount toward your hospital bill. For example, if you have $12,000 in assets as an individual ($4,500 over the limit), you would pay $4,500 toward your bill but the remainder could be forgiven through charity care.
What is the deadline to apply?
You have a minimum of 240 days from your first post-discharge billing statement to submit an application. In many cases, you can apply up to 1 year from the date of service. Apply as early as possible to prevent collections activity.
Do I need to be a NJ resident to qualify?
Proof of NJ residency is required for the NJ state charity care program. You will need to provide a driver's license, utility bill, lease, or other documentation showing you live in New Jersey. For the hospital's own financial assistance program, residency requirements may vary, so ask the financial counseling office about your specific situation.
How does NJ charity care differ from the hospital's financial assistance?
NJ has a state-mandated charity care program that all licensed hospitals must follow. This provides additional protections beyond the federal 501(r) rules. Hackensack Meridian participates in both the NJ state program and maintains its own internal financial assistance policy. When you apply, the hospital will typically evaluate you under both programs and provide the best available benefit.
Which hospitals are part of Hackensack Meridian Health?
Hackensack Meridian Health is the largest system in NJ with 18 hospitals, including Hackensack University Medical Center, K. Hovnanian Children's Hospital, Jersey Shore University Medical Center, Ocean University Medical Center, JFK University Medical Center, Raritan Bay Medical Center, Jersey City Medical Center, Riverview Medical Center, Bayshore Medical Center, and others across the state.
What if I am denied financial assistance?
You can appeal the decision by providing additional documentation or correcting errors. Check if you qualify under the 30% income rule or the asset spend-down option. Organizations like Dollar For offer free help with appeals. The NJ Department of Health can also assist if you believe the hospital is not following charity care requirements.