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Financial Assistance

Free Care and Financial Assistance Policy

Free Care is available for patients who qualify. If your family’s income is 200% or less of the Federal Poverty Guidelines, you may qualify for assistance for your self-pay balance. You may inquire about this program before you arrive or at the time of registration or check-in. You may also inquire after receiving your statement. For an application for Free Care and a Summary of Coverage, click here.

In addition to the links above, individuals may find a full copy of our Financial Assistance Policy here, or request a copy of the Financial Assistance Policy and application from us by visiting St. Mary’s, Main Admissions Department at 93 Campus Avenue, Lewiston, ME 04240

To receive a free copy of the Financial Assistance Policy and application form by mail, call 877.727.9190 or submit a written request to: Covenant Health PO Box 95000 Lockbox 7650 Philadelphia, PA 19195