How to apply for UPMC Chautauqua — Financial Assistance (Chautauqua County)

Who it's for

Chautauqua County's principal community hospital safety net is UPMC Chautauqua (Jamestown, UPMC affiliate since 2017) — Chautauqua's principal community hospital; Brooks-TLC Hospital System (Dunkirk) serves northern Chautauqua; tertiary referrals route to UPMC (Pittsburgh) or Kaleida Buffalo General. The Financial Assistance Program covers uninsured/underinsured residents — sliding scale typically discounts charges up to 100% at the lower income brackets with reduced rates above. Note: NY Medicaid ABD's ~138% FPL gate means many Western NY seniors qualify for Medicaid and would access these hospitals through Medicaid rather than FAP. Apply at the hospital's financial counseling office or at https://www.upmcchautauqua.org/patients-visitors/billing-financial-services. Phone: 716-487-0141.

What you'll need

• Proof of household income
• Proof of Chautauqua County / NY residency
• Photo identification
• Proof of uninsured status or insurance gap
• Hospital bill or pre-treatment estimate

Where to apply

What to say when you call

“Hello, I'm calling to ask about UPMC Chautauqua — Financial Assistance (Chautauqua County). I'd like to know whether I may qualify, what documents I need, and whether I can apply online, by mail, by phone, or in person. I understand I may need proof of household income, proof of chautauqua county / ny residency, photo identification — is anything else required? What is the best next step?”

Tip: have a pen ready, ask for the person's name, and write down any case or reference number they give you.

Renewals

per-encounter or annual