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TidalHealth Nanticoke Financial Assistance

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    TidalHealth Nanticoke Financial Assistance

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  • TidalHealth Nanticoke Financial Assistance

    Plain Language Summary

    TidalHealth Nanticoke is a not-for-profit, 99 bed community hospital serving Western Sussex County in Delaware. TidalHealth Nanticoke is committed to providing quality healthcare to all patients regardless of their race, gender, sexual orientation, national origin, or ability to pay.

    TidalHealth Nanticoke offers financial assistance to all patients with household income levels up to 250% of the Federal Poverty level. Individuals qualify for 100% financial assistance if their household income is less than 250% of the Federal Poverty Level (“FPL”) and do not qualify for financial assistance if their household income exceeds 250% of the FPL. Financial assistance is offered to all patients receiving care through inpatient, outpatient, emergency and physician network services provided by TidalHealth employed physicians.

    An individual who qualifies for financial assistance under this policy will not be charged more than the amount generally billed to individuals who have insurance covering such care. Financial assistance discounts are applied to charges based on “amounts generally billed” using Medicare rates.

    Patients requesting financial assistance may apply prior to treatment by completing the Financial Assistance Application form maintained in the Business Office. Patients may be required to provide written verification of such income from all sources at time of application, such as:

    • copy of weekly payroll stubs from employer
    • letter from employer verifying income
    • letter from Federal or State agency indicating amount of assistance received
    • copy of most recently filed Federal income tax return and verification of monthly expenses

    Patients will be required to sign a Credit Investigation Release when applying for charity. Copies of the Financial Assistance Policy and well as the application can be obtained in both English and Spanish.

    More Information

    Financial Assistance Policy

    Download PDF

    Download PDF (Español)

    Download PDF (Kreyol)

    Form

    Financial Assistance Application

    Download PDF

    Download PDF (Español)

    Download PDF (Kreyol)


    Financial Assistance Scale

    TidalHealth Nanticoke will extend 100% financial assistance to all medical services provided to patients who meet the eligibility requirements. The table below indicates the household income thresholds based on the number of persons living in the household.

    Proof of income, insurances, if any, supporting documentation and number of persons in the household is required.

    All applications will be processed based on the Financial Assistance Policy. The policy can be obtained here, or a paper copy can be mailed upon request, free of charge, by contacting the Patient Financial Services at 302-629-7946.

    The household income and household member thresholds below are reflective of 250% of the Federal Poverty Guidelines for 2020. This scale is updated annually upon release of the new scale. To qualify for financial assistance, a patient’s income must be below the household limit that corresponds with the number of members in their household:

    PersonsHousehold Income
    —$31,900
    Self +1$43,100
    Self +2$54,300
    Self +3$65,500
    Self +4$76,700
    Self +5$87,900
    Self +6$99,100
    Self +7$110,300

    Add $11,200 for each additional family member over eight persons.


    Participating Physician Groups

    TidalHealth Nanticoke has listed the providers which honor the same financial assistance policy for determination of financial assistance. In order to receive financial assistance, a patient must follow the guidelines of the policy and meet all eligibility requirements.

    Practices that honor the TidalHealth Nanticoke Financial Assistance Policy and are employed by TidalHealth Nanticoke:

    • TidalHealth Medical Partners (formerly Nanticoke Physician Network/ Mid-Sussex Medical Center)
    • TidalHealth Nanticoke Employed Physicians Group
    • TidalHealth Nanticoke Wellness Centers
    • TidalHealth Nanticoke Immediate Care

    Many providers offer services within TidalHealth Nanticoke. These providers have their own specific financial assistance policies which may or may not follow the TidalHealth Nanticoke policy. This list is updated quarterly.

    • AI duPont Nemours
    • Anesthesia Associates
    • Apogee Medical Group
    • Arthritis & Osteoporosis Center
    • Capital Orthopedics Specialists
    • Cedar Avenue Medical Associates
    • Chesapeake Orthopedics
    • DC Medical Services
    • Dover Behavioral Health
    • Emergency Management Physician Group
    • ENT and Allergy Center
    • Food and Ankle Center of Delaware
    • Jose Barriocanal, MD
    • Linda Barriocanal, ARPN
    • Michael Monroe, MD
    • Nanticoke Cardiology
    • Nanticoke ENT
    • Nanticoke GYN Associates
    • Nanticoke Surgical Associates
    • Neurology Center of South Delaware
    • Peninsula Orthopedics
    • Peninsula Pathology
    • Peninsula Plastic Surgery
    • Peninsula Radiology
    • Seaford Internal Medicine
    • Southern Delaware Foot and Ankle
    • Sunrise Medical Center
    • Sussex Pain Relief Center
    • Victorino DeJesus, MD
    • Vincenzo Scotto, MD

    Applying for Financial Assistance

    Download the financial assistance application, or a paper copy can be mailed upon request, free of charge, by contacting the Patient Financial Services at 302-629-7946. If you need assistance completing this form, please email [email protected] or call 302-629-7946.

    Completed applications can be submitted to the Patient Financial Services by mail, fax or in person.

    By mail:
    TidalHealth Patient Financial Services
    801 Middleford Road
    Seaford, DE 19973

    By fax: 302-628-6363

    In person: Patient Financial Services is located at 613 Water Street, Seaford, DE 19973. There is a second location within the hospital at 801 Middleford Road, Seaford, DE 19973. The office is located on the main floor just to the right of the lobby. The phone number for both locations is 302-629-7946.

    Pay Your TidalHealth Nanticoke Bill
    Contact TidalHealth Nanticoke

    Hospital-Based Price Billing Per Unit Information

    For a comprehensive list of charges for each inpatient and outpatient service or item provided by a hospital, visit our Hospital-Based Price Billing Per Unit Information page.


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