# Little Rivers Health Care

Health center organization in Orford, VT. The federal rule for health centers.

Little Rivers Health Care charges a lower, sliding fee based on income to patients whose household has a yearly income up to $31,920 for 1 person, $43,280 for 2, $54,640 for 3, $66,000 for 4, $77,360 for 5 or $88,720 for 6. Federal health center rules require this sliding fee at or below 200% of the federal poverty level. Ask the front desk for the sliding fee application.

The hospital makes the final decision.

| Household size | Free care if yearly income is up to | Discount if yearly income is up to |
|---|---|---|
| 1 | not found | $31,920 |
| 2 | not found | $43,280 |
| 3 | not found | $54,640 |
| 4 | not found | $66,000 |
| 5 | not found | $77,360 |
| 6 | not found | $88,720 |

Dollar amounts use the 2026 federal poverty guidelines.

## How to apply

- Call (603) 353-4321 and ask for financial assistance.
- [Health center website](https://www.littlerivers.org)

## Sites

- Rivendell Academy, 2972 NH-25A, Orford, NH 03777, (603) 353-4321
- Bradford, 437 S Main St, Bradford, VT 05033, (802) 222-9317
- Valley Vista, 23 Upper Pln, Bradford, VT 05033, (802) 222-5201
- East Corinth, 720 Village Rd, East Corinth, VT 05040, (802) 439-5321
- Samuel Morey Elementary School, 214 School St, Fairlee, VT 05045, (802) 333-9755
- LRHC Newbury, 4628 Main St S, Newbury, VT 05051, (802) 866-3000
- Wells River, 65 Main St N, Wells River, VT 05081, (802) 757-2325
- Westshire Elementary School,, 744 Vt Route 113, West Fairlee, VT 05083, (802) 333-4668

## State program in Vermont

### Vermont hospital financial assistance law (18 V.S.A. chapter 221, subchapter 10)

Every licensed hospital in Vermont must have a financial assistance policy that meets state minimums. If you live in Vermont and your household income is at or below 250% of the federal poverty level, the hospital bill is free if you have no insurance, and your out-of-pocket costs are waived if you do. Between 250% and 400%, you get at least 40% off. If your income is at or below 600% and your bills from that hospital are more than 20% of your household income, the hospital must cut what you owe to 20% of your income. The policy covers at least emergency and other medically necessary care. Hospitals have had to follow these rules since July 1, 2024. A hospital may require you to live in Vermont, but not for any set length of time. Immigration status does not count against you.

Income levels in the program are free up to 250%, discount up to 400% of poverty level.

Applies to each hospital licensed under 18 V.S.A. chapter 43, outpatient clinics affiliated with or operating under a hospital license, and licensed ambulatory surgical centers; covers Vermont residents and people living in Vermont without stable housing.

How to apply. Ask the hospital's billing or financial assistance office for its application. Each hospital must post its policy and application online, give free paper copies, and print a phone number on every bill. The hospital must answer within 30 days. If it says no, you have 60 days to appeal.

> for an uninsured patient with household income at or below 250 percent of the federal poverty level (FPL), a 100 percent discount

Source https://legislature.vermont.gov/statutes/section/18/221/09482, checked 2026-11-11

## Sources

No source yet beyond the federal rule. The hospital's own policy is the final word.

Not checked yet.

HTML page https://hospitalaid.org/health-centers/little-rivers-health-care-vt/
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