# Monadnock Community Hospital

Hospital in Peterborough, NH. Verified from the hospital's own policy.

Monadnock Community Hospital likely gives free care to households with a yearly income up to $43,890 for 1 person, $59,510 for 2, $75,130 for 3, $90,750 for 4, $106,370 for 5 or $121,990 for 6. It likely gives a discount to households with a yearly income up to $63,840 for 1 person, $86,560 for 2, $109,280 for 3, $132,000 for 4, $154,720 for 5 or $177,440 for 6.

The hospital makes the final decision.

| Household size | Free care if yearly income is up to | Discount if yearly income is up to |
|---|---|---|
| 1 | $43,890 | $63,840 |
| 2 | $59,510 | $86,560 |
| 3 | $75,130 | $109,280 |
| 4 | $90,750 | $132,000 |
| 5 | $106,370 | $154,720 |
| 6 | $121,990 | $177,440 |

Dollar amounts use the 2026 federal poverty guidelines.

## Discount steps

- 276% to 400% of poverty level, patient pays 55% discount

## How to apply

- Call (603) 924-1717 and ask for financial assistance.
- [Application form](https://monadnockcommunityhospital.com/wp-content/uploads/2026/10/MCH-FA-Application.pdf)
- [Financial Assistance (FA) (Charitable Care)](https://monadnockcommunityhospital.com/wp-content/uploads/2020/11/MCH-FAP-Policy.pdf)
- [Plain language summary](https://monadnockcommunityhospital.com/wp-content/uploads/2026/10/Financial-Assistance-Eligibility-Summary-Plain-Language-Summary.pdf)
- The policy gives 240 days to apply. Ask the billing office which date the count starts from.
- Bring IRS tax return transcript (Form 4506-T), income verification.
- Residency. New Hampshire resident, or a non-resident with a medical emergency
- Savings and property. The policy counts savings or property, not only income.
- Very large bills. Case-by-case relief when what you owe the hospital for one episode of care is over $30,000

## If you have insurance

Insured patients can also apply for help with deductibles and copays.
Keep your insurance. Financial assistance covers bills from this one place only.

## What is covered

Covered. Medically necessary care from Monadnock Community Hospital and its own offices and physicians.

Not covered. Only offices and physicians owned by the hospital accept this program.

## Notes

Monadnock generally requires you to be enrolled in insurance it contracts with. Uninsured patients can still get help for emergency department visits, with a marketplace exemption, or for good cause. Approval lasts one year (two years on fixed income). Decision within 60 days. Apply by phone, in person, fax (603) 924-1709, email FA@mchmail.org, or mail to 452 Old Street Rd., Peterborough, NH 03458. Uses the New Hampshire Health Access Network application. Income guidelines appendix dated March 2025; summary dated 10/2026 lists 400% limits for 2026-2027. Monadnock is an independent nonprofit hospital.

## Sources

- Free care level https://monadnockcommunityhospital.com/wp-content/uploads/2025/03/Appendix-D-Annual-Income-Guidelines.pdf
  > Household income calculated between 0% and 275% of the year’s current FPG will be awarded a level 1 (100%) discount.
- Discount level https://monadnockcommunityhospital.com/wp-content/uploads/2025/03/Appendix-D-Annual-Income-Guidelines.pdf
  > Household income calculated between 276% and 400% of the year’s current FPG will be awarded a level 2 (55%) discount.
- Discount steps https://monadnockcommunityhospital.com/wp-content/uploads/2020/11/MCH-FAP-Policy.pdf
  > level 1 (100% discount), or level 2 (55% discount); see Appendix D.
- Insured patients https://monadnockcommunityhospital.com/wp-content/uploads/2020/11/MCH-FAP-Policy.pdf
  > Be enrolled in insurance that is contracted with MCH
- Asset test https://monadnockcommunityhospital.com/wp-content/uploads/2026/10/Financial-Assistance-Eligibility-Summary-Plain-Language-Summary.pdf
  > Have gross household income including some assets at or below 400% of the current year’s Federal Poverty Guidelines
- Residency https://monadnockcommunityhospital.com/wp-content/uploads/2020/11/MCH-FAP-Policy.pdf
  > Be a resident of NH, or a non-resident who experiences a medical emergency
- Very large bills https://monadnockcommunityhospital.com/wp-content/uploads/2020/11/MCH-FAP-Policy.pdf
  > The policy provides relief to patients whose financial responsibility to MCH exceeds $30,000 for any single episode of care.
- Deadline https://monadnockcommunityhospital.com/wp-content/uploads/2020/11/MCH-FAP-Policy.pdf
  > Past dates of service may be considered eligible for FA if the first post-discharge statement was issued within 240 days of the FA application date.
- Documents https://monadnockcommunityhospital.com/financial-services/
  > you will need to contact the Financial Services team with a tax transcript from the IRS.
- What is not covered https://monadnockcommunityhospital.com/wp-content/uploads/2026/10/Financial-Assistance-Eligibility-Summary-Plain-Language-Summary.pdf
  > Offices and physicians that accept the FA are those which are MCH-owned.
- Financial counseling phone https://monadnockcommunityhospital.com/wp-content/uploads/2026/10/Financial-Assistance-Eligibility-Summary-Plain-Language-Summary.pdf
  > If you have any questions, contact the FA office directly at (603) 924-1717

Last checked 2026-11-10.

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