Financial Assistance

FOR UNINSURED PERSONS OR FAMILIES

If you do not have health insurance, or struggle to pay for services not covered by your insurance, you may be able to get a discount for clinical services. Your bills for insurance co-payments and deductibles are not eligible for this program. You may apply for a discount if you are uninsured or are receiving services not covered by insurance. Non-covered services include:

Case Management
Community-Based Services (IROS)
Spend down

• You can apply for Financial Assistance when you register as a new client or at any time when receiving services from West Central.
• You will be responsible for the payment of any services you receive before your financial assistance application is approved.
• You must also apply for Medicaid benefits and provide proof that you have applied.

Also, you must update your application every year.

Please speak with us at any time for assistance. We are here to support you and your mental health and we are willing to work with you.

HOW TO GET A FINANCIAL ASSISTANCE APPLICATION

You can download an application HERE or call (603) 448-0126 to ask for an application. You can also visit our offices in Claremont, Lebanon, and Newport.

WHAT YOU WILL NEED TO PROVIDE PROOF OF INCOME WITH YOUR FINANCIAL ASSISTANCE APPLICATION:

If you are working:
● The last four pay stubs from all employers, or a tax return from last year
● A copy of your social security determination letter, bank statement for direct deposit, and a copy of any pension checks

If you are not working:
● A worker’s compensation determination letter or a copy of your worker’s compensation check
● An unemployment compensation determination letter, or proof of how much is received each week
After we review the application, you will be sent a written letter in the mail telling you if financial assistance has been approved or denied. If you have an email address on file with us, you will be notified, in writing, by email.

APPLYING FOR MEDICAID

To apply for Medicaid benefits, you may contact the local New Hampshire Department of Health and Human Services Family Assistance office at:

17 Water Street, Ste. 301
Claremont, NH 03743
(603) 542-9544 or toll-free at 1-800-982-1001

The following resources provide additional information on the New Hampshire Medicaid application process:

http://www.dhhs.nh.gov/ombp/medicaid/

https://nheasy.nh.gov/

The following organizations are available to help individuals complete the Medicaid application process:

ServiceLink Resource Center at Sullivan County
3 Tremont Street
Claremont, NH 03743
(603) 542-5177

ServiceLink Resource Center of Grafton County
10 Campbell Street
Lebanon, NH 03766
(603) 448-1558

CONTACT WCBH

CLICK HERE TO DOWNLOAD OUR FINANCIAL ASSISTANCE APPLICATION