Certified Application Counselors Available
Lamprey Health Care Certified Application Counselors are available to help you discover, apply, and understand what health care coverage you might be eligible for through programs such as:
- Medicare, Part D, and Medicare Advantage Program
- NH Medicaid
- The Marketplace
There is no cost for this service. Ask to speak with a Certified Application Counselor.
Medication Assistance
You may qualify for medication assistance if you need help paying for medications to treat a chronic condition. The pharmaceutical industry offers many different programs.
Our staff can determine if you are eligible and help you with the application process. It can take up to four to six weeks to enroll. Renewal applications are required every three months. There is a $3.00 fee for each application.
Please ask to speak with the Prescription Assistance Coordinator for more information.
PLEASE NOTE: When refills are needed, contact the Prescription Assistance Coordinator. Allow for several weeks to avoid interruptions in your medication therapy.
Financial Assistance Program
What does the Financial Assistance Program Cover?
The Financial Assistance Card allows patients to receive a discount on services provided by Lamprey Health Care. The Financial Assistance Card only covers services offered by Lamprey Health Care and is NOT an insurance card.
Patients requiring labs, or other diagnostic services at other facilities need to apply for financial assistance at those organizations. Our Care Coordinators can assist you in determining which facilities in our area also offer financial assistance programs.
Applying for Financial Assistance
To be eligible for this program, patients must meet certain income guidelines. For information on the Financial Assistance Program, ask to speak with a Certified Application Counselor.
To apply for the program, please complete the following form and follow the instructions to return the application.
English, Sliding Fee Discount Program Instructions & Application
Spanish, Sliding Fee Discount Program Instructions & Application
Portuguese, Sliding Fee Discount Program Instructions & Application
What will I have to pay?
Until the Financial Assistance application and necessary documents are received, you will be expected to pay the full fee for your visits and related care.
If you qualify, you will be issued a Financial Assistance Card, which will clearly state your level of discount. Discount ranges fall into four categories. You must bring this card to your visit so your discount can be applied.
All discount ranges within the program include a nominal fee to be paid by the patient. This fee will be collected at the time of the visit. The Financial Assistance Card covers services provided through our prenatal program as well.
Good Faith Estimates
Good Faith Estimate shows the costs of items and services that are reasonably expected for your health care needs.
English, Good Faith Estimates
Spanish, Good Faith Estimates
Portuguese, Good Faith Estimates
What if I can’t pay?
All fees are expected at the time of each visit. If you are unable to pay for services at the time of the visit, you will be sent a bill for any unpaid balance.
We also offer payment plans to patients who are unable to pay their balance. You can speak with a Patient Service Representative at the health center, or you may contact our billing office by selecting option six on our telephone menu.
Lamprey Health Care Patient Portal
