• Financial Assistance

    Rome Memorial Hospital is proud of our not-for-profit mission and recognizes that there are times when patients will have difficulty paying for the services provided. Rome Memorial Hospital’s financial assistance program provides discounts to qualifying individuals based on your income. In addition, we can help you apply for free or low-cost insurance if you qualify. Just contact our Business Office at 315-338-7071, Monday – Friday, 8 a.m. to 4 p.m. for free, confidential assistance. 

    The amount of discount varies based on your income and the size of your family. Rome Memorial Hospital discounts patient accounts up to 100% depending on family income in comparison to the federal poverty level.  Please see our policy for specific guidelines and exclusions.

    How Do I Apply For a Discount?

    You may download a copy of our financial assistance application by clicking here.You will need to provide proof of income, such as a copy of pension and/or Social Security check, pay stub or W-2 form. If you cannot provide any of these, you may still be able to apply for financial assistance.


    Mail your completed application form to:

    Rome Memorial Hospital
    Business Office
    155 W. Dominick St.
    Rome, NY 13440

    You have up to 240 days after receiving your first post discharge billing statement to submit the application.

    As soon as we have proof of your income, we can process your application. You can apply for a discount before you have an appointment, when you come to the hospital to get care, or when the bill comes in the mail.  

    Payment Plan

    Even if patients don’t qualify for financial assistance, Rome Memorial Hospital will work with you to develop an extended payment plan. When people are having difficulties paying their bills, the most important thing for you to do is contact the Business Office to explore your options.

    Free or Low-cost Health Insurance

    Rome Memorial Hospital's Certified Application Counselors can help you enroll in an insurance program that fits your budget and needs including Medicaid, Healthy NY, Child Health Plus or a NY State of Health qualified health plan.

    To schedule a confidential appointment, please call (315) 356-7723 or 356-7724.

    In addition, you may meet with enrollment representatives from Fidelis Care NY and Mohawk Valley Perinatal Network at our Business Office, 155 W. Dominick St. To make an appointment, call Fidelis at (315) 373-1214 or 414-1522 or Mohawk Valley Perinatal Network at (315) 732-4657.

     For a copy of Rome Memorial Hospital's financial assistance policy, please click here.