Patient Financial Services
Your Rights and Protections Against Surprise Medical BillsWhen you get emergency care or are treated by an out-of-network provider at an in-network hospital or ambulatory surgical center, you are protected from balance billing. In these cases, you shouldn’t be charged more than your plan’s copayments, coinsurance and/or deductible. More info
Patient Charge Estimator for Hospitals and Clinics
Littleton Regional Healthcare offers free or discounted care to patients who may qualify for financial assistance.
Applying for Financial Assistance
To request financial assistance, patients or their representative must complete an application and provide certain information that outlines their financial status, such as:
- The patient’s family income
- Whether all other means of payment have been tried
- Other circumstances that may affect the patient’s ability to pay for care
Please call Customer Service at 603-444-9560 for more information or download the following documents:
- Financial Assistance Eligibility Summary (PDF)
- Financial Assistance Application (PDF)
- Financial Assistance Programs Policy (PDF)
- LRH Care Levels (PDF)
- Financial Assistance Policy Plain Language Summary (PDF)
Q: How can I pay my bill?
A: Littleton Regional Healthcare accepts payments made by cash, check, money order, or credit card. We accept all major credit cards – Visa, MasterCard, American Express, and Discover. Payments may be made:
- In-Person: Stop by our office to make a payment in person.
- By Mail: Use the return envelope that came with your statement to make a payment by check, money order, or credit card.
- By Phone: Credit card payments can be made by calling our department.
- Online: Click here to pay online using your credit card.
Q: Why have I received two different bills for the same visit?
A: Physicians and other healthcare providers can send labs and pathology reports to Littleton Regional Healthcare for testing. This can cause receiving bills from facilities other than the one where you received your healthcare, and sometimes, receiving more than one bill. For laboratory and pathology services, Littleton Regional Healthcare or another outside facility will bill you separately.
Q: I have health insurance – why am I being billed?
A: Insurance companies will often have amounts that the patient is responsible for paying (usually referred to as the deductible, co-payment, co-insurance payment, or out-of-pocket expense). If you, the patient, are required to pay this amount, the remaining balance will be billed to you directly. Please contact your insurance company for questions about why they did/did not pay for part of your claim.
Q: I have a co-payment. Can I wait to pay this until after my insurance company processes my claim?
A: Littleton Regional Healthcare expects your co-payment to be paid at the time of service. Please have the payment with you at the time of your appointment.
Q: What if I can’t afford to pay my bill? Do you offer payment plans and/or financial assistance?
A: Yes. Littleton Regional Healthcare has a Financial Assistance Policy (hyperlink to this section) and will work with you to develop a payment plan that suits your needs. Please call 603-444-9560 if you have questions.
Q: Am I responsible for contacting my insurance company if I have precertification, notification, or prior approval requirements for certain services?
A: The specific requirements and responsibility for completing precertification or notification depend on several things: 1) The requirements as defined by your insurance company, and 2) contract agreements between Littleton Regional Healthcare and your insurance company. If Littleton Regional Healthcare has an agreement with your company, we will assist with the requirements. However, we suggest you contact your insurance company directly for questions about your responsibility for completing these requirements. If these steps are not complete, you may have to pay a higher deductible or coinsurance.
Q: Who should I contact if I have further questions about my bill?
A: Please call Patient Financial Services at 603-259-7627.
If you have questions regarding your personal insurance coverage, please contact your insurance company directly. Your insurance company will be able to tell you if they cover specific procedures and treatments.
If you are participating in a managed care plan, written referrals from your primary care provider (PCP) are required for any services that your PCP does not cover.
If your health plan does require a co-payment, this payment is expected at the time of your service.
Some procedures and treatment plans may result in an out-of-pocket expense.
Phone Numbers of Main Insurance Companies
- Blue Choice: (800) 225-2666
- Blue Shield (NH): (800) 225-2666
- Blue Shield (Federal): (800) 852-3316
- HMO Blue (NH): (800) 870-3122
- CIGNA Healthcare of New Hampshire: (800) 244-6224
- Harvard Pilgrim: (800) 544-9759
- Medicare: (800) 633-4227
- HMO: (800) 462-0224
- POS: (800) 843-1008
- VT Medicaid: (800) 250-8427
- United Healthcare: (800) 444-7855
Department of Health and Human Services District Offices – For New Hampshire Medicaid Patients Enrolled in the Aid to Families with Dependent Children (AFDC) Program
- Berlin Area: 603-752-7800
- Littleton Area: 603-444-6786
- Claremont Area: 603-542-9544
- Conway Area: 603-447-3841
- Anthem Blue Cross Blue Shield
- Blue Cross and Blue Shield of Vermont
- Catamount Blue (Blue Cross & Blue Shield of VT)
- Catamount Choice (MVP)
- Cigna Health Care
- Coventry Health Care
- Harvard Pilgrim Health Care Excluding Elevate Health Insurance Coverage
- Maine Community Health Options
- Martin’s Point Health Care
- Minuteman Health
- NH Medicaid
- Tufts Health Plan
- United Healthcare
- VT Medicaid
Littleton Regional Healthcare will submit claims to all insurance carriers. If your insurance company is not listed or included under one of the networks above, please contact them directly to find out how claims will be processed and paid.
- Cigna: 800-244-6224
- Federal Blue Cross/Blue Shield: 800-852-3316
- Medicare Part A or B: 800-633-4227
- MVP: 800-380-3530
- MVP Select Care: 800-229-5851
- National Blue Cross/Blue Shield: 800-367-0770
- NH Blue Choice: 800-438-9672
- NH Blue Cross/Blue Shield: 800-225-2666
- NH Medicaid: 800-852-3345 ext. 4344
- VT Blue Cross/Blue Shield (Outside Vermont): 800-457-6648
- VT Blue Cross/Blue Shield (From Vermont): 800-247-2583
- VT Medicaid: 800- 250-8427
The Division of Family Assistance (DFA) determines Medicaid financial eligibility and all non-financial eligibility, with the exception of medical necessity determinations, for the following groups: children under the age of 19, pregnant women, low-income families with children, blind individuals, refugees, non-citizens, seniors, and disabled adults.
For detailed information on New Hampshire Medicaid’s Division of Family Assistance, and information on how to apply for assistance, please visit the New Hampshire Department of Health and Human Services website
To learn more about Vermont Health Insurance Plans, please visit their official website for more information.
New Hampshire’s Let No Woman Be Overlooked Breast and Cervical Cancer Program
New Hampshire’s Let No Woman Be Overlooked Breast and Cervical Cancer Program plans, promotes and implements programs of education and screening to reduce the mortality rates, through early detection, of breast and cervical cancer among NH women.
For detailed information on New Hampshire’s Let No Woman Be Overlooked Breast and Cervical Cancer Program, please visit the New Hampshire Department of Health and Human Services website