Hospital Benefit Fund and Application
Each year, our hospital treats hundreds of children who receive some type of financial assistance through our Children's Specialized Hospital Benefit Fund.
This program helps make up the financial difference between the rehabilitation a child needs, and what his or her family’s insurance will cover. If eligible, the Children's Specialized Hospital Benefit Fund program can assist with high deductibles, coinsurances, and even copays. This is not a state funded program and is not considered charity care since it's not limited to lower income families. All families are encouraged to apply for this as a benefit to being a patient at Children's Specialized Hospital. Eligibility for the Hospital Benefit Fund depends on many factors, and we are here to help you through the application process.
To Apply:
Fill out the Children's Specialized Benefit Fund application: English OR Spanish
More Information:
- Plain language summary (English OR Spanish)
- Children's Specialized Hospital Benefit Fund policy (English OR Spanish)
If you would like to speak with a member of our Insurance Verification and Authorization department about eligibility, please call 908-233-3720 ext.5193.
Frequently Asked Questions:
What will the CSH Benefit Fund cover?
Qualifying families can receive up to 100% annually, per child to help pay for any inpatient or outpatient services that are provided by Children's Specialized Hospital.
My child has medical coverage. Can our family still apply for the CSH Benefit Fund?
Yes, if your child has private insurance coverage, you can still apply for assistance. Children's Specialized Hospital Benefit Fund covers unpaid bills for eligible applicants who have health care coverage that does not pay all of their medical expenses, including bills resulting from deductibles, co-pays and co-insurance.
Our family was previously denied for Charity Care at an acute care facility. Does that mean that we will NOT qualify for the CSH Benefit Fund?
No, unlike Charity Care, Children's Specialized Hospital Benefit Fund is not funded through the state of NJ; we establish and follow our own guidelines.
How does the hospital decide if I am eligible for CSH Benefit Fund?
The hospital makes a determination based on your family size, household income, assets, and residency.
What if I am denied for the CSH Benefit Fund?
If the hospital decides your family is not eligible for Children's Specialized Hospital Benefit Fund, the hospital will give you a written notice of denial that informs you of the reason for the denial. You also have the option to self-pay; if you pay on the day of the service, you will receive a 50% discount. Please ask your Patient Access Liaison for more information.
Can I apply for CSH Benefit Fund if my child is NOT a patient of CSH?
Children's Specialized Hospital Benefit Fund is exclusive for patients with previous or upcoming appointments.
I've already received my bill. Can I still apply for financial assistance?
Yes, CSH can consider any bill retroactively, for any CSH service if you qualify. We will also contact our billing department to adjust any past due bills, once you are approved.
How do I know if I am approved and how long am I covered?
If your family is approved for the Children's Specialized Hospital Benefit Fund, the hospital will give you a written notification of your approval and the percentage that you are approved for. This approval is applicable for one year from the effective date. You will receive a letter a month prior to expiration date advising you to re-apply.
