Prompt payment for health care services allows St. Lawrence Health to continue to provide high-quality care. Before scheduling a visit or procedure, check with your insurance company to find out if the particular service you need is covered. Insurance coverage can change. Something that may have been covered a year ago may not be covered now. Your insurance company is the most current source of information on coverage. Please note that some services are billed separately. You may receive a bill from an organization that partners with us to provide care to our patients. Co-payments may be due at time of visit.
St. Lawrence Health and its affiliate organizations (Canton-Potsdam Hospital, Canton-Potsdam Medical Practice, Gouverneur Hospital, Massena Hospital, and its employed and contracted physicians) are not-for-profit corporations which render medical care to all persons. No one will be denied access to services due to inability to pay. There is a discounted/sliding fee schedule available for our physician offices and hospital service in which household income eligibility is up to 400% of the Federal poverty guidelines. If you believe you may qualify for assistance or would like to learn more, please contact our Patient Advocates at (315) 261-5476.
Watch a short video of one of our Financial Assistors who explains what the program is and how it can work for you.
The St. Lawrence Health Financial Assistance Program information listed here became effective on May 1, 2021.
Note: If you used the Canton-Potsdam Hospital, Gouverneur Hospital, or Massena Hospital Financial Assistance Policy prior to May 1, 2021, please call (315) 261-5150 for further financial assistance.
If you do not have health insurance coverage, several programs are available through New York State, including:
Medicaid – is a way to get health care at a lower cost or sometimes at no cost to you. Medicaid typically covers eligible individuals such as children, pregnant women, elderly adults, people with disabilities, and low-income adults. Medicaid also offers benefits not typically covered by Medicare, including nursing home care and personal care services.
Child Health Plus – a plan specifically for children under the age of 19
New York State of Health – New York State’s health insurance marketplace that offers low-cost, quality health insurance plans
The St. Lawrence Health Patient Financial Advocacy team is available to help you determine whether you qualify for one of these programs. Please call us at (315) 261-5476, Monday - Friday, 8:00 am - 4:00 pm; or email us at PatientFinancialAdvocacy@cphospital.org.
Resources you may find helpful:
Patients with Humana Insurance Coverage: Effective January 1, 2023 - St. Lawrence Health (Canton-Potsdam, Gouverneur, Massena hospitals) is “out-of-network” with the Humana Insurance Plan.
“Out-of-network” describes providers and facilities that have not signed a contract with your health plan. Out-of-network providers may be permitted to bill you for the difference between what your plan agreed to pay and the full amount charged for a service. This is called “balance billing.” This amount is likely more than in-network costs for the same service and might not count toward your annual out-of-pocket limit.
We encourage you to please check your out-of-network benefits to ensure that you understand what your potential out of pocket costs may be subject to this change. You can access this information by visiting www.humana.com and clicking on Member Resources.
Below is a listing of health plans in which St. Lawrence Health and employed physicians participate. Health Plans have numerous products, some of which St. Lawrence Health may not participate in.
Please check with your health plan or provider to verify whether or not the provider participates in your health plan.
Private/non-employed physicians who may provide services at our hospitals and clinics are not represented here.
If you have any questions about Health Plans we participate with, please call our Customer Service representatives at (315) 261-5150.