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Financial Assistance

The Mother Bernardina Program

To support the Medical Center's Mission of providing quality care to everyone, St. Elizabeth Medical Center and it's affiliates will make available a reasonable amount of uncompensated services to eligible persons. Patient eligibility for the Mother Bernardina Program is determined by measuring family income against the income poverty guidelines established by the Department of Health and Human Services and is limited to patient services that are deemed necessary. View the guidelines to see if you are eligible for this program.

Patients can request to be considered for financial assistance by printing, completing and mailing in the Charity Care formand the additional Request for Transcript of Tax Return IRS Form 4506-T.

Mail to:
St. Elizabeth Medical Center
Attention: Business Office
2215 Genesee St. Utica, NY 13501

If you have questions please contact the Business Office at 315-801-3108.

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