Free or Reduced Fee Care

Do you have a large deductible that you cannot pay? Are you struggling with medical bills?

Grace Cottage provides care to all, regardless of ability to pay. We offer financial assistance to persons who are unable to pay for medically necessary care or emergency medical conditions.

How Can I Qualify?

If your family income falls under 300% of the Federal Poverty Guidelines, you may be eligible for free or reduced fee care.

You also must be a resident of the Grace Cottage Service Area or a non-resident who experiences a medical emergency. The Grace Cottage Service Area includes the following Vermont towns: Athens, Bellows Falls, Bondville, Brattleboro, Brookline, Cambridgeport, Chester, Dover, Dummerston, Grafton, Guilford, Jamaica, Londonderry, Manchester, Marlboro, Newfane, Peru, Putney, Saxtons River, Stratton, Townshend, Vernon, Wardsboro, Westminster, Wilmington, and Windham.

For full details, see our Reduced Fee Care Policy.

How Do I Apply?

You can apply for financial assistance at any point before, during, or after your care, but you must apply within 240 days of your first billing statement. To apply, complete a Free or Reduced Fee Care Application and submit the required financial documentation to:

Patient Account Specialist
Grace Cottage
P.O. Box 216
Townshend, VT 05353

If approved, you will receive a letter within 30 days after your application is completed.

I need help with my application. Who can I call?

For help completing the Reduced Fee/Free Care Application, contact the Grace Cottage Resource Advocate.

If I Qualify, What Will I Pay?

  • Patients whose family income is at or below 140% of the Federal Poverty Guidelines are eligible to receive free care.
  • Patients whose family income is above 140% but not more than 300% of the Federal Poverty Guidelines are eligible to receive services at reduced rates of 80%, 60%, 40% or 20% in accordance with our sliding fee schedule based on the Federal Poverty Guidelines.
  • Patients whose family income exceeds 300% of the Federal Poverty Guidelines may be eligible to receive discounted rates on a case-by-case basis based on their specific circumstances, such as catastrophic illness or medical indigence, at the discretion of Grace Cottage.

I have questions about the application process. Who can I call?

If you have any questions about the application process, please call Verna Joslyn, Patient Account Specialist, at (802) 365-3647 or email at

Please do not send any financial documents via email. The privacy and security of email communication cannot be guaranteed.