Memorial Health has a Financial Assistance Policy that provides free hospital care for patients who have received non-elective care, do not meet the qualifications for Medicaid and whose income is less than 200% (in most cases) of the Federal Poverty Level.
Full Answer
What is the MemorialCare patient financial assistance program?
Our financial counselors will assist you in determining your eligibility for federal, state and/or county programs. MemorialCare has a Patient Financial Assistance Program that provides free or discounted emergency services to eligible patients. What is the Patient Financial Assistance Program?
What is Memorial Hermann’s financial assistance policy and admissions policy?
Memorial Hermann Health System’s Financial Assistance Policy and Admissions Policy govern how financial assistance is provided. On the basis of these policies, a determination will be made regarding a patient’s eligibility for financial assistance.
What is the patient financial assistance program?
Our Patient Financial Assistance Program helps to make our services available to everyone in our community. This includes people who don’t have health insurance and can’t pay their hospital bill and patients who have insurance but are unable to pay the portion of their bill that insurance doesn’t cover.
Are you eligible for patient financial assistance?
Our Patient Financial Services Department will work with you to determine if you are eligible. In order to be considered for financial assistance, the patient (or their family representative) must complete an application and provide information that supports their financial need. When we review the application, we consider:
What is Memorial Hermann Health System's financial assistance policy?
How to verify income for Memorial Hermann?
About this website
FINANCIAL INFORMATION FORM / FINANCIAL ASSISTANCE APPLICATION
15620 (2/18) Page 1 of 2 15620 (2/18) Page 1 of 2 INSTRUCTIONS: one ith a picture (example: state-issued driver license or Passport with picture, etc.) *
How to Apply for Financial Assistance | Memorial Healthcare System - MHS
Financial Assistance. Any patient may ask for financial assistance. Anyone else who is responsible for paying for the patient’s care also may ask for financial assistance under the Memorial Healthcare System Financial Assistance Policy.
Financial Assistance Resources | Memorial Hermann
If you have questions about financial assistance, Memorial Hermann has financial counselors available at each of our hospitals. They can help to evaluate your eligibility for federal and state programs, including Medicaid, Social Security Insurance and COBRA Assistance.
What is Memorial Hermann Health System's financial assistance policy?
On the basis of these policies, a determination will be made regarding a patient’s eligibility for financial assistance.
How to verify income for Memorial Hermann?
To verify income, the most current Federal Income Tax Return should be provided. Other pieces of supporting documentation may be requested in addition to or instead of the Tax Return, including: Last two Employer paycheck stubs, written documentation from income sources, and a copy of all bank statements for the last three months. Memorial Hermann reserves the right to review an applicant’s credit report, property tax records, and/or other public or personal documents prior to a determination regarding program eligibility. Please see policy for specific locations and services covered by our Financial Assistance Policy. Not all locations and services listed on our website are covered by the Financial Assistance Policy.
How to contact Memorial Healthcare System?
To learn more about the Financial Assistance Policy, you can: Call the Patient Financial Services Department at 954-276-5501. Call the Eligibility Department at 954-276-5760.
How to apply for financial assistance with the healthcare system?
To apply for financial assistance with the healthcare system, you will need to complete a financial evaluation form and meet with our eligibility team. You can make an appointment by calling 954-276-5500 or stop by our office 8 am-5:30 pm, Monday-Friday: You will need to bring the following documents: The eligibility team will confirm your current ...
What is patient financial assistance?
Our Patient Financial Assistance Program helps to make our services available to everyone in our community. This includes people who don’t have health insurance and can’t pay their hospital bill and patients who have insurance but are unable to pay the portion of their bill that insurance doesn’t cover. In some cases, eligible patients may not be required to pay for services; in others, they may be asked to make partial payment.
Is patient financial assistance sensitive?
We understand that the need for patient financial assistance can be a sensitive and a deeply personal issue. We are committed to maintaining the confidentiality of requests, information and funding for all who participate in our program.
How to contact Memorial Healthcare System?from mhs.net
To learn more about the Financial Assistance Policy, you can: Call the Patient Financial Services Department at 954-276-5501. Call the Eligibility Department at 954-276-5760.
How to apply for financial assistance with the healthcare system?from mhs.net
To apply for financial assistance with the healthcare system, you will need to complete a financial evaluation form and meet with our eligibility team. You can make an appointment by calling 954-276-5500 or stop by our office 8 am-5:30 pm, Monday-Friday: You will need to bring the following documents: The eligibility team will confirm your current ...
What is patient financial assistance?from memorialcare.org
Our Patient Financial Assistance Program helps to make our services available to everyone in our community. This includes people who don’t have health insurance and can’t pay their hospital bill and patients who have insurance but are unable to pay the portion of their bill that insurance doesn’t cover. In some cases, eligible patients may not be required to pay for services; in others, they may be asked to make partial payment.
How to contact Memorial Healthcare System?from mhs.net
To learn more about the Financial Assistance Policy, you can: Call the Patient Financial Services Department at 954-276-5501. Call the Eligibility Department at 954-276-5760.
How to apply for financial assistance with the healthcare system?from mhs.net
To apply for financial assistance with the healthcare system, you will need to complete a financial evaluation form and meet with our eligibility team. You can make an appointment by calling 954-276-5500 or stop by our office 8 am-5:30 pm, Monday-Friday: You will need to bring the following documents: The eligibility team will confirm your current ...
Is patient financial assistance sensitive?from memorialcare.org
We understand that the need for patient financial assistance can be a sensitive and a deeply personal issue. We are committed to maintaining the confidentiality of requests, information and funding for all who participate in our program.
Eligible Services
Emergent and/or medically necessary healthcare services provided by Memorial Hospital at Gulfport, at any location, excluding office visits, cash package services and elective services.
Eligible Patients
Patients receiving eligible services, who submit a Financial Assistance Application (including all supporting documentation in the time allotted), and who are determined eligible for assistance based on the guidelines of this policy.
Eligibility Period
Patients have 240 days from the date of their first bill to return their completed application and the required supporting financial documentation to the Financial Counselors. Applications are processed monthly and a determination letter will be sent to the patients after the final determination is made.
Amounts Generally Billed
An eligible patient will not be charged more than the AGB for emergency or other medically necessary care charged to patients who have insurance. The AGB is calculated based on the average of the three lowest commercially negotiated insurance rates. Financial Assistance discounts are applied to gross charges using this rate.
Collection Activities
Memorial will make reasonable efforts to determine if a patient is eligible for Financial Assistance before making any extraordinary collection attempts. Collection practices will be completed in accordance with the Memorial billing and collection guidelines. Collection attempts may be completed by the hospital or a designated agency.
What is a patient benefit advisor?
Patient Benefit Advisors are available to evaluate your eligibility for various Local and State Programs, including County Assistance and Medicaid.
Does Memorial Health make any guarantees?
Memorial Health makes no guarantees regarding the accuracy of the pricing information provided herein. The pricing information provided by this website is strictly an estimate of prices, and Memorial Health cannot guarantee the accuracy of any estimates.
How to contact Lima Memorial Health System?
If you have any questions about your Lima Memorial Health System or Lima Memorial Physicians financial statement, we are asking you to please contact our Patient Accounts Department by phone at 567-242-0460. Our team is available to help answer all of your questions.
What is HCAP in Ohio?
The Hospital Care Assurance Program (HCAP) The Hospital Care Assurance Program (HCAP) is the Ohio Department of Job and Family Services’ mechanism to meeting the federal requirement to provide additional payments to hospitals that provide a disproportionate share of uncompensated services to the indigent and uninsured.
Is Lima Memorial a non profit?
As a community-based, not-for-profit healthcare system, it is Lima Memorial’s mission to provide high-quality healthcare services to anyone who needs it, regardless of their ability to pay.
Family Income Guidelines
To qualify for Financial Assistance your gross family income must be at or below:
What To Do Now
You have the option of printing the application at the links above or paper applications are available at each campus. An application can also be mailed to you by calling one of the numbers listed above.
What is Memorial Hermann Health System's financial assistance policy?
On the basis of these policies, a determination will be made regarding a patient’s eligibility for financial assistance.
How to verify income for Memorial Hermann?
To verify income, the most current Federal Income Tax Return should be provided. Other pieces of supporting documentation may be requested in addition to or instead of the Tax Return, including: Last two Employer paycheck stubs, written documentation from income sources, and a copy of all bank statements for the last three months. Memorial Hermann reserves the right to review an applicant’s credit report, property tax records, and/or other public or personal documents prior to a determination regarding program eligibility. Please see policy for specific locations and services covered by our Financial Assistance Policy. Not all locations and services listed on our website are covered by the Financial Assistance Policy.
