Each time a patient receives services at Memorial Medical Center, a separate account is created. If the patient is receiving monthly ongoing services, a monthly account is created. It is possible to have several accounts open at the same time, for which separate statements will be received. Statements may reflect accounts billed to health plans that are not yet resolved, or balances that you may owe.
Memorial Medical Center accepts cash, check, money order, or credit card (MasterCard, Visa, Discover and AMEX). We provide insurance billing and follow-up services for patients who assign third party benefits to the hospital. After the insurance carrier has processed the claim, or if the patient does not have insurance, the remaining balance becomes classified as “self pay.” To assist in financing this balance, the following options are available:
- Balance of account to be paid in full in thirty (30) days.
- Interest Free Financing – Special arrangements can be made through Patient Financial Services. Generally, balances are required to be paid within 24 months or a minimum of $25 per month, whichever is greater.
- Financial Assistance is designed to help patients who are financially unable to pay for health care services. Program eligibility is determined by measuring family income against the current poverty guidelines and established by the Department of Health and Human Services. Application to the program is a prerequisite and is made available to the patient at any time.
- All patients will be given the opportunity to apply for financial assistance at the time of admission and again if they have not applied when the billing is mailed.
Pay your bill quickly and securely online here
The Billing and Collection policy of Memorial Medical Center and its employed medical partners (collectively MMC), together with the Financial Assistance Policy establishes that actions may be taken in the event of nonpayment for medical care provided by MMC, including but not limited to extraordinary collection actions. The guiding principles behind this policy are to treat all patients and Individual(s) Responsible equally with dignity and respect and to ensure appropriate billing and collection procedures are uniformly followed and to ensure that reasonable efforts are made to determine whether the Individual(s) Responsible for payment of all or a portion of a patient account is eligible for assistance under the Financial Assistance Policy.
The full MMC Billing and Collection policy is available here.
Memorial Medical Center has designed a financial program that provides financial-aid services to those patients that qualify. The Memorial Medical Center Assistance Policy (FAP) is designed to help our patients who are financially unable to pay for health care services. The policy can be found here.
The FAP outlines the general guidelines for providing assistance to patients and families. It addresses the most common situations that may happen. It is not intended to be all inclusive.
Some highlights of the policy include:
No patient will be denied financial assistance because of his or her:
- Immigration status
- Financial assistance will be provided to any families who are determined to be unable to pay all or part of billed charges. This includes co-payments, co-insurance and deductibles.
- Financial assistance will be given after insurance coverage, government assistance programs and other benefits available to the patient have been explored and used.
- Non-compliance with insurance policy guidelines (for example, appeals, referrals, non-authorized services) or failure to pursue available government assistance programs before requesting assistance may prevent participation in the Financial Assistance Program.
- MMC will provide care for emergency medical conditions to anyone.
- A determination letter will be sent to the patient after the application has been processed. If financial assistance is denied, an appeal can be filed with the Patient Financial Services Department.
- Determinations are generally made within two weeks following the receipt of the Financial Assistance Application.
Patient eligibility for assistance is determined by measuring family income against the current poverty guidelines as established by the Department of Health & Human Services.
All income in the patient’s household will be considered when determining ability to pay. This includes gross wages, government payments, pensions, child support, unemployment compensation, car accident or personal injury payments, and any other payments that are considered income by the U.S. Internal Revenue Service.
Procedure to verify financial information provided by the patient
The following information/documentation must be provided by the applicant to substantiate financial information provided on the application:
- Copies of payroll checks or check stubs reflecting year to date gross wages
- Copy of social security determination of benefits
- Copies of income tax returns, including w-2’s
- Copies of previous 3-months bank statements
To request Financial Assistance, please fill out the form and submit to Patient Financial Services. Download the Financial Assistance Request form here.
Download the plain language summary of the Financial Assistant Policy here