French Hospital Medical Center — 经济援助与慈善医疗

减免医疗

收入在联邦贫困线 500% 或以下的患者符合减免医疗的条件——您需要支付的金额不会超过通常向有保险患者收取的金额：

申请时您需要准备的材料

• Information about family and family size
• Family's gross monthly income (before taxes and deductions)
• Documentation for family income (most recent tax return incl. schedules; OR W-2; OR current pay stubs (6 months); OR written signed statements from employers/others)
• Approval/denial of eligibility for Medicaid and/or state-funded medical assistance OR approval/denial for unemployment compensation
• Documentation for family assets (current bank statements showing most recent 3 months for checking/savings; investments incl. stocks and bonds; trust funds; money market accounts; mutual funds; other penalty-free withdrawable investment funds)
• Signed and dated form

如何申请

拨打电话时，您可以说：“我想为一笔医院账单申请经济援助（慈善医疗）。您能把申请表发给我，并告诉我需要哪些文件吗？”

基于这家医院的政策，生效日期为 07/02/2025。