The Financial Assistance program is designed to provide free or discounted care to those who have no means, or limited means, to pay for their medical services (Uninsured or Underinsured). In addition to quality healthcare, patients are entitled to financial counseling by someone who can understand and offer possible solutions for those who cannot pay in full. The Patient Account Representative's role is that of patient advocate, that is, one who works with the patient and/or guarantor to find reasonable payment alternatives.
Memorial Medical Center will offer a Sliding Fee Discount Program to all who are unable to pay for their services. Memorial Medical Center will base program eligibility on a person's ability to pay and will not discriminate on the basis of age, gender, race, creed, disability or national origin. The Federal Policy Guidelines, https://aspe.hhs.gov/poverty, are used in creating and annually updating the sliding fee schedule (SFS) to determine eligibility.
At Memorial Medical Center we promise to:
●Serve all patients
●Offer discounted fees for patients who qualify
●Not deny services based on a persons race, color, sex, national origin, disability, religion, sexual orientation, or inability to pay
●Accept insurance, including Medicaid, Medicare, Children's Health Insurance Program (CHIP)
Application For Financial Assistance
Calhoun County Indigent Health Care Program (CCIHCP)Based on eligibility, this program provides basic medical services for the residents of Calhoun County. This temporary assistance includes appointments to local Family Physicians, 3 medications per month (not to exceed $30 total) through HEB Pharmacy & any In-patient or Out-Patient services at Memorial Medical Center. Funds are limited for this assistance.
Applicant must provide:
●Completed Indigent Application provided by the State
●Proof of all household income
●Calhoun County valid ID or DL (mandatory)
●Social Security Card
●Any assistance being received such as food stamps, Medicaid &/or TANF
●Any pending assistance with SSI or Social Security Administration
●Value & amount owed of any or all vehicles listed in the applicant's name
●Most current bank account statement
●Proof of address
All applicants must register with Texas Workforce and apply for Food Stamps to receive assistance. Upon eligibility, a $10 co-pay will apply to each doctor appointment if funds are available the date of the appointment. Drug testing is required for continued assistance through CCIHCP. There is a $10 co-pay charge for the MMC Emergency Department.
Processing time for an Indigent application is 14 business days from date of completion.
Click Here to review the CCIHCP policy.
For more information, please contact:(361) 552-0340