At MemorialCare, we are proud to provide quality care to all our patients, regardless of ability to pay. We believe that no one should delay seeking medical care because they lack health insurance or are worried about their ability to pay. 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 services to eligible patients.
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. In some cases, eligible patients may not be required to pay for services; in others, they may be asked to make partial payment. Partial or full financial assistance will be granted based on a patient’s family income
Who is Eligible?
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:
- Whether all means of payment—such as private insurance coverage, or coverage through Medicare, Medi-Cal, or other government programs—have been exhausted.
- The patient’s family income in relation to the federal poverty level (FPL) guidelines updated periodically in the Federal Register by the United States Department of Health and Human Services.
- Patients whose household income is less than or equal to 250% of the current FPL guidelines may be eligible for full financial assistance.
- Patients whose household income is less than or equal to 400% of the current FPL guidelines may be eligible for partial financial assistance.
- Other circumstances or resources that may affect the patient’s ability to pay for care.
How to Apply?
Patients and/or Guarantors should sign and complete an application and submit it with all required documents (e.g., recent paystubs or tax returns) for processing to:
MemorialCare Patient Financial Services
P.O. Box 20894
Fountain Valley, CA 92728-0894
or
via email to pfsdocuments@memorialcare.org.
Patients must fully comply with the application process including submitting required documentation. Patients applying for full financial assistance only (i.e., not simultaneously applying for partial financial assistance) may be required to apply for all available sources of assistance, including Medicare, Medi-Cal or other similar funding programs. Patients applying for partial financial assistance may be required to participate in eligibility screening for the Medi-Cal program.
Our Financial Assistance Policy and Application are available free of charge by calling Patient Financial Services at 877-323-0043 and requesting a copy by mail. The policy and application are also available below for downloading and printing. Copies of the policy and application are also available in our admissions area and Emergency Department.
Contact for Information and Assistance
Additional information about our Financial Assistance Policy and assistance with the application process can be obtained from Patient Financial Services by:
- Calling Customer Service (877) 323-0043
- Presenting to any of the admitting areas or Emergency Department offices below:
- Long Beach Medical Center/Miller Children’s & Women’s Hospital
2801 Atlantic Avenue
Long Beach, CA 90806
7 days a week
8:00 a.m. – 5:30 p.m. - Orange Coast Medical Center
18111 Brookhurst Street
Fountain Valley, CA 92708
Monday – Friday
7:30 a.m. – 4:30 p.m. - Saddleback Medical Center
24451 Health Center Drive
Laguna Hills, CA 92653
Monday – Friday
9:00 a.m. – 5:30 p.m.
- Long Beach Medical Center/Miller Children’s & Women’s Hospital
Language Accessibility
Translations of the policy, application and the Plain Language Summary are also available in Spanish at all locations.
Availability of Translators or Interpreters – Multiple Languages
Download the Financial Assistance Policy
Download the Financial Assistance Policy Plain Language Summary
- Financial Assistance Policy Plain Language Summary - Long Beach Medical Center and Miller Children’s Hospital
- Financial Assistance Policy Plain Language Summary - Orange Coast Medical Center
- Financial Assistance Policy Plain Language Summary - Saddleback Medical Center
Download a Financial Assistance Application
Confidentiality
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.
Consumers Resources
The Hospital Bill Complaint Program
The Hospital Bill Complaint Program is a state program which reviews hospital decisions about whether you qualify for help paying your hospital bill. If you believe you were wrongly denied financial assistance, you may file a complaint with the Hospital Bill Complaint Program. Go to HospitalBillComplaintProgram.hcai.ca.gov for more information and to file a complaint.
Health Consumer Alliance
There are free consumer advocacy organizations that will help you understand the billing and payment process. You may call the Health Consumer Alliance at (888) 804-3536 or go to healthconsumer.org for more information.
The Health Consumer Alliance (HCA) is an independent consumer assistance program that offers free assistance over-the-phone or in-person to help people who are struggling to get or maintain health coverage and resolve problems with their health plans. HCA is able to assist you with applying for coverage such as Medi-Cal, Hospital Presumptive Eligibility, private insurance, or Covered California.
Department of Managed Health Care
Department of Managed Health Care (DMHC) educates consumers about their health care rights, resolves consumer complaints against health plans, helps consumers understand their coverage and assists consumers in getting timely access to appropriate health care services. The DMHC Help Center provides direct assistance in all languages to health care consumers through the Department’s website, HealthHelp.ca.gov, and a toll-free phone number, (888) 466-2219.
No Surprises Helpdesk
To learn more about No Surprise billing protections for consumers contact 1-800-985-3059 or visit cms.gov/nosurprises/consumers