Waive

ORLANDO HEALTH MELBOURNE HOSPITAL

MELBOURNE, FL · version 3 · published · JSON

eligibility.free_care_max_fpl225% of the federal poverty level

"If a validated financial statement application reflects an income at or below 225% of the most current Federal Poverty Level for the stated family size, the account will qualify for financial assistance in its entirety."

documented · checked 2026-10-14 · Financial Assistance

eligibility.asset_testYes

"Based on current Federal Poverty Guidelines, you may qualify for assistance with all of your hospital bill through a review of your income, assets, and other resources."

documented · checked 2026-10-14 · Financial Assistance

apply.form_urlhttps://orlandohealth.getbynder.com/asset/e5745225-90ee-443c-8d74-477a975b21b6/Web-English-GFSA-PDF-Document.pdf

"[Guarantor Financial Statement Application (GFSA) - English](https://orlandohealth.getbynder.com/asset/e5745225-90ee-443c-8d74-477a975b21b6/Web-English-GFSA-PDF-Document.pdf)"

documented · checked 2026-10-14 · Financial Assistance

apply.documents_requiredBank statements
Tax return
Pay stubs

"Paperwork might include bank statements, income tax forms, check stubs, or other documents."

documented · checked 2026-10-14 · Financial Assistance

apply.submit_methodsIn person: Patients can get help with the financial assistance program application process at Orlando Health business office locations
Mail: You can apply for help with your bill in person or by mail.

"Patients can get help with the financial assistance program application process at Orlando Health business office locations before, during or after the patient's hospital stay. You can apply for help with your bill in person or by mail."

documented · checked 2026-10-14 · Financial Assistance

collections.eca_wait_days240 days

"Bills that are not paid 240 days after the first billing date may be reported on the patient/guarantor credit history."

documented · checked 2026-10-14 · Financial Assistance

contacts.phone(321) 841-2596 or (877) 793-0145

"Phone [(321) 841-2596](tel:3218412596) or [(877) 793-0145](tel:8777930145)"

documented · checked 2026-10-14 · Financial Assistance

contacts.hoursMonday – Friday, 8:30 am – 4:30 pm

"Open Monday – Friday, 8:30 am – 4:30 pm"

documented · checked 2026-10-14 · Financial Assistance

contacts.languagesEnglish
Spanish
Portuguese
Haitian Creole

"[Financial Assistance Policy - Haitian Creole](https://orlandohealth.getbynder.com/asset/2daa87f7-f038-4c70-9c60-820a745a1358/OH-Financial-Assistance-Policy-01-2026-Creole-PDF-Document.pdf)"

documented · checked 2026-10-14 · Financial Assistance

Sources

Financial Assistance Program — fetched 2026-10-14

Financial Assistance — fetched 2026-10-14

Financial Assistance Policy - Orlando Health — fetched 2026-10-14

Financial Assistance — fetched 2026-10-14

Patient Financial Assistance — fetched 2026-10-14