Waive

SIGNATURE HEALTHCARE BROCKTON HOSPITAL

BROCKTON, MA · version 5 · published · JSON

eligibility.free_care_max_fpl300% of the federal poverty level

"between 0-300% of the Federal Poverty Level (FPL)"

documented · checked 2026-10-03 · Financial Assistance Policy | PDF

eligibility.asset_testNo

"There are no income or asset criteria requirements associated with this discount."

documented · checked 2026-10-03 · Financial Assistance Policy | PDF

eligibility.insured_patients_coveredYes

"The hospital will help uninsured and underinsured individuals apply for health coverage or financial assistance through a public assistance program or through the hospital’s financial assistance program"

documented · checked 2026-10-03 · Financial Assistance Policy | PDF

programs.state_programsHealth Safety Net (Massachusetts) — Apply through the MassHealth application; a hospital financial counselor can file it for you. The hospital's own financial assistance and the Health Safety Net are separate programs.

"Important information you need to know about applying for MassHealth Limited and the Health Safety Net can be found on page 3."

documented · checked 2026-10-02 · download

apply.documents_requiredProof of income
Tax return
Pay stubs
Other documents

"Documentation examples include pay stubs, income tax filings, unemployment benefit reports, alimony judgments, etc."

documented · checked 2026-10-03 · Financial Assistance Policy | PDF

apply.submit_methodsMail: Request copies to be mailed or sent electronically by calling (508) 941- 7919
In person: Visit our Financial Counseling office located adjacent to the Information Desk at 680 Centre St., Brockton, MA to get help filling out an application or with financial assistance.

"One may obtain a copy of our policy and application form free of charge in the following ways: • Brockton Hospital website: https://www.signature-healthcare.org/Patients-Visitors/Patient-Forms/Financial-Assistance • In our emergency department and out-patient registration areas • Request copies to be mailed or sent electronically by calling (508) 941- 7919 • Visit our Financial Counseling office located adjacent to the Information Desk at 680 Centre St., Brockton, MA to get help filling out an application or with financial assistance."

documented · checked 2026-10-03 · Financial Assistance Policy | PDF

contacts.phone508-941-7919

"(508) 941-7919"

documented · checked 2026-10-03 · Financial Assistance Policy | PDF

contacts.hoursMonday through Friday 7:00AM – 4:30PM, Monday through Friday 7:00AM – 11:30PM, Saturday and Sunday 8:00AM through 4:30PM

"between 7:00AM – 4:30PM, Monday through Friday or via telephone at (508) 941-7919, between7:00AM and 11:30PM, Monday through Friday, and 8:00AM through 4:30PM on Saturday and Sunday."

documented · checked 2026-10-03 · Financial Assistance Policy | PDF

contacts.languagesEnglish
Spanish
Haitian Creole
Portuguese

"[Normas de asistencia financiera | PDF](https://signature-healthcare.org/pdf/Financial-Assistance-Policy-Rev-9-2019-%28Spanish%29.pdf) [Normas de crédito y cobranza | PDF](https://signature-healthcare.org/pdf/Credit-and-Collection-Policy-Rev-9-2019-%28Spanish%29.pdf) [Resumen simple de las normas de asistencia financiera | PDF](https://signature-healthcare.org/pdf/Plain-Language-Summary_Final_071218-%28Spanish%29.pdf) [Regleman sou asistans finansye | PDF](https://signature-healthcare.org/pdf/Financial-Assistance-Policy-Rev-9-2019-%28Haitian-Creole%29.pdf) [Regleman sou kredi ak rekouvreman | PDF](https://signature-healthcare.org/pdf/Credit-and-Collection-Policy-Rev-9-2019-%28Haitian-Creole%29.pdf) [Rezime regleman sou asistans finansye a nan yon langaj ki klè | PDF](https://signature-healthcare.org/pdf/Plain-Language-Summary_Final_071218-%28Haitian-Creole%29.pdf) [Políticas de Assistência Financeira | PDF](https://signature-healthcare.org/pdf/Financial-Assistance-Policy-Rev-9-2019-%28Portuguese%29.pdf) [Política de crédito e cobrança | PDF](https://signature-healthcare.org/pdf/Credit-and-Collection-Policy-Rev-9-2019-%28Portuguese%29.pdf) [Resumo da política de assistência financeira em linguagem simples | PDF](https://signature-healthcare.org/pdf/Plain-Language-Summary_Final_071218-%28Portuguese%29.pdf)"

documented · checked 2026-10-03 · Financial Assistance | Signature Healthcare

coverage.facilitiesBrockton Hospital
Signature Medical Group
Brockton Hospital School of Nursing

"* [Brockton Hospital](/about/about-brockton-hospital/) * [Brockton Hospital School of Nursing](/bhson)"

documented · checked 2026-10-03 · Financial Assistance | Signature Healthcare

Sources

Financial Assistance | Signature Healthcare — fetched 2026-10-02

Regleman sou asistans finansye | PDF — fetched 2026-10-02

Financial Assistance | Signature Healthcare — fetched 2026-10-02

Financial Assistance Policy | PDF — fetched 2026-10-02

Normas de asistencia financiera | PDF — fetched 2026-10-02

download — fetched 2026-10-02