BRIGHAM AND WOMEN FAULKNER HOSPITAL
JAMAICA PLAIN, MA · version 7 · published · JSON
eligibility.free_care_max_fpl150% of the federal poverty level"Family Income % FPG Discount 0 to 150% 100%"
documented · checked 2026-10-03 · Financial Assistance Policy - Full version (PDF)
eligibility.discount_tiersAbove 150% up to 250% of FPL: 85% discountAbove 250% up to 300% of FPL: 70% discount
"Family Income % FPG Acute Care Hospitals listed in Appendix 1 EXCEPT WDH Wentworth-Douglass Hospital (WDH) 0 to 150% 100%1 100% 150.1 to 250% 85%2 100% 251 to 300% 70%3 0%"
documented · checked 2026-10-03 · Financial Assistance Policy - Full version (PDF)
eligibility.asset_testYes"Assets will also be used when: • Patient’s residency is outside the U.S. or Canada."
documented · checked 2026-10-03 · Financial Assistance Policy - Full version (PDF)
eligibility.insured_patients_coveredNo"You may qualify if: * You do not qualify for public insurance programs in your home state, and"
documented · checked 2026-10-03 · Financial Assistance | Mass General Brigham
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.form_url/content/dam/unified-xwalk/documents/en/patients-visitors/financial-assistance-application-english.pdf"[Financial Assistance Policy - Full version (PDF)](/content/dam/unified-xwalk/documents/en/patients-visitors/financial-assistance-policy-english.pdf) [Financial Assistance Policy - Plain language version (PDF)](/content/dam/unified-xwalk/documents/en/patients-visitors/financial-assistance-summary-english.pdf) [Credit and Collection Policy (PDF)](/content/dam/unified-xwalk/documents/en/patients-visitors/credit-collection-policy-english.pdf) [Application (PDF)](/content/dam/unified-xwalk/documents/en/patients-visitors/financial-assistance-application-english.pdf)"
documented · checked 2026-10-03 · Financial Assistance | Mass General Brigham
apply.documents_requiredPhoto IDProof of income
Other documents
"* Complete and submit a paper application (found in the financial application section) along with ID and income verification."
documented · checked 2026-10-03 · Financial Assistance | Mass General Brigham
apply.submit_methodsEmail: patientbilling@partners.orgPortal:
In person: Visit a patient financial counselor at your hospital or health center
"Please call [617-726-3884](tel:617-726-3884) or e-mail [patientbilling@partners.org](mailto:patientbilling@partners.org) to request information and application forms. **In person:** Visit a patient financial counselor at your hospital or health center. For a list of patient financial counselors' contact information, please browse to the contact a financial counselor section of this page."
documented · checked 2026-10-03 · Financial Assistance | Mass General Brigham
contacts.phone617-983-7218"**Brigham and Women’s Faulkner Hospital **Patient Financial Services** 1153 Centre Street Suite 1106 Boston, MA 02130 [617-983-7218](tel:617-983-7218)"
documented · checked 2026-10-03 · Financial Assistance | Mass General Brigham
contacts.languagesEnglishArabic / عربى
Chinese (Traditional) / 中文
Haitian Creole / Kreyòl Ayisyen
Indonesian / Bahasa Indonesia
Khmer (Cambodian) / ខ្មែរ
Portuguese (Brazilian) / Português
Russian / русский
Spanish / Español
Vietnamese / Tiếng Việt
"[Financial Assistance Policy - Plain language version / Règleman konsènan Èd Finansye - vèsyon langaj òdinè (PDF)](/content/dam/unified-xwalk/documents/ht/patients-visitors/financial-assistance-summary-haitian-creole.pdf)"
documented · checked 2026-10-03 · Financial Assistance | Mass General Brigham
coverage.facilitiesBrigham and Women’s Faulkner Hospital"Brigham and Women’s Faulkner Hospital **Patient Financial Services** 1153 Centre Street Suite 1106 Boston, MA 02130 [617-983-7218](tel:617-983-7218)"
documented · checked 2026-10-03 · Financial Assistance | Mass General Brigham
Sources
Financial Assistance | Mass General Brigham — fetched 2026-10-02
Financial Assistance | Mass General Brigham — fetched 2026-10-02
Financial Assistance Policy - Full version (PDF) — fetched 2026-10-02
Financial Assistance Policy - Full version / 財務援助政策 完整版 (PDF) — fetched 2026-10-02
Financial Assistance Policy - Full version / Règleman konsènan ed finansye - vèsyon konplè (PDF) — fetched 2026-10-02
Financial Assistance Policy - Full version / سياسة المساعدة المالية - النسخة الكاملة (PDF) — fetched 2026-10-02
download — fetched 2026-10-02