JFK UNIVERSITY MEDICAL CENTER

"| less than or equal to 200% | 0% |"

documented · checked 2026-10-13 · Financial Assistance Information | Hackensack Meridian Health

"| less than or equal to 200% | 0% | | greater than 200% but less than or equal to 225% | 20% | | greater than 225% but less than or equal to 250% | 40% | | greater than 250% but less than or equal to 275% | 60% | | greater than 275% but less than or equal to 300% | 80% |"

documented · checked 2026-10-13 · Financial Assistance Information | Hackensack Meridian Health

"Compassionate Care III: Insured patients with income levels at or below 600% of the Federal Poverty Level (FPL) may be eligible for a 50% discount on cost-share amounts."

documented · checked 2026-10-13 · Financial Assistance Information | Hackensack Meridian Health

"Personal ID for patient, spouse, children under 18, and full time college students 21 and under ● Choose one for each member of your family: driver’s license, birth certificate, Social Security card, passport Insurance Cards ● Copy the front and back of insurance card Banking/Asset statements that include the balance on your date of service ● Checking, savings, and debit card account statements ● Deposits over your reported income may require an explanation ● Current documentation for any CD’s, IRA’s, 401K’s, stocks or bonds Proof of Income for the one month prior to the date of service ● Proof of earned income, including pay stubs or a written signed statement of gross earnings from your employer on business letterhead ● If you are self-employed, a profit and loss statement signed by an accountant is required along with a copy of the tax return for the prior year. If your business is a partnership or corporation, provide a letter from an accountant with your weekly salary draw. ● Proof of unearned income, including but not limited to retirement pension, child support, alimony, VA benefits, Social Security award letter, SSI Award letters for all family members, unemployment or State Disability record or other financial contributions Proof of Residence prior to the date of service ● Must show street address – NOT a PO Box ● Please choose one of the following: driver’s license, copy of lease, utility bill, dated mail with your name and address issued prior to date of service"

documented · checked 2026-10-13 · Charity Care/Financial Assistance Application Process

"Application 1. By Mail: By writing to the following address and requesting a paper copy of the financial assistance application: * Carrier Clinic Behavioral Health Facility (Non Charity Care Facility): Attn: Patient Financial Services department- 252 County Road, Belle Mead, NJ 08502 * Hackensack University Medical Center patients 100 First Street - Suite 30,0, Hackensack, NJ 07601 * Palisades Medical Center - 7600 River Road, North Bergen, NJ, 07047 * JFK University Medical Center - 65 James St, Edison, NJ 08820 * Hackensack Meridian JFK Johnson Rehabilitation Institute - 65 James St, Edison, NJ 08820 * Johnson Rehabilitation Institute At Ocean University Medical Center- 425 Jack Martin Boulevard, Brick, NJ 08724 * Jersey Shore University Medical Center, Ocean Medical Center, Old Bridge Medical Center, Riverview Medical Center, Southern Ocean Medical Center, Bayshore Medical Center, and Raritan Bay Medical Center - 1945 Route 33, Neptune, NJ 07753 2. In Person: By stopping by the Financial Assistance Department in person (Monday through Friday, 8:00 AM-4:00 PM), located at the following address: * Hackensack University Medical Center,100 First Street - Suite 300, Hackensack, NJ 07601 * Palisades Medical Center, 7600 River Road, North Bergen, NJ, 07047 * JFK University Medical Center - 65 James St, Edison, NJ 08820 * Hackensack Meridian JFK Johnson Rehabilitation Institute - 65 James St, Edison NJ 08820 * Jersey Shore University Medical Center, 1945 Route 33, Neptune, NJ, 07753 * Johnson Rehabilitation Institute At Ocean University Medical Center - 425 Jack Martin Boulevard, Brick, NJ 08724 * Ocean Medical Center, 425 Jack Martin Boulevard, Brick, NJ 08724 * Old Bridge Medical Center, One Hospital Plaza, Old Bridge, NJ 08857 * Hackensack Meridian *Health* - Long Term Acute Care Hospital (LTACH) (Non Charity Care Facility): -530 New Brunswick Avenue Perth Amboy, NJ 08861 * Riverview Medical Center, 1 Riverview Plaza, Red Bank, NJ 07701 * Southern Ocean Medical Center, 1140 Route 72 W, Manahawkin, NJ 08050 * Bayshore Medical Center, 727 N Beers St, Holmdel, NJ 07733, * Meridian Family Health Center, 1828 W Lake Ave # 202, Neptune, NJ, * 07753 * Jane H Booker Family Health Center, Neptune, NJ, 07753 * Booker Behavioral Health Center, Shrewsbury, NJ, 07702 * Behavioral Health Center, 61 Davis Ave, Neptune, NJ, 07753 * Raritan Bay Medical Center, 530 New Brunswick Ave, Perth Amboy, NJ 08861 3. By Phone: The Financial Assistance Department can be reached at [732-902-7080](tel:17329027080). 4. Qualification: If you do not qualify, there are other financial assistance resources available. Your financial counselor can help you identify and apply for programs that best meet your needs."

documented · checked 2026-10-13 · Financial Assistance Information | Hackensack Meridian Health

"At minimum, patients will be allowed 240 days from the first post-discharge billing statement to apply for Charity Care."

documented · checked 2026-10-13 · Financial Assistance Information | Hackensack Meridian Health

"Notification period: Hospitals shall notify the individual about the Collection, Payment, and Financial Assistance Policy before initiating any extraordinary collection actions to obtain payment and refrain from initiating extraordinary collection actions for at least 120 days from the date the patient is provided the first post-discharge billing statement for care"

documented · checked 2026-10-13 · [PDF] Billing and Collection policy - Hackensack Meridian Health

"(732) 321-7534"

documented · checked 2026-10-13 · Charity Care/Financial Assistance Application Process

"By stopping by the Financial Assistance Department in person (Monday through Friday, 8:00 AM-4:00 PM)"

documented · checked 2026-10-13 · Financial Assistance Information | Hackensack Meridian Health

"The Financial Assistance Policy, application, and plain language summary are available in the primary language of any populations with limited proficiency in English (“LEP”) that constitute the lesser of five (5%) percent or 1,000 individuals within the primary service area served by Hospitals."

documented · checked 2026-10-13 · Financial Assistance for Healthcare | Hackensack Meridian Health

"JFK University Medical Center"

documented · checked 2026-10-13 · Financial Assistance Information | Hackensack Meridian Health