{"hospital":{"ccn":"330059","name":"MONTEFIORE MEDICAL CENTER","city":"BRONX","state":"NY","zip":"10467","phone":"718-920-4321","ownership":"Voluntary non-profit - Private","website_domain":"montefioreeinstein.org","system":null},"version":3,"status":"published","eligibility":{"free_care_max_fpl":{"value":"200","layer":"documented","quote":"If your family income is less than or equal to 200% of the FPG, you may qualify for free hospital or hospital clinic care.","source_id":"application-1c8fee19dbf3ef6d","checked_on":"2026-10-14","confidence":1.0,"support_count":0},"discount_tiers":null,"asset_test":null,"residency":null,"insured_patients_covered":{"value":true,"layer":"documented","quote":"Montefiore Medical Center also provides payment arrangements to patients that have insurance coverage but have an out-of-pocket expense that they cannot afford or deem a hardship.","source_id":"application-1c8fee19dbf3ef6d","checked_on":"2026-10-14","confidence":1.0,"support_count":0},"min_balance":null,"services_excluded":null},"programs":{"presumptive":null,"state_programs":null},"apply":{"form_url":null,"form_version":null,"documents_required":{"value":["proof_of_income","tax_return","pay_stubs"],"layer":"documented","quote":"Acceptable proof of income: • Unemployment statement • Social Security/Pension Award letter • Paystubs/Employment verification letter • Letter of support • Self attestation letter (in appropriate circumstances) • Tax Return or W2","source_id":"application-1c8fee19dbf3ef6d","checked_on":"2026-10-14","confidence":1.0,"support_count":0},"documents_reported":null,"submit_methods":{"value":[{"kind":"in_person","detail":"Please visit one of the locations below or http://www.montefiore.org/financial-aid-policy for additional information or assistance."}],"layer":"documented","quote":"Please visit one of the locations below or http://www.montefiore.org/financial-aid-policy for additional information or assistance.","source_id":"application-1c8fee19dbf3ef6d","checked_on":"2026-10-14","confidence":1.0,"support_count":0},"window_days_from_first_bill":null,"decision_days":{"value":30,"layer":"documented","quote":"Montefiore Medical Center will send you a letter within 30 days after completion and submission of documentation, telling you if you have been approved and the level of discount received.","source_id":"application-1c8fee19dbf3ef6d","checked_on":"2026-10-14","confidence":1.0,"support_count":0},"decision_days_reported":null},"collections":{"eca_wait_days":null,"collection_agencies":null},"contacts":{"phone":null,"hours":null,"languages":null},"coverage":{"facilities":null,"provider_list_url":null},"sources":[{"id":"billing-1ece71c173db763a","kind":"hospital_web","url":"https://montefioreeinstein.org/patient-care/patients-visitors/billing-insurance/aid-policy","title":"Financial Aid Policy | Patient Care | Montefiore Einstein","fetched_on":"2026-10-14","sha256":"1ece71c173db763a09e1229ae9956a0b69cd0191e84685d0e7f4a6f5266ae913","effective_date":null},{"id":"billing-88d8f65620c6d641","kind":"hospital_web","url":"https://montefioreeinstein.org/es/patient-care/patients-visitors/billing-insurance/aid-policy","title":"Financial Aid Policy | Patient Care | Montefiore Einstein","fetched_on":"2026-10-14","sha256":"88d8f65620c6d6413ed44cfaa15cdcfb4e9dbcae7eee6d061e0b16c01c2242b6","effective_date":null},{"id":"billing-4f21bb8b2979a4e7","kind":"hospital_web","url":"https://www.montefioreeinstein.org/documents/financialaid/Balance-Billing-Protection-Notice.pdf","title":"Billing and Collections Policy","fetched_on":"2026-10-14","sha256":"4f21bb8b2979a4e7f9e0125dfc09c62f012a8b8d0ad1872372d2f5b12de8fc80","effective_date":null},{"id":"billing-5f7b2e8b31f398ab","kind":"hospital_web","url":"https://www.montefioreeinstein.org/patient-care/patients-visitors/billing-insurance","title":"Billing and Collections Policy","fetched_on":"2026-10-14","sha256":"5f7b2e8b31f398abb3d35ddb042d0b233d4b150fcd2c17315eee4388a59f7171","effective_date":null},{"id":"application-1c8fee19dbf3ef6d","kind":"hospital_web","url":"https://assets.montefioreeinstein.org/prod/2026-02/MMC%20FA%20Summary%20English%201.29.2026.pdf","title":"Financial Assistance Summary and Application (English)","fetched_on":"2026-10-14","sha256":"1c8fee19dbf3ef6d3f7c573d902e67436ef9d7afb286c482ec19c93f825f1c85","effective_date":null},{"id":"application-33162eb231327f91","kind":"hospital_web","url":"https://assets.montefioreeinstein.org/prod/2026-02/FA%20Summary%20Spanish%201.29.2026.pdf","title":"Financial Assistance Summary and Application (Spanish)","fetched_on":"2026-10-14","sha256":"33162eb231327f9119f673ed50c48fc6804ca920fd0fd84651d035bb1c970ea9","effective_date":null},{"id":"application-1399b3096e66a9a6","kind":"hospital_web","url":"https://assets.montefioreeinstein.org/prod/2026-02/FA%20Summary%20Albanian%201.29.2026.pdf","title":"Financial Assistance Summary and Application (Albanian)","fetched_on":"2026-10-14","sha256":"1399b3096e66a9a66c736390ce1f9e4c3837f40d2a1bab83d0d051cded1ecc59","effective_date":null},{"id":"application-db26b0f788e75882","kind":"hospital_web","url":"https://assets.montefioreeinstein.org/prod/2026-02/FA%20Summary%20Greek%201.29.2026.pdf","title":"Financial Assistance Summary and Application (Greek)","fetched_on":"2026-10-14","sha256":"db26b0f788e7588236cdef9b16c8649f4006fa3c032cb38357051dc8a3680485","effective_date":null}],"accuracy":null}