HOUSTON METHODIST CLEAR LAKE HOSPITAL
NASSAU BAY, TX · version 1 · published · JSON
eligibility.free_care_max_fpl200% of the federal poverty level"Financially Indigent: A patient whose Family Income is less than or equal to 200% of the Federal Poverty Level (FPL)."
documented · checked 2026-10-13 · Financial Assistance Policy (Full)
apply.documents_requiredPay stubsTax return
Social Security letter
Other documents
"Attach photocopies of the following that apply to your current situation: 1. Most recent paycheck stub(s) that reflects YTD income information; 2. Most recent income tax return, including all attachments; 3. Social Security check or entitlement letter or bank statement, if direct deposit; 4. Unemployment award letter; 5. Harris Health System gold card."
documented · checked 2026-10-13 · Financial Assistance Policy (Full)
apply.submit_methodsMail: Houston Methodist\nCentralized Business Office\nAttn: Financial Assistance Unit\n701 S. Fry Road\nKaty, TX 77450Fax: (832) 667-5995
In person: return completed application and supporting documents to any Patient Access team member
"Please return completed application and supporting documents to any Patient Access team member, or fax to (832) 667-5995 or by mail to: Houston Methodist, Centralized Business Office; Attn: Financial Assistance Unit; 701 S. Fry Road; Katy, TX 77450."
documented · checked 2026-10-13 · Financial Assistance Policy (Full)
apply.decision_days30 days"HM will notify the patient or applicant in writing within 30 days of receipt of a FAA."
documented · checked 2026-10-13 · Financial Assistance Policy (Full)
contacts.phone877-493-3228"If you have questions or need additional assistance in filling out this application, please contact the Centralized Business Office at 877-493-3228 M-F 7am – 7pm, Saturday 8am-12pm."
documented · checked 2026-10-13 · Financial Assistance Policy (Full)
contacts.hoursM-F 7am – 7pm, Saturday 8am-12pm"If you have questions or need additional assistance in filling out this application, please contact the Centralized Business Office at 877-493-3228 M-F 7am – 7pm, Saturday 8am-12pm."
documented · checked 2026-10-13 · Financial Assistance Policy (Full)
Sources
Financial Assistance Application — fetched 2026-10-13
Houston Methodist — fetched 2026-10-13
Billing and Collections Policy — fetched 2026-10-13
Billing and Collections Policy — fetched 2026-10-13
Financial Assistance Policy (Full) — fetched 2026-10-13
Financial Assistance Policy (Full) — fetched 2026-10-13
Financial Assistance Policy (Full) — fetched 2026-10-13
Financial Assistance Policy (Full) — fetched 2026-10-13