MEMORIAL HERMANN SUGAR LAND HOSPITAL

"If an uninsured patient's Annual Gross Family Income is equal to or less than two hundred percent (200%) of the current Federal Poverty Guidelines, as set forth in the Gross Income Financial Assistance Eligibility Table (Exhibit C - Federal Poverty Guidelines), the patient (or other responsible party) will be entitled to free care (100% discount) and will not owe any portion of the account balance."

documented · checked 2026-10-14 · Financial Assistance Policy PUBLICATION DATE

"MHHS's FAP does not require documentation of assets or expenses."

documented · checked 2026-10-14 · Financial Assistance Policy PUBLICATION DATE

"Both uninsured and insured patients can apply for Financial Assistance"

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"Uninsured patients meeting the following criteria will be considered Presumptively Eligible for a one hundred percent (100%) reduction of emergent or eligible service charges: i. Homeless or received care from a homeless clinic; ii. Participation in Women, Infants and Children programs (WIC); iii. Food stamp eligibility; iv. Supplemental Nutrition Assistance Program (SNAP); v. Eligibility for other state or local assistance programs (e.g., Medicaid spend-down); vi. Low income/subsidized housing is provided as a valid address; vii. Receipt of grant assistance for medical services; viii. Mental incapacitation with no one to act on patient's behalf; ix. Recent personal bankruptcy; x. Incarceration in a penal institution; xi. Patient is deceased with no known estate; or xii. As determined by an electronic scoring model (described below)."

documented · checked 2026-10-14 · Financial Assistance Policy PUBLICATION DATE

"Free copies of the application are available for download on MHHS's website at: http://www.memorialhermann.org/financialassistanceprogram."

documented · checked 2026-10-14 · Financial Assistance Policy PUBLICATION DATE

"Phone: 713.338.5502 or 1.800.526.2121, option 5"

documented · checked 2026-10-14 · Patient Financial Assistance Summary - Houston

"Friday: 8am – 5pm Monday – Thursday: 8am – 7pm"

documented · checked 2026-10-14 · Patient Financial Assistance Summary - Houston

"A FREE copy of the Financial Assistance Application, Financial Assistance Policy, Plain Language Summary, and Billing & Collections Policy are available in English, Spanish, and other languages that meet the criteria described in the Financial Assistance Policy"

documented · checked 2026-10-14 · Patient Financial Assistance Summary - Houston