Waive

FRIO REGIONAL HOSPITAL

PEARSALL, TX · version 1 · published · JSON

eligibility.free_care_max_fpl300% of the federal poverty level

"Patients whose gross monthly family income is above 100% but no more than 300% of the FPL are eligible to receive free care;"

documented · checked 2026-10-11 · **Medical Financial Assistance Program**

eligibility.insured_patients_coveredYes

"This program is available to both uninsured and insured patients who are members of families with assets and income less than 300% of Federal Poverty Guidelines."

documented · checked 2026-10-11 · Financial Assistance - Frio Regional Hospital

apply.documents_requiredProof of income
Social Security letter
Tax return
Bank statements

"• IRS Form W-2 • Paycheck Remittance • Tax Return • Bank Statements • Employer Verification • Proof of Participation in Governmental Assistance programs such as food stamps, CDIC, Medicaid or AFDC • Social Security or Unemployment Compensation Determination Letters • Other, Please Describe"

documented · checked 2026-10-11 · **application form**

apply.submit_methodsMail: Business Office Frio Regional Hospital 200 South IH 35 Pearsall, TX 78061 Attn: Marci Hernandez
In person: Registration Representative, or the completed form may be mailed to the following address: Business Office Frio Regional Hospital 200 South IH 35 Pearsall, TX 78061 Attn: Marci Hernandez

"Please complete the Financial Assistance Application and return the completed form to the Registration Representative, or the completed form may be mailed to the following address: Business Office Frio Regional Hospital 200 South IH 35 Pearsall, TX 78061 Attn: Marci Hernandez"

documented · checked 2026-10-11 · **application form**

apply.decision_days30 days

"Requests for charity shall be processed promptly and Frio Regional Hospital shall notify the patient or applicant in writing within 30 days of receipt of a completed application."

documented · checked 2026-10-11 · **Medical Financial Assistance Program**

contacts.phone(830) 334-3617

"(830) 334-3617"

documented · checked 2026-10-11 · Financial Assistance - Frio Regional Hospital

Sources

Financial Assistance - Frio Regional Hospital — fetched 2026-10-11

**Medical Financial Assistance Program** — fetched 2026-10-11

**application form** — fetched 2026-10-11