Financial Assistance Any patient may ask for financial assistance. Anyone else who is responsible for paying for the patient’s care also may ask for financial assistance under the Memorial Healthcare System Financial Assistance Policy. To learn more about the Financial Assistance Policy, you can: Call the Patient Financial Services Department at 954-276-5501 Call the Eligibility Department at 954-276-5760 Ask in person at: Admitting/registration areas of any of the Memorial Healthcare System acute care facilities (located near the main lobby of each facility) Eligibility Office (open Monday-Friday, 8 am-4:30 pm) 2900 Corporate Way Miramar, FL Our eligibility team will help you find financial assistance programs that are a good fit for you. How to Apply for Financial Assistance To apply for financial assistance with the healthcare system, you will need to complete a financial evaluation form and meet with our eligibility team. You can make an appointment by calling 954-276-5500 or stop by our office 8:30 am-4:30 pm, Monday-Friday: Eligibility Office 2900 Corporate Way Miramar, FL You will need to bring the following documents: A financial evaluation form which you should print and fill out (must be signed in the presence of an eligibility team member) Past three months of bank statements Current utility bill Florida driver's license or photo identification Employer wage stubs for three months Income Tax Return The eligibility team will confirm your current income level to see if you qualify for any federal or state programs during your appointment. If you do not qualify for any federal or state programs, we will research which assistance program you qualify for. The assistance programs are based on the current Federal Poverty Guidelines and offer a sliding scale of assistance for any uninsured or underinsured patient that has an annual family income that is less than 400% of the Federal Poverty Guideline. Assets (excluding your primary home and your primary vehicle) are considered a part of your annual income. If you are a resident of South Broward and are uninsured, we recommend that you call South Broward Community Health Services to see if you qualify for these services. Please call 954-276-5500 to set up an appointment. If you are an existing South Broward Community Health Services member and wish to renew your membership, schedule an appointment online. Financial assistance is only available if the patient or responsible party is unable to pay for the patient’s medical care. The ability to pay is determined by using the Federal Poverty Guidelines (FPG). The federal government updates these guidelines annually. The ability to pay is also determined by examining assets. Financial assistance will only be given for medical care that is medically necessary. Elective cases for patients who are not residents of the South Broward Hospital District will be reviewed on a case-by-case basis. Learn more about the availability of financial assistance.