How to apply for Madison County Memorial Hospital Financial Assistance

Who it's for

Madison County Memorial Hospital (MCMH) is the principal community hospital serving Madison County and the rural Big Bend region between Tallahassee (Leon County, about 1 hour west) and Live Oak (Suwannee County, about 30 minutes east). As an independent not-for-profit community hospital, MCMH is required to offer charity care programs to qualifying patients. The hospital's Patient Financial Services team helps patients with: (1) Payment arrangements for outstanding balances; (2) Enrollment in programs that may help pay the hospital bill (Medicaid, Medicare, manufacturer prescription assistance, etc.); (3) Financial assistance application processing for qualifying uninsured and underinsured patients. The conservative 200% FPL modeling pattern applies as a Florida community-hospital standard — patients above this may still qualify based on individualized hardship assessment. Florida law's 240-day post-billing application window applies — seniors can apply for charity care up to 240 days after the first bill, even if collections has engaged. For tertiary, specialty, complex cardiac, trauma, or oncology care beyond MCMH's scope, Madison County seniors are typically referred to Tallahassee Memorial HealthCare or Capital Regional Medical Center (Leon County) or Memorial Hospital Jacksonville. Apply by calling the Billing Department at 850-973-2271 extension 2 or speaking with an account representative at 850-973-1366.

What you'll need

• Completed MCMH Financial Assistance Application (request from Billing Department)
• Proof of household income (recent pay stubs, Social Security award letter, tax return, SSA-1099)
• Proof of family/household size
• Photo identification
• Documentation of insurance status (insurance denial letter, Medicaid denial, or proof of uninsured status)

Where to apply

Renewals

per encounter; documentation refresh required for ongoing patients