How to apply for Hospital Financial Assistance (Memorial Hospital at Gulfport) — Harrison in Mississippi

Who it's for

Memorial Hospital at Gulfport offers financial assistance for emergency and other medically necessary care to uninsured and underinsured residents of Mississippi who live in the hospital's service area. Eligibility is based on family income at or below federal poverty level guidelines and on assets, and all patients are charged no more than amounts generally billed. Complete the application and verification process within 240 days of your first bill. Office visits, cash package services and elective services are not covered. Bring proof of residency (such as a driver's license, lease or utility bill in your name) and proof of income (such as your latest federal tax return, Social Security or disability deposits, and recent check stubs). Call the Financial Counselors at 228-867-4118 or 228-867-4128, or customer service at 1-800-844-0735.

What you'll need

• Financial Assistance Application
• Proof of residency (driver's license, car tag registration, mortgage papers, lease, homestead exemption receipt, voter registration card or utility bill in your name)
• Proof of income (latest federal tax return with W2s/1099s, bank statement or ACH deposits, recent check stubs, food stamp benefit history)

Where to apply

What to say when you call

"Hello, I'm calling to ask about Hospital Financial Assistance (Memorial Hospital at Gulfport) — Harrison. I'd like to know whether I may qualify, what documents I need, and whether I can apply online, by mail, by phone, or in person. I understand I may need financial Assistance Application, proof of residency (driver's license, car tag registration, mortgage papers, lease, homestead exemption receipt, voter registration card or utility bill in your name), proof of income (latest federal tax return with W2s/1099s, bank statement or ACH deposits, recent check stubs, food stamp benefit history) — is anything else required? What is the best next step?"

Tip: have a pen ready, ask for the person's name, and write down any case or reference number they give you.

Renewals

annual (reapply per policy)