Plain Language Statement
Financial Assistance Policy - uninsured and underinsured individuals
Brookhaven Memorial Hospital Medical Center offers a Financial Assistance Program for emergent and medical necessary care. Eligibility is based upon family size and income level. % of discount is based upon % of Federal Poverty Level.
**Approval rates are based upon Prospective Medicare rates.
Contact Patient Financial Services department at 631-654-7140 or visit the Hospital's Cashier Office, located near the Emergency dept. Hours available: Monday through Friday 8:00am through 4:00pm.
Hospital is required to comply with EMTALA law.
Financial Assistance Application is available at:
- On the hospital website: Brookhavenhospital.org
- Hospital's Cashier's Office
- Patient Access/Admitting Office
You can request an application be mailed to you by contacting Patient Financial Services at 631-654-7140.
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