Memorial Hermann income limits
| Household size | Free care: yearly income up to 200% | Discounts: yearly income up to 400% |
|---|---|---|
| 1 person | $31,920 | $63,840 |
| 2 people | $43,280 | $86,560 |
| 3 people | $54,640 | $109,280 |
| 4 people | $66,000 | $132,000 |
| 5 people | $77,360 | $154,720 |
| 6 people | $88,720 | $177,440 |
- Free care
- Up to 200% of the federal poverty guidelines: about $66,000 a year for a family of four in 2026.The policy says: “If an uninsured patient's Annual Gross Family Income is equal to or less than two hundred percent (200%) of the current Federal Poverty Guidelines” (page p.6)
- Discounts
- Up to 400% of the guidelines: about $132,000 a year for a family of four.The policy says: “Annual Gross Family Income exceeds two hundred percent (200%) but not more than four hundred percent (400%) of the current Federal Poverty Guidelines” (page p.6)
- Sliding scale
- Up to 200%: 100% off for uninsured patients; 201% to 400%: may be eligible for a discount to the amount generally billed to insured patients.
- With insurance
- Insured patients may apply, and must have their insurance billed first. Underinsured patients may have what they owe cut to the amount generally billed at 200% to 400% of the guidelines; free care is written for uninsured patients. (Policy, page 6.)
How to apply for Memorial Hermann financial assistance
- Without a full application
- Some patients may be approved without a full application.
- Time to apply
- The policy states no deadline in days. Apply as soon as you can.
- How to apply
- Download the application from the Memorial Hermann website, or ask for a free paper copy in the emergency department or a registration area. A financial counselor can help. The form lists where to send it by email, mail or fax.
- Also good to know
- Free care at 200% or less is stated for uninsured patients, and underinsured patients must have insurance billed first. The policy does not require documentation of assets, and it covers only emergency or medically urgent, non-elective care.
Common questions about Memorial Hermann financial assistance
What is the income limit for Memorial Hermann financial assistance?
Memorial Hermann’s policy lists free care up to 200% of the federal poverty guidelines and discounts up to 400%. With the 2026 guidelines for the 48 states and Washington, DC, that is for free care, a yearly income up to about $31,920 for one person and $66,000 for a family of four; for discounts, a yearly income up to about $63,840 for one person and $132,000 for a family of four. Memorial Hermann decides from its own application; only the hospital can confirm what you may get.
How do I apply for Memorial Hermann financial assistance?
Download the application from the Memorial Hermann website, or ask for a free paper copy in the emergency department or a registration area. A financial counselor can help. The form lists where to send it by email, mail or fax. The policy states no deadline in days. Apply as soon as you can.
Source
Financial Assistance Policy (Version 5), 2022-10-04. Read with AI reading tools on November 6, 2026, and checked by a second one against the same document. There is also a plain language summary.
We are not part of Memorial Hermann. Policies change, and the hospital decides from its own form. If what you read here differs from the current policy, the policy counts.
Ask in writing
The free financial assistance letter asks the hospital for its policy, the application and the plain language summary. Already paid? How applying after you have already paid works. Compare other systems on the hospital list.
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Check the bill itself
Financial assistance may lower what you owe, but it does not look at the charges. Open your bill in MedBillCheckup: it is read on your device, never uploaded, and the free check shows how many things are worth asking the billing office about, and names the first. The full list, with the exact questions to ask, is $6.99 for one bill, or included with Pro at $9.99 a month.
Check my bill, freeMedBillCheckup provides informational assistance only. It does not determine whether a charge is medically necessary, fraudulent, illegal, or definitively incorrect, and it is not a substitute for advice from a lawyer, doctor, insurer, or certified medical billing specialist.