At MemorialCare, we are proud to provide quality care to all our patients, regardless of ability to pay. We believe that no one should delay seeking emergency medical care because they lack health insurance or are worried about their ability to pay. Our financial counselors will assist you in determining your eligibility for federal, state and/or county programs. MemorialCare has a Patient Financial Assistance Program that provides free or discounted emergency services to eligible patients.
What is the Patient Financial Assistance Program?
Our Patient Financial Assistance Program helps to make our services available to everyone in our community. This includes people who don’t have health insurance and can’t pay their hospital bill and patients who have insurance but are unable to pay the portion of their bill that insurance doesn’t cover. In some cases, eligible patients may not be required to pay for services; in others, they may be asked to make partial payment.
Who is Eligible?
Our Patient Financial Services Department will work with you to determine if you are eligible. In order to be considered for financial assistance, the patient (or their family representative) must complete an application and provide information that supports their financial need. When we review the application, we consider:
- Whether all means of payment—such as private insurance coverage, or coverage through Medicare, Medi-Cal, or other government programs—have been exhausted.
- The patient’s family income and assets.
- Other circumstances or resources that may affect the patient’s ability to pay for care.
How to Apply?
If you would like more information about our program, have questions about the eligibility requirements or need help applying for one of the government sponsored insurance programs described above, please contact one of our representatives:
Long Beach Medical Center
Miller Children's Hospital Long Beach
Orange Coast Medical Center
Saddleback Medical Center
For laboratories near Long Beach Medical Center, Miller Children's Hospital Long Beach, Orange Coast Medical Center:
Memorial Healthtech Laboratories
For laboratories near Saddleback Medical Center:
Download the Financial Assistance Policy
Download a Financial Assistance Brochure
- Financial Assistance Brochure - English
- Financial Assistance Brochure - Chinese
- Financial Assistance Brochure - Farsi
- Financial Assistance Brochure - Khmer
- Financial Assistance Brochure - Korean
- Financial Assistance Brochure - Spanish
- Financial Assistance Brochure - Tagalog
- Financial Assistance Brochure - Vietnamese
Download a Financial Assistance Application
- Financial Assistance Application - English
- Financial Assistance Application - Español
- Availability of Translators or Interpreters - Multiple Languages
Mail the completed application to:
MemorialCare Patient Financial Services
P.O. Box 20894
Fountain Valley, CA 92728-0894
We understand that the need for patient financial assistance can be a sensitive and a deeply personal issue. We are committed to maintaining the confidentiality of requests, information and funding for all who participate in our program.
Health Consumer Alliance
The Health Consumer Alliance (HCA) is an independent consumer assistance program that offers free assistance over-the-phone or in-person to help people who are struggling to get or maintain health coverage and resolve problems with their health plans. HCA is able to assist you with applying for coverage such as Medi-Cal, Hospital Presumptive Eligibility, private insurance, or Covered California. You may contact HCA by telephone at (888) 804-3536 or online at http://healthconsumer.org/index.php?d=partners.
Department of Managed Health Care
Department of Managed Health Care (DMHC) educates consumers about their health care rights, resolves consumer complaints against health plans, helps consumers understand their coverage and assists consumers in getting timely access to appropriate health care services. The DMHC Help Center provides direct assistance in all languages to health care consumers through the Department’s website, www.HealthHelp.ca.gov, and a toll-free phone number, 1-888-466-2219.