United Memorial recognizes that there are times when patients in need of care will have difficulty paying for the services provided.
United Memorial Medical Center's Financial Assistance Program provides discounts to qualifying individuals based on your income. In addition, we can provide you with assistance for applying for free or low cost insurance if you qualify. Contact our Eligibility Department at (585) 344-7363 or visit the department located at the Jerome Center, 16 Bank Street, Batavia 14020 for free confidential assistance.
Qualification for a Discount
Financial assistance is available for patients with limited incomes and no health insurance or patients who may be underinsured.
Everyone in New York State who needs emergency services can receive care and get a discount if they meet the income limits.
Everyone who lives in New York State can get a discount on non-emergency, medically necessary services at United Memorial Medical Center if they meet the income limits. You cannot be denied medically necessary care because you need financial assistance.
You may apply for a discount regardless of immigration status.
The amount of the discount varies based on your income and the size of your family. If you have no health insurance or are underinsured these are the income limits:
|Family Size||Annual Family Income||Monthly Family Income|
|1||Up to $45,960||Up to $3,830|
|2||Up to $62,040||Up to $5,170|
|3||Up to $78,120||Up to $6,510|
|4||Up to $94,200||Up to $7,850|
|5||Up to $110,280||Up to $9,190|
|6||Up to $126,360||Up to $10,530|
Based on 2013 Federal Poverty Guidelines
Frequently Asked Questions
What if I do not meet the income limits?
If you cannot pay your bill, United Memorial offers a payment plan to those patients that meet the income limits. The amount you pay depends on the amount of your income.
Can someone explain the discount? Can someone help me apply?
Yes, free confidential help is available. Call our Eligibility Department at (585) 344-7363. If you do not speak English, United Memorial has a language line available at 1-800-523-1786.
A Counselor will tell you if you qualify for free or low cost insurance such as Medicaid, Child Health Plus and Family Health Plus. If the Counselor finds that you don't qualify for the low cost insurance they will help you apply for a discount. The counselor will help you fill out all the forms and tell you what documents you need to provide.
What do I need to apply for a discount?
A completed application, verification of income and identification.
What services are covered?
All medically necessary services provided by United Memorial Medical Center are covered by the discount. This includes outpatient services, United Memorial Family Care Centers, Emergency care and Inpatient admissions.
Charges from private doctors who provide services in the hospital may not be covered. You should talk to private doctors to see if they offer a discount or payment plan.
How much do I have to pay?
Our Counselor will give you the details about your specific discount(s) once your application is processed.
How do I get the discount?
You have to fill out the application form . As soon as we have proof of income, we can process your application for a discount according to your income level. You can apply for a discount before you have an appointment, when you come to the facility to receive care, or when the bill comes in the mail.
Send the completed form to:
United Memorial Medical Center
ATTN: FirstSource Eligibility
127 North Street
Batavia, NY 14020
You may also bring your information to the Eligibility office at United Memorial Jerome Center at 16 Bank Street, Batavia, NY 14020. You have up to 90 days after receiving services to submit the application.
How will I know if I was approved for the discount?
United Memorial will send you a letter within 15 days after completion and submission of documentation, telling you if you have been approved and the level of discount received.
What if I receive a bill while I’m waiting to hear if I can get a discount?
You cannot be required to pay a hospital bill while your completed application is being considered. If your application is turned down, the Hospital must tell you why in writing and provide you with a way to appeal this decision to a higher level within the Hospital.
What if I have a problem I cannot resolve with the Hospital?
Call the New York State Department of Health complaint hotline at 1-800-804-5447