# Baptist Memorial Hospital Union County

Hospital in New Albany, MS. Verified from the hospital's own policy.

Baptist Memorial Hospital Union County likely gives free care to households with a yearly income up to $31,920 for 1 person, $43,280 for 2, $54,640 for 3, $66,000 for 4, $77,360 for 5 or $88,720 for 6. It likely gives a discount to households with a yearly income up to $63,840 for 1 person, $86,560 for 2, $109,280 for 3, $132,000 for 4, $154,720 for 5 or $177,440 for 6.

The hospital makes the final decision.

| Household size | Free care if yearly income is up to | Discount if yearly income is up to |
|---|---|---|
| 1 | $31,920 | $63,840 |
| 2 | $43,280 | $86,560 |
| 3 | $54,640 | $109,280 |
| 4 | $66,000 | $132,000 |
| 5 | $77,360 | $154,720 |
| 6 | $88,720 | $177,440 |

Dollar amounts use the 2026 federal poverty guidelines.

## Discount steps

- 0% to 200% of poverty level, patient pays nothing (100% discount)
- 201% to 250% of poverty level, patient pays 5% of charges (95% discount)
- 251% to 300% of poverty level, patient pays 10% of charges (90% discount)
- 301% to 350% of poverty level, patient pays 15% of charges (85% discount)
- 351% to 400% of poverty level, patient pays 20% of charges (80% discount)
- 400.1% to null% of poverty level, patient pays uninsured self-pay discount only (75% off at this hospital)

## How to apply

- Call (877) 348-1281 and ask for financial assistance.
- [Application form](https://www.baptistonline.org/-/media/b603042e848c4eb2b0719e28b99a41da.pdf?rev=660425774fa04b0e9b98dd5c4026d888)
- [Hospital Financial Assistance Policy (S.FI.3025.15, revised 6/25)](https://www.baptistonline.org/-/media/d5a069c18b964a00a240803acfbf30d9.pdf?rev=49bb7c37f5c042afae2e99fcc7aeaf91)
- [Plain language summary](https://www.baptistonline.org/-/media/project/baptist/baptist/baptistonline/united-states/documents/0105186.pdf?rev=e9a590694a3648b7af2588dad7ff031e)
- The policy gives 240 days to apply. Ask the billing office which date the count starts from.
- Bring proof of income for every family member (pay stubs for the last three months, last year's tax return, W2, assistance letters, bank statements, or pension statements), list of family members in the household.
- Very large bills. Insured patients who owe more than $5,000 out of pocket for one visit get 25% off the amount above $5,000
- Languages. English, Spanish, Cantonese, Traditional Chinese, Vietnamese

## If you have insurance

This policy does not cover bills for patients who have insurance.
Keep your insurance. Financial assistance covers bills from this one place only.

## What is covered

Covered. Emergency and medically necessary hospital care at Baptist hospitals and their clinics.

Not covered. Many doctors and services bill separately and are not covered, such as outside labs, radiologists, pathologists, ambulance and non-employed doctors. Baptist clinic doctors have a separate policy. Cosmetic care and retail items like glasses and hearing aids are excluded.

## Notes

The income-based discount is for uninsured patients. Baptist first checks whether you may qualify for Medicaid or a marketplace plan, and patients who refuse to take part in that check lose the right to this help. Insured patients who owe more than $5,000 for one visit get 25% off the amount above $5,000, with no application needed. Call the Central Business Office at (877) 348-1281 about that discount. Uninsured patients at any income get an automatic self-pay discount at this hospital of 75% off full charges, with no application. Above 400% of the poverty level the policy gives only that self-pay discount. An approval lasts 90 days and covers other open bills at participating Baptist facilities. Return the application and income papers to the Business Office of the hospital where you got care, or email FAP@BMHCC.org. A decision letter comes within 30 days. The policy does not mention an asset test or a residency rule. Work and auto accident bills need proof of no other coverage.

## Sources

- Free care level https://www.baptistonline.org/-/media/d5a069c18b964a00a240803acfbf30d9.pdf?rev=49bb7c37f5c042afae2e99fcc7aeaf91
  > Baptist FAP Discount Summary FPG Income Range FAP Discount < 200% 100%
- Discount level https://www.baptistonline.org/-/media/d5a069c18b964a00a240803acfbf30d9.pdf?rev=49bb7c37f5c042afae2e99fcc7aeaf91
  > 351-400% 80% > 400% Varies by Facility
- Discount steps https://www.baptistonline.org/-/media/d5a069c18b964a00a240803acfbf30d9.pdf?rev=49bb7c37f5c042afae2e99fcc7aeaf91
  > 201-250% 95% 251-300% 90% 301-350% 85% 351-400% 80%
- Insured patients https://www.baptistonline.org/-/media/d5a069c18b964a00a240803acfbf30d9.pdf?rev=49bb7c37f5c042afae2e99fcc7aeaf91
  > If the patient is insured unless the patient qualifies for a discount herein as Medically Underinsured.
- Very large bills https://www.baptistonline.org/-/media/d5a069c18b964a00a240803acfbf30d9.pdf?rev=49bb7c37f5c042afae2e99fcc7aeaf91
  > Medically Underinsured patients will receive a 25% discount off the patient liability greater than $5,000.
- Deadline https://www.baptistonline.org/-/media/d5a069c18b964a00a240803acfbf30d9.pdf?rev=49bb7c37f5c042afae2e99fcc7aeaf91
  > ends on the later of 240 days after the first post-discharge billing statement
- Uninsured discount https://www.baptistonline.org/-/media/project/baptist/baptist/baptistonline/united-states/financial-assistance/baptist-system-self-pay-minimum-discounts.pdf?rev=c05804fe5c3e4b5ea2a0ca821840a47d
  > Union County 75%
- Financial counseling phone https://www.baptistonline.org/patients-and-visitors/financial-assistance/hospital-contact-numbers
  > Baptist Memorial Hospital-Union County 877-348-1281
- Covered facility https://www.baptistonline.org/patients-and-visitors/financial-assistance/participating-facilities
  > Baptist Memorial Hospital Union County/New Albany
- Medicaid screening https://www.baptistonline.org/-/media/d5a069c18b964a00a240803acfbf30d9.pdf?rev=49bb7c37f5c042afae2e99fcc7aeaf91
  > the patient will therefore forfeit their right to be considered for, and/or receive Financial Assistance.

Last checked 2026-11-11.

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