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Medical Care for Those Who Cannot Afford to Pay
We must give free care to Maine persons with income less than 150% of the
Federal Poverty Level (FPL). Southern Maine Medical Center exceeds this
requirement by providing the following discounts:
Income Guidelines *
Size of
Family Unit | 175% FPL | 200% FPL | 225% FPL |
| 1 | $19,547 | $22,340 | $25,132 |
| 2 | 26,477 | 30,260 | 34,042 |
| 3 | 33,407 | 38,180 | 42,952 |
| 4 | 40,337 | 46,100 | 51,862 |
| 5 | 47,267 | 54,020 | 60,772 |
| 6 | 54,197 | 61,940 | 69,682 |
| 7 | 61,127 | 69,860 | 78,592 |
| 8 | 68,057 | 77,480 | 87,502 |
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| Discount Provided: | 100% | 50% | 25% |
For family units with more than 8 members with an income of 175% FPL, add $6,930 for each additional family member.
For family units with more than 8 members with an income of 200% FPL, add $7,920 for each additional family member.
For family units with more than 8 members with an income of 225% FPL, add $8,910 for each additional family member.
If you believe you qualify for Free Care, please request an application from the Patient Accounts office by calling 282-9080 (toll free: 877-282-9080), or pick one up in person from the Cashier's Office, located on the first floor of the Medical Center. You can also download the application here:
Before providing Free Care, Southern Maine Medical Center will ask for information about your income and will ask you to show that insurance or a government medical assistance program will not pay for your care. This information is held in the strictest confidence. Patient Accounts will make a written determination of your eligibility for assistance within ten working days of the receipt of your request.
Services that are not medically necessary are not provided as Free Care. If you do not qualify for free hospital care, you are allowed to ask for a fair hearing. We will tell you how to apply for a fair hearing.
* FPL: Federal Poverty Level. 2012 Poverty Guidelines posted in Federal Register, Vol. 77, No. 17, Jan. 26, 2012; Department of Human Services, Bureau of Medical Services.
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