Hospital · Brooklyn, NY
Maimonides Medical Center
Free care to 200% of the federal poverty level.
Income Level Payment Below 200% FPL Waive all charges 200% - 300% FPL Uninsured patients: Sliding scale up to 10% of the amount that would have been paid for the service(s) by Medicaid. Underinsured patients: Up to a maximum of 10% of the amount that would have been paid pursuant to such patient's insurance cost sharing. 301% - 400% FPL Uninsured patients: Sliding scale up to 20% of the amount that would have been paid for the service(s) by Medicaid. Underinsured patients: Up to a maximum of 20% of the amount that would have been paid pursuant to such patient's insurance cost sharing.
What the policy says
Quoted from the hospital’s own documents · read by WaiveDocuments to includeMatchedProof of income; social security letter; tax return; pay stubs“Please include the income information for the patient, their spouse, and any dependents (such as children). For example, this would include everyone on the same tax return (tax filer, spouse, and tax dependents) in the calculation of household income. The following is a list of documents you can use to prove your income. You do not have to provide all these documents. You can also provide a statement of no household income if you have no income. You may also provide the Eligibility determination page from the NY State of Health Marketplace. If you have this document, you do not have to provide any other income information listed below to the hospital. If Household Receives: Amount per Month: Applicant May Provide: Wages $ Please provide one Paycheck Stub, or Letter from Employer on company letterhead, signed and dated, or most recently filed income tax return. Social Security Payment $ Copy of award letter/certificate, or correspondence from the U.S. Social Security Administration, or annual benefit letter. To request a copy of your Social Security benefit letter, call 1-800-772-1213 or visit www.ssa.gov. Unemployment Compensation $ Copy of award letter/certificate, or monthly benefit statement from NYS Department of Labor, or Copy of Direct Payment Card with printout, or Correspondence from the NYS Department of Labor, or Printout of recipient’s account information from the NYS Department of Labor’s website (www.labor.state.ny.us). Disability Payment $ Copy of award letter/certificate, or correspondence from Social Security Administration, or copy of annual benefit letter. To request a copy of your benefit letter, call 1-800-772-1213 or visit www.ssa.gov. Workers Compensation $ Copy of Award Letter or Check stub. Alimony/Child Support $ Copy of court order, or 3 months of cashed checks/receipts. Dividends/Interest $ Quarterly dividend statements or 1 month statements. Other $ Letter stating the amount of non-wage earnings (if any), such as rental income, cash for odd jobs, etc. No Income $0 Signed statement of no income.”NYS Uniform Hospital Financial Assistance Application · read by Waive · maimo.org · retrieved Oct 16, 2026
How to applyMatchedMail: ; in person: “Paper copies of these documents are available upon request and without charge, by mail and at the Patient Financial Services Department.”FIN-028 (Revised) DATE: March, 2026 ORIGINALLY ISSUED · read by Waive · maimo.org · retrieved Oct 16, 2026
Time to applyMatched240 days after the first bill“Patients are permitted to apply for financial assistance for at least 240 days (8 months) from the date the first post discharge bill or at any point including during the collections process.”FIN-028 (Revised) DATE: March, 2026 ORIGINALLY ISSUED · read by Waive · maimo.org · retrieved Oct 16, 2026
DecisionMatched30 days“Within 30 days of receipt of the completed application for financial assistance and all required documents, the Financial Services Department will notify the patient in writing whether the application for financial assistance has been approved or declined.”FIN-028 (Revised) DATE: March, 2026 ORIGINALLY ISSUED · read by Waive · maimo.org · retrieved Oct 16, 2026
Before collectionsMatched180 days after the first bill“• Hospitals cannot send unpaid bills to a collection agency for at least 180 days after your first bill.”NYS Uniform Hospital Financial Assistance Application · read by Waive · maimo.org · retrieved Oct 16, 2026
What Tender found
Kings County · CMS · Tender’s own checksWebsiteUnverifiedNo verified websiteTender checks the price file only on a verified website
Price fileUncheckedWebsite not verified · not checkedTender’s own check · not yet checked · logged, not quoted
CMS actionNoneNo CMS penalty on fileCMS price transparency enforcement list · no notice names this hospital