Federal law required the hospital to offer free care. They never mentioned it.
Lisa, 38, a single mother of two working part-time as a home health aide in Memphis, earned $28,000 a year. When her appendix ruptured, she had no choice — emergency surgery, three days in the hospital. When she was discharged, she was handed a $9,800 bill.
She put it in a drawer. Every few weeks she'd look at it, feel the dread, and put it back. She had no savings. She didn't know what else to do.
"I can't pay $9,800. But I don't want it sent to collections. I don't want to file bankruptcy. What options do I actually have? Is there any help for people like me, or is this just what happens?"
Lisa had no idea that the hospital was legally required to help her. Nobody told her.
Under the Affordable Care Act, every non-profit hospital — approximately 60% of all US hospitals — is required by federal law to maintain a Financial Assistance Program, commonly called charity care. These programs reduce or eliminate bills for patients who qualify based on income and family size.
Most programs cover patients earning up to 200-400% of the Federal Poverty Level. For Lisa — a family of 3 earning $28,000/year — she was at 78% of the FPL. She would have qualified at virtually any hospital in the country. The hospital is legally required to post this policy. They are not required to tell you about it.
$9,800 fully forgiven under charity care. Lisa owes nothing. She just needed someone to tell her this option existed. It has existed since 2010.