Signature Healthcare Brockton Hospital
Nonprofit acute care hospital in Brockton, MA.
Verified from the hospital's own policy
Signature Healthcare Brockton Hospital likely gives free care to households with a yearly income up to $23,940 for 1 person, $32,460 for 2, $40,980 for 3, $49,500 for 4, $58,020 for 5 or $66,540 for 6. It likely gives a discount to households with a yearly income up to $47,880 for 1 person, $64,920 for 2, $81,960 for 3, $99,000 for 4, $116,040 for 5 or $133,080 for 6.
The hospital makes the final decision.
| People in household | Free care up to | Discount up to |
|---|---|---|
| 1 | $23,940 | $47,880 |
| 2 | $32,460 | $64,920 |
| 3 | $40,980 | $81,960 |
| 4 | $49,500 | $99,000 |
| 5 | $58,020 | $116,040 |
| 6 | $66,540 | $133,080 |
Discount steps
- 0% to 150% of poverty level, you pay nothing (Health Safety Net, no deductible)
- 150.1% to 300% of poverty level, you pay Health Safety Net yearly deductible based on income
How to apply
- Call 508-941-7919 and ask for financial assistance.
- Application form
- Signature Healthcare Brockton Hospital Financial Assistance Policy (revised 12/23)
- Plain language summary
- We do not have the deadline yet. Apply as soon as you get a bill, and ask the billing office to pause collections while you apply.
- Residency
- Massachusetts resident (Health Safety Net)
- Very large bills
- Health Safety Net Medical Hardship for Massachusetts residents at any income
- Languages
- English, Spanish, Haitian Creole, Portuguese
If you have insurance
Insured patients can also apply for help with deductibles and copays. Keep your insurance. Financial assistance covers bills from this one place only.
What is covered
- Covered
- Emergency, medically necessary and other covered services at Brockton Hospital and listed locations.
- Not covered
- Some provider groups and departments are not covered; see the June 2024 covered and non-covered provider list.
State program in Massachusetts
Apply for MassHealth first
Apply for MassHealth first. In Massachusetts one application (ACA-1) checks you for MassHealth, Health Connector plans and the Health Safety Net together. Hospital financial counselors help with it for free, and most hospital financial assistance policies require you to apply before the hospital will review its own discounts. MassHealth phone is (800) 841-2900.
Applications and qualifications are available on line here: Member Booklet for Health and Dental Coverage and Help Paying Costs (ACA-1).
Source, checked 2026-11-10
Health Safety Net
The Health Safety Net (HSN) pays for some care at Massachusetts acute care hospitals and community health centers for low-income Massachusetts residents who are uninsured or underinsured. It is not insurance. With family income up to 150% of the poverty level there is no deductible. From above 150% up to 300% there may be a yearly deductible based on income. It can pay after other insurance, including private plans, Medicare and some MassHealth programs. You apply with the same application used for MassHealth, so MassHealth is checked first. There is no member card. You must renew every year. HSN pays the hospital's own charges. Doctors who bill separately, and labs or x-rays run by private companies, may not be covered. HSN Medical Hardship can help residents at any income when medical bills are a large share of income.
Income levels in the program are free up to 150%, discount up to 300% of poverty level.
Applies to acute care hospitals and community health centers.
Residency. Massachusetts resident
Fill out the MassHealth application (ACA-1), online through the Health Connector, on paper, or with a hospital or health center financial counselor. The same application decides MassHealth, Health Connector plans and HSN. Bring proof of identity. Medical Hardship needs a separate application that a hospital or health center counselor submits for you.
Program phone (800) 841-2900
Massachusetts residents with income between 0-150% of the FPL may be eligible for the Health Safety Net.
Program source, checked 2026-11-10
Health Safety Net Medical Hardship
A Massachusetts resident at any income can get help through HSN Medical Hardship when allowable medical bills are larger than a set share of countable income. The share is 10% of income up to 205% of the poverty level, 15% from 205.1% to 305%, 20% from 305.1% to 405%, 30% from 405.1% to 605%, and 40% above 605.1%. You pay that share. A hospital or health center financial counselor files the application with itemized bills, proof of income, proof of Massachusetts residency and proof of identity.
Applies to acute care hospitals and community health centers.
Ask a hospital or community health center financial counselor to submit a Medical Hardship application.
Income Level Percentage of Countable Income 0 - 205% FPL 10% 205.1 - 305% FPL 15% 305.1 - 405% 20%
Program source, checked 2026-11-10
Notes
Signature relies on the Health Safety Net and has no income scale of its own. Uninsured patients who are not eligible for MassHealth, HSN or other programs are charged Medicare rates, with no income or asset test. The financial assistance page offers the state MassHealth application (ACA-1) as the application.
Sources
- Free care level
If any member of the PBFG has an FPL below 150.1% there is no deductible for any member of the PBFG.
- Discount level
between 0-300% of the Federal Poverty Level (FPL) may be determined eligible for Health Safety Net Eligible Services.
- Insured patients
Patients that are Massachusetts residents with primary health insurance and MassHealth MAGI
- Residency
provides financial assistance to low-income uninsured and underinsured patients who are Massachusetts residents and who meet income qualifications.
- Very large bills
A Massachusetts resident of any income may qualify for Medical Hardship through the Health Safety
- Financial counseling phone
For information on Financial Assistance or Counseling, call 508-941-7919.
- Uninsured discount
Services are discounted to the Medicare fee schedule in effect at the time of service. There are no income or asset criteria
- Hsn list
Brockton Signature Healthcare Brockton Hospital 680 Centre Street 02302
Last checked. 2026-11-10
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