Traducción para entender la carta. Se envía la carta en inglés.
Estoy solicitando ayuda financiera. Mi hogar tiene 3 personas y nuestro ingreso anual es $58,000.00, que es 212.3% de las pautas federales de pobreza (Federal Poverty Guidelines) de 2026.
Su Política de Ayuda Financiera indica un descuento de 90% en este nivel de ingresos.
Se adjuntan el formulario de evaluación financiera completado y los documentos que indica.
English letter, the one that is sent:
SAMPLE — FICTIONAL DATA. NOT A REAL LETTER.
Dear Patient Financial Services team,
I am applying for financial assistance. My household has 3 people and our yearly income is $58,000.00, which is 212.3% of the 2026 federal poverty guidelines.
Your Financial Assistance Policy lists a 90% discount at this income level. Policy p.11
The completed Financial Evaluation Form and the documents it lists are attached.
Attached: Financial Evaluation Form; Documents listed in Table C of the form.
201% - 250% of FPG 90% Discount
Rules: the public Financial Assistance Policy and form of Memorial Regional Hospital (FL; MHS = Memorial Healthcare System), applied to the fictional Seaside Regional Hospital case.
Not legal or medical advice. You review and sign every letter.