Must depend on hospital because last month I was admitted to a government hospital on emergency and stayed one night without paying in advance. However, they would not release me until payment in full.
It has been a couple of years but I bought the service for my grandson who was a teenager at the time. The service ensured he had no problems at Immigration or Customs and delivered him to the meeting point to meet us. Maybe unnecessary and over priced but I was satisfied the grandson got to us without a problem. Used the service sending him back home also.
if spouse is unemployed she may qualify for what is known as gold card. This is actually universal health coverage for use at government hospitals and clinics. My wife uses it.