Financial Assistance / Charity Care Information
As a part of our healing ministry, the Sisters of Mercy Health System is committed
to providing quality healthcare services to patients regardless of their financial
situation. We offer payment assistance for those who do not have insurance or who
are in financial need.
Uninsured Patient Discounts
A discount from the hospital's regular billed charges will be provided to patients who
do not have insurance. This includes patients whose financial situation normally would
not otherwise qualify them for charity care discounts. The discount for all uninsured
patients will be at least 15%. The exact amount of the discount will be calculated based
on the average discounts provided by the hospital to commercial managed care payers, such
as insurance companies.
Patients without insurance whose financial situation qualifies them for charity care
discounts (see Eligibility Guidelines below) must first find out if they are eligible
for Medicaid before applying for financial assistance. Patients denied Medicaid
eligibility then must provide certain information to show financial need.
Click here for the Patient Financial
Statement and information for filling it out.
Applications for charity care discounts will be reviewed for eligibility based on
the applicant's income, family size, amount of payment due and availability of
other assets or resources. Please note that care must be medically necessary to
be considered eligible for uninsured patient discounts.
Eligibility Guidelines for Charity Care Discounts
The Federal Poverty Guidelines for income are the basis for determining eligibility for
charity care discounts. For example, individuals with incomes below 100% of the Federal
Poverty Guidelines will be eligible for free care. Individuals with incomes greater than
100% of the Federal Poverty Guidelines may be eligible for care at discounted rates
depending on their income level and/or the amount due to the hospital.
Additional Financial Assistance
After appropriate discounts have been applied, arrangements may be made for an
interest-free monthly payment plan. Generally, no patient's financial responsibility
will be greater than 20% of annual household income, adjusted to consider availability
of other assets that could be used toward making payments.
If you have concerns about your ability to pay for your care or questions about
financial assistance or charity care discounts, please contact our
Financial Counselor at 479-338-3453