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About Mercy

Financial Assistance Policy

Need assistance to pay your bill for emergency or other medically necessary care at Mercy Medical Center? You may be eligible for financial assistance.

First, we will assist you to identify and apply for insurance coverage that may be available. If you still have a remaining balance after exhausting other coverage options, you may be eligible for financial assistance.

Mercy Medical Center – Des Moines will not bill patients who are eligible for financial assistance more for emergency or other medically necessary care than the amounts we generally bill to individuals who have insurance covering such care.

HOW ELIGIBILITY FOR FINANCIAL ASSISTANCE IS DETERMINED

Under our Policy, we offer free or discounted care for emergency or other medically necessary care to patients who qualify. Qualification is based on family income 130% or less than the Very Low Income Guidelines issued by the Department of Housing and Urban Development that apply to our area (“HUD Guidelines”). Generally, financial assistance will be available to address remaining balances if:

  1. Your family income is at or below the HUD Guidelines;
  2. Your family income, exceeds the HUD Guidelines, but is insufficient to pay all or part of your bill; or
  3. Your family income exceeds the HUD Guidelines, and liquid assets are insufficient to pay significant or catastrophic medical bills not covered by your insurance.

In addition to your completed application, we may require documents evidencing your income, assets and medical expenses to determine whether you qualify for assistance. If you do not qualify for financial assistance, you may still be eligible for self-pay or other discounts according to our Policy. Our Financial Assistance Policy describes this in more detail.

HOW TO APPLY FOR FINANCIAL ASSISTANCE

When you are registered as a patient, we will ask about your coverage for health care services. If you don’t have coverage or it is not likely to be sufficient, we will either give you a packet of information that covers our financial assistance policy or offer the immediate assistance of a financial counselor, who will go over the financial assistance application with you.

You will need to complete the Financial Assistance Application form, provide all information it requests, and submit it to us. If it is determined you are eligible for assistance, we will notify you and let you know how much assistance is available. If it is determined you are not eligible for assistance, we will let you know that in writing and give a brief explanation of the reason.

It’s important to note that if you do not have insurance, you will not be charged more for services than the amount generally billed to those who have insurance.

QUESTIONS?

For more information or if you have questions, please contact patient accounts customer service at (515) 247-4199 option 2 or (866) 903-1965 or visit us at 1055 6th Ave., Ste. 200, Des Moines, Iowa. At your request, a copy of the Financial Assistance Policy and an application form will be mailed to you at no charge.

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