Financial Assistance Policy

For Those Unable to Pay the Full Cost of Care

Catholic Health Initiatives (CHI) understands that paying for emergency and/or medically necessary medical care can be difficult, particularly for patients who lack health insurance. As part of our ongoing commitment to our patients, CHI works hard to help our patients address their financial responsibilities in a way that is fair and sensitive to their circumstances. We have instituted a program designed specifically to help those who find themselves in financial distress.

The Program

The CHI Financial Assistance Policy (available in multiple languages) applies to uninsured/underinsured patients who come to our facilities for treatment. This policy provides financial relief to patients who qualify based on a comparison of their financial resources and/or income to Federal Poverty Guidelines.

The program is designed specifically for non-elective care patients whose household financial resources and/or income are at or below 400 percent of the Federal Poverty Level.

To qualify for any assistance, uninsured/underinsured patients will be asked to complete a CHI Financial Assistance Application (available in multiple languages) which includes information relating to household income and expenses.

We are committed to working with our patients to establish an appropriate payment plan based on the amount due and the patient’s financial status.

Participating Providers List

To view a list of MercyOne providers that are included and/or excluded from the Financial Assistance Policy, View Provider List (This list is updated quarterly)

Plain Language Summary

Financial Assistance Application

Financial Assistance Policy

Amount Generally Billed

If you qualify for partial support from CommonSpirit Health, learn the amounts generally billed/reimbursed for services at CommonSpirit Health hospitals.