Financial Assistance
Plain Language Summary of Mercy’s Financial Assistance Policy
Financial Assistance
is Available for Cancer Patients
Financial Assistance Foundations
- Cancercare Copay Assistance Foundation
- Patient Advocate Foundation
- Chronic Disease Fund
- Patient Access Network
- The Leukemia and Lymphoma Society
- Healthwell Foundation
- Accessia Health
Other Resources
- The Assistance Fund
- Needy Meds
- American Cancer Society
We are here to help guide you through this process. For more information, please contact Hall-Perrine Cancer Center at (319) 365-4673.
In keeping with the mission of the Sisters of Mercy, Mercy Medical Center (Mercy) is dedicated to making healthcare services accessible to our community. Mercy acknowledges the financial needs of patients and families who are unable to afford the charges associated with the cost of medical care. In that regard, Mercy provides medically necessary healthcare services at a discount to patients who qualify for assistance under Mercy’s Financial Assistance Policy. Patients who qualify for Financial Assistance may not be charged more for emergency or other medically necessary care than the amounts generally billed to patients who have insurance for such care.
Eligibility and Assistance Offered
In order to be eligible for free care or care at a reduced rate, the patient and/or family must apply by completing a short application. Individuals applying for Financial Assistance will not be denied based upon race, color, religion, sex, age, national origin, or marital status. To qualify for financial assistance an individual’s application must be received within 240 days from date of the first statement post-discharge. The decision to provide Financial Assistance will be based on a review of the patient’s income, assets and liabilities. Additional information may be requested and ultimately may affect the health system decision.
The necessity of medical treatment for any patient will be based on the clinical judgment of the healthcare provider without regard to the financial status of the patient. All patients will be treated for emergency medical conditions without discrimination and regardless of their ability to pay.
Applying for Financial Assistance
Patients and families wishing to apply may submit a Financial Assistance Application (PDF) and supporting documentation to the Patient Account Department. Copies of Mercy’s Financial Assistance Policy and this Plain Language Summary may be obtained at no cost by visiting or calling the Patient Account Department, hospital registration, or cashier office. Translations of these documents are available. To discuss any questions you might have, or to request a free copy of the Financial Assistance Policy, Application, or Plain Language Summary by mail, please contact the Patient Account Department at:
Patient Account Department
Mercy Medical Center
800 7th Street SE
Cedar Rapids, IA 52403
(319) 369-4505
Calculation of Free or Discounted Care
Program |
Available To |
Description |
How to Apply |
Financial Assistance – Free Care |
Uninsured and insured patients |
Offers free care to families based upon family size and with income less than 200% of Federal Poverty Guideline |
Complete Financial Assistance Application (PDF) |
Financial Assistance-Sliding Scale |
Uninsured and insured patients |
Offers discounted care to families based upon family size and with income level between 200% to 400% of the Federal Poverty Guideline |
Complete Financial Assistance Application (PDF) |
Uninsured Self Pay |
Uninsured patients |
Offers reduction of 40% to any individual or family that is uninsured or does not qualify for insurance. Services must not be cosmetic or a flat rate service. |
No application is required |
Payment Plan Program |
Uninsured and insured patients |
Assists patients with their financial obligations by establishing payment arrangements |
Contact a Financial Counselor at (319) 369-4505 |
Uninsured Patients
Mercy Medical Center's policy is committed to providing quality healthcare to all persons regardless of their financial status. The Medical Center has developed the following guidelines in an effort to assist those who are in need of such assistance in a fair, non-discriminatory manner. In keeping with Federal Legislation, Mercy Medical Center does seek full payment on all medical bills; however, we intend to help our patients in developing a payment plan or making other payment arrangements. The hospital financial counselors can help you identify ways you can fulfill your financial responsibility. Please contact Patient Accounts at (319) 369-4505 or email or email financialadvocate@mercycare.org to speak with one of our financial counselors. Phones are answered from 7:30 a.m. to 5 p.m. Monday through Friday.
Notification
In an effort to make our patients, families, and the broader community aware of Mercy Medical Center’s Financial Assistance Program, Mercy has taken a number of steps to widely publicize this policy including posting of legible signage; development of this Plain Language Summary (PLS) and distribution of informational pamphlets at registration desks. The Financial Assistance Policy, Application, and Plain Language Summary are available in both English and Spanish, by mail and in-person at the hospital.
Includes: Mercy Medical Center, Mercy Medical Center Specialty Physician Groups