Financial Assistance

Making Quality Care Possible for all Patients

MercyOne does not refuse medically necessary or emergency care. Assistance is provided to low-income individuals and people with special health care expenses who live in our service area because everyone deserves access to quality care, regardless of their financial situation.

MercyOne will not pursue legal action to collect a judgement, place a lein on an individual's property or report the individual to a credit bureau if you are applying for or receiving financial assistance.

Apply for Financial Assistance

Please download, review and complete the following application forms to apply for financial assistance. English documents are below. Documents are available in other languages by clicking here.

Qualifying Services

The MercyOne Financial Assistance Program may be used for all medically necessary hospital services, including inpatient, emergency, and medical group outpatient services for residents within our service area.

Which Services Do Not Apply?

Our Financial Assistance Program does not include the following:

Cosmetic surgery
Services that are not medically necessary
Services that result from patients going out of their insurance network for care

Medicaid and Government Assistance Programs

Assistance may be available through various local, state and federal programs. We can assist you with this screening process and guide you to the proper public agencies. For assistance, please contact us:

Billing & Collections

MercyOne will implement billing and collection practices for the patient payment obligations that are fair, consistent and compliant with state and federal regulations. A copy of the Billing and Collection Procedure may be obtained, free of charge by calling the Patient Business Services Center at 800-494-5797.