Financial Assistance - Dubuque

Financial Assistance and Charity Care Policy

In the spirit of our mission to serve together in the spirit of the Gospel as a compassionate and transforming healing presence within our communities, MercyOne is committed to providing healthcare services to all patients based on medical necessity.

For patients who require financial assistance or who experience temporary financial hardship, MercyOne offers several assistance and payment options, including charity and discounted care, short-term and long-term payment plans and online patient portal payment capabilities.

• MercyOne Financial Assistance Policy (Spanish)
• Federal Poverty Level guidelines
• Plain Language Summary (Spanish)
• Practitioner Index - Dubuque, Dyersville, Guttenberg
  No listed physician particpates in Dubuque, Dyersville or Guttenberg FAP.

Uninsured Patients

MercyOne extends discounts to all uninsured patients who receive medically necessary services. Uninsured discount amounts are based on Federal Poverty Level (FPL) guidelines. All medically necessary services qualify for uninsured discounts MercyOne may qualify patients based on residency requirements.

Services such as cosmetic procedures, hearing aids and eye care that normally are not covered by insurance are priced at packaged rates with no additional discount. All payments are expected at the time of service.

Applying

To apply for financial assistance, please complete and submit the application found on this webpage (Spanish version available here). Patients will be required to submit the application within 240 days of your first post discharge billing statement.

Copies of the application, plain language summary, and complete policy can be obtained free of charge from a financial counselor at the hospital where care was received or requested by mail by writing to the Patient Access department of the hospital where care was received. These documents are also available in the language of any population consisting of ten percent or more of the community population the hospital serves.

Patient Financial Services

Financial counselors are available to work with patients in completing financials assistance applications to determine what assistance is available. This includes assessing eligibility for Medicaid and Health Insurance Exchange plans.

Patients may contact a financial counselor at the hospital where they receive care who can assist in determining qualification for financial assistance.

No patient who qualifies for financial assistance will be charged more than the amounts generally billed by the hospital, which are Medicare rates.

The Health Insurance Marketplace

The Affordable Care Act (ACA) requires everyone legally living in the U.S. to have health insurance beginning January 1, 2014. It also gives millions of individuals with too little or no insurance, access to health plans at different cost levels. The law also provides financial assistance to those who qualify based on family size and income. Please see a financial counselor at the facility where you receive care for more information.

Amounts Generally Billed

Eligible patients will not be charged more than the amounts generally billed to individuals with insurance coverage for emergency or medically necessary care. Click here for more information.