Financial Assistance - CHI Health, Nebraska (NE) - Southwest Iowa (IA)

For Those Unable to Pay the Full Cost of Care

Hospital Financial Assistance

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 300 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.

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.

Questions?

If you have any questions about qualifying or applying for financial assistance, please contact a representative for your hospital at the corresponding number below:

Creighton University Medical Center Bergan Mercy, Immanuel, Lakeside, Mercy Council Bluffs, Mercy Corning, Midlands, Missouri Valley, Plainview, Schuyler and University Campus of CHI Health Creighton University Medical Center Bergan Mercy:

Monday - Friday, 8:00 a.m. - 5:00 p.m.
Phone:  402-717-4800
Toll Free:  1-855-515-9372
Fax:  402-717-7960
E-mail:  MECS@alegent.org

CHI Health Good Samaritan
Phone: 308-865-7179

CHI Health Nebraska Heart
Phone: 402-328-3792

CHI Health St. Francis
Phone: 308-398-5745

CHI Health St. Mary’s
Phone: 402-874-5218

Language Access services are available 24 hours a day, 7 days a week at no charge by calling 402-398-5622.

Providers who are subject to our Financial Assistance Policy