Privacy Breach Notice Update, 4/6/2023.
CHI Health 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, we work 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.
Our 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 emergent/urgent/ and/or medically necessary 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 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.
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, Creighton University Medical Center - University Campus, Immanuel, Lakeside, Lasting Hope Recovery Center, Mercy Council Bluffs, Mercy Corning, Midlands, Missouri Valley, Plainview, Schuyler, Good Samaritan, Nebraska Heart, Richard Young Behavioral Health, St. Elizabeth, and St. Francis, St. Mary's:
Monday - Friday, 8:00 a.m. - 5:00 p.m.
Toll Free: (844) 286-5546
Fax: (469) 803-4627
E-mail: CHIFA@coniferhealth.com
Language Access services are available 24 hours a day, 7 days a week at no charge.
Please note: for CHI Health Mercy Corning there are specific financial applications and plain language summaries that differ from other CHI Health locations.
If you qualify for partial support from CHI Health, learn the amounts generally billed/reimbursed for services at CHI Health Hospitals.
