How to apply for Hospital Financial Assistance (Mercy Hospital Jefferson) — Jefferson

Who it's for

Uninsured and underinsured residents of Jefferson County can apply for financial assistance (charity care) at Mercy Hospital Jefferson for emergency and medically necessary care. Discounts are based on household size and income compared with the Federal Poverty Level. In-county hospital in Crystal City, MO (https://www.mercy.net/practice/mercy-hospital-jefferson/). Mercy's system financial-assistance page: Level I (0-200% FPL) = 100% hospital and physician discount; Level II (201-300% FPL) = 80% hospital / 70% physician discount. Mercy Hospital South in south St. Louis County is the other Mercy facility Jefferson County residents commonly use.

What you'll need

• Proof of household income (tax return, pay stubs, or benefit award letter)
• Proof of family/household size
• Proof of residency and identification

Where to apply

What to say when you call

“Hello, I'm calling to ask about Hospital Financial Assistance (Mercy Hospital Jefferson) — Jefferson. I'd like to know whether I may qualify, what documents I need, and whether I can apply online, by mail, by phone, or in person. I understand I may need proof of household income (tax return, pay stubs, or benefit award letter), proof of family/household size, proof of residency and identification — is anything else required? What is the best next step?”

Tip: have a pen ready, ask for the person's name, and write down any case or reference number they give you.

Renewals

annual (reapply per policy)