How to apply for Hospital Financial Assistance (MercyOne New Hampton Medical Center) — Chickasaw in Iowa

Who it's for

MercyOne New Hampton Medical Center follows MercyOne's financial assistance program. MercyOne does not refuse medically necessary or emergency care, and gives help to low-income people and people with special health care expenses who live in its service area. The program covers medically necessary hospital services, including inpatient, emergency and medical group outpatient care. MercyOne will not take legal action to collect a judgment, place a lien or report you to a credit bureau while you are applying for or receiving assistance. Download the application, policy and plain language summary online, or call the New Hampton line at 641-428-3029 or 641-428-7824.

What you'll need

• Financial Assistance Application

Where to apply

What to say when you call

"Hello, I'm calling to ask about Hospital Financial Assistance (MercyOne New Hampton Medical Center) — Chickasaw. 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 financial Assistance Application — 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)