MERCY MEDICAL CENTER

MERCED, CA · version 1 · published · JSON

eligibility.free_care_max_fpl200% of the federal poverty level

"Up to 200% of the FPL – Any patient whose Family Income is at or below 200% of the FPL, including, without limitation, any Uninsured or Underinsured patient, is eligible to receive Financial Assistance up to a 100% discount from his or her account balance for eligible services provided to the patient after payment, if any, by any thirdparty(ies)."

documented · checked 2026-10-14 · English

eligibility.insured_patients_coveredYes

"Financial Assistance is offered to insured patients to the extent allowed under the patient’s insurance carrier contract."

documented · checked 2026-10-14 · English

programs.presumptiveMedicaid

"Medicaid patients who receive non-covered medically necessary services will be considered for Presumptive Financial Assistance."

documented · checked 2026-10-14 · English

apply.documents_requiredProof of income
Tax return

"In order for your application to be processed, you must: □ Provide us information about your family □ Provide us information about your family’s gross monthly income (income before taxes and deductions) □ Provide documentation for family income □ Provide documentation for family assets □ Attach additional information if needed □ Sign and date the form"

documented · checked 2026-10-14 · Mercy Medical Center Merced Financial Assistance ...

apply.submit_methodsMail: Mercy Medical Center Merced, PO Box 3008, Rancho Cordova, CA 95741-3008
Fax: Fax: 877-691-1151
In person: Mercy Medical Center Merced, 333 Mercy Avenue, Merced, CA 95340

"Mail or fax completed application with all documentation to: Mercy Medical Center Merced, PO Box 3008, Rancho Cordova, CA 95741-3008, Fax: 877-691-1151. Be sure to keep a copy for yourself. To submit your completed application in person: Mercy Medical Center Merced, 333 Mercy Avenue, Merced, CA 95340"

documented · checked 2026-10-14 · Mercy Medical Center Merced Financial Assistance ...

apply.decision_days30 days

"We will notify you of the final determination of eligibility and appeal rights, if applicable, within 30 calendar days of receiving a complete financial assistance application, including documentation of income."

documented · checked 2026-10-14 · Mercy Medical Center Merced Financial Assistance ...

contacts.phone(209) 564-5105

"If you have questions or need help completing this application: You may obtain help for any reason, including disability and language assistance at: (209) 564-5105"

documented · checked 2026-10-14 · Mercy Medical Center Merced Financial Assistance ...

contacts.hours8am-4:30pm

"ATTENTION: If you need help in your language, please call (209) 564-5105 or visit the financial counselor office. The office is open 8am-4:30pm and located at Mercy Medical Center Merced, 333 Mercy Avenue, Merced, CA 95340."

documented · checked 2026-10-14 · Mercy Medical Center Merced Financial Assistance ...

contacts.languagesEnglish
Spanish

"Select your preferred language below to review the financial assistance policy summary. * [Arabic](/content/dam/commonspiritorg/en/chime/sotg/finance/assistance/memorial-hospitals-financial-assistance-summary-ar.pdf) * [German](/content/dam/commonspiritorg/en/chime/sotg/finance/assistance/memorial-hospitals-financial-assistance-summary-de.pdf) * [Spanish](/content/dam/commonspiritorg/en/chime/sotg/finance/assistance/memorial-hospitals-financial-assistance-summary-es.pdf) * [English](/content/dam/commonspiritorg/en/chime/sotg/finance/assistance/memorial-hospitals-financial-assistance-summary-en.pdf)"

documented · checked 2026-10-14 · Financial assistance

coverage.facilitiesMercy Medical Center Merced

"Mercy Medical Center Merced Financial Assistance Application Form Instructions This is an application for financial assistance at a CommonSpirit Health facility."

documented · checked 2026-10-14 · Mercy Medical Center Merced Financial Assistance ...