JAVON BEA HOSPITAL
ROCKFORD, IL · version 1 · published · JSON
eligibility.free_care_max_fpl250% of the federal poverty level"For patients who are otherwise qualified and have a gross family household income equal to or less than 250% of the federal poverty guidelines, patient liability will be reduced by 100%."
documented · checked 2026-10-13 · Mercyhealth Financial Assistance Policy in English
apply.documents_requiredProof of incomeBank statements
Proof of residency
"□ Most recent statement for all checking, savings, and/or credit union accounts □ Information regarding value of, and income received from, owned properties (buildings/land) other than primary residence □ Other investment information (bonds, stocks, etc.,) other than the amounts held in, but not distributed from, IRA/401k retirement and 529 college savings accounts"
documented · checked 2026-10-13 · Financial Assistance Application - Page 1 of 9
apply.submit_methodsPortal: Mercyhealth MyChart App"We will accept your application for up to two hundred forty (240) days following the first billing statement for your care. You may also apply for this assistance through your Mercyhealth MyChart App."
documented · checked 2026-10-13 · Financial Assistance Application - Page 1 of 9
apply.window_days_from_first_bill240 days"We will accept your application for up to two hundred forty (240) days following the first billing statement for your care."
documented · checked 2026-10-13 · Financial Assistance Application - Page 1 of 9
Sources
[PDF] 2026 Federal Poverty Guidelines and Patient Responsible ... — fetched 2026-10-13
Financial Assistance Application - Page 1 of 9 — fetched 2026-10-13
Financial assistance l Mercyhealth — fetched 2026-10-13
Mercyhealth Financial Assistance Policy in English — fetched 2026-10-13
Mercyhealth Financial Assistance Policy in Spanish — fetched 2026-10-13
Supporting information — fetched 2026-10-13
English application — fetched 2026-10-13