MERCY HEALTH - FAIRFIELD HOSPITAL

"Individuals with an income level at 200% FPG or below receive free care."

documented · checked 2026-10-14 · [PDF] Healthcare Financial Assistance (HFA) Policy Number - Mercy Health

"There are situations where individuals may not have reported income but have significant assets available to pay for healthcare services. In these situations, BSMH may evaluate and require documented proof of any assets that are categorized as convertible to cash and unnecessary for the patient’s essential daily living expenses."

documented · checked 2026-10-14 · [PDF] Healthcare Financial Assistance (HFA) Policy Number - Mercy Health

"It covers patients without health insurance and those with only partial insurance coverage (i.e. the uninsured and underinsured) who meet the income and other eligibility criteria described herein."

documented · checked 2026-10-14 · [PDF] Healthcare Financial Assistance (HFA) Policy Number - Mercy Health

"You may obtain a copy of our HFA Policy and the HFA Application Form, as well as information about the financial assistance application process: (i) by visiting our website at www.bsmhealth.org/financial-assistance, www.mercy.com/financial-assistance, and www.fa.bonsecours.com, (ii) by contacting Bon Secours Mercy Health Patient Financial Services by telephone at 1-877-918-5400, (iii) by mailing a request to Bon Secours Mercy Health, 11511 Reed Hartmann Highway, Blue Ash, OH 45241, Attn: Financial Counseling, or (iv) by contacting our financial counselors in person at any of our hospital locations (see the full HFA Policy for a complete listing of facilities and addresses)."

documented · checked 2026-10-14 · Microsoft Word - Plain Language Summary_Mercy Health.docx

"Printable Financial Assistance Application (Select Language) * [English](/-/media/mercy/patient-resources/financial-assistance/2024/english/mercy-health-2024-application_final_clean.pdf) * [Arabic](/-/media/mercy/patient-resources/financial-assistance/2024/arabic/mercy-health-application-arabic.pdf)"

documented · checked 2026-10-14 · Financial Assistance Policy | Patient Resources | Mercy Health

"Mercy Health – Fairfield Hospital 3000 Mack Road Fairfield, Ohio 45014 Dept: Financial Counseling"

documented · checked 2026-10-14 · [PDF] Healthcare Financial Assistance (HFA) Policy Number - Mercy Health