MERCY HEALTH - TIFFIN 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

"Contact Information: For more information, please contact BSMH as follows for Mercy Health hospitals: Website www.bsmhealth.org/financial-assistance www.mercy.com/financial-assistance Telephone 1-855-732-0138 By Mail Mercy Health Public Benefits Dept PO Box 631774 Cincinnati, OH 45263-1774 In Person Mercy Health - Anderson Hospital 7500 State Road Cincinnati, OH 45255 Dept: Financial Counseling Mercy Health – Clermont Hospital 3000 Hospital Drive Batavia, Ohio 45103 Dept: Financial Counseling Mercy Health – Fairfield Hospital 3000 Mack Road Fairfield, Ohio 45014 Dept: Financial Counseling The Jewish Hospital – Mercy Health 4777 E. Galbraith Road Cincinnati, Ohio 45236 Dept: Financial Counseling Mercy Health – West Hospital 3300 Mercy Health Blvd., Cincinnati, Ohio 45211 Dept: Financial Counseling Mercy Health – Kings Mills Hospital 5440 Kings Island Drive Mason, Ohio 45040 Dept: Financial Counseling Mercy Health - Springfield Regional Medical Ctr 100 Medical Center Drive (at West North St) Springfield, Ohio, 45504 Dept: Financial Counseling Mercy Health – Urbana Hospital 904 Scioto St, Urbana, OH 43078 Dept: Financial Counseling Mercy Health - St. Rita’s Medical Center 730 W. Market St. Lima, OH 45801 Dept: Financial Counseling Mercy Health - Lourdes Hospital 1530 Lone Oak Rd Paducah, KY 42003 Dept: Financial Counseling Mercy Health - Marcum and Wallace Hospital 60 Mercy Court Irvine, KY 40336 Dept: Financial Counseling Mercy Health - St. Charles Hospital 2600 Navarre Avenue Oregon, OH 43616 Dept: Financial Counseling Mercy Health - St. Anne Hospital 3404 W. Sylvania Avenue Toledo, OH 43623 Dept: Financial Counseling Mercy Health - Defiance Hospital 1404 E. Second Street Defiance, OH 43512 Dept: Financial Counseling Mercy Health - Tiffin Hospital 45 St. Lawrence Drive Tiffin, OH 44883 Dept: Financial Counseling Mercy Health - Willard Hospital 1100 Neal Zick Rd. Willard, OH 44890 Dept: Financial Counseling Mercy Health – Perrysburg Hospital 12623 Eckel Junction Rd. Perrysburg, OH 43551 Dept: Financial Counseling Mercy Health - St. Elizabeth Youngstown Hospital 1044 Belmont Ave. Youngstown, OH 44501 Dept: Financial Counseling Mercy Health - St. Elizabeth Boardman Hospital 8401 Market St. Boardman, OH 44512 Dept: Financial Counseling Mercy Health - St. Joseph Warren Hospital 667 Eastland Avenue Warren, Ohio 44484 Dept: Financial Counseling Mercy Health – Lorain Hospital 3700 Kolbe Rd. Lorain, OH 44053 Dept: Financial Counseling"

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

"Approved applications will be honored for a period of 240 days from the initial date of service and are not applied retrospectively to prior dates of service in which the application period has expired."

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

"BSMH will notify individuals about the HFA Policy as described herein before initiating any ECAs to obtain payment for the care and refrain from initiating such ECAs for at least 120 days from the first post-discharge billing statement for the care."

documented · checked 2026-10-14 · English.pdf

"Telephone 1-855-732-0138"

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

"Mercy Health - Tiffin Hospital 45 St. Lawrence Drive Tiffin, OH 44883 Dept: Financial Counseling"

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