Financial Assistance Policy

fap-policy

FINANCIAL ASSISTANCE POLICY

Marlette Regional Hospital is committed to providing health care services to patients who are unable to pay for such care. You may be eligible for financial assistance if you are not insured, underinsured, or do not qualify for governmental assistance such as Medicare or Medicaid.

The following content provides a summary of Marlette Regional Hospital’s Financial Assistance Policy (FAP). To download a copy of the FAP Plain Language Summary, click here.

Financial Assistance
Eligibility for financial assistance is based on multiple factors including insurance coverage and other sources of payment and income. Federal Poverty Level guidelines are used to determine potential financial assistance offered.

Financial assistance is offered to patients who are uninsured, underinsured, as well as those experiencing temporary financial hardship. Partial or full financial assistance may be granted based on a patient’s ability to pay the billed charges.

Patients must comply with the application process, as well as complete the application process for all available sources of assistance, including Medicare or Medicaid assistance.

Eligibility Requirements
Financial assistance is generally determined by completion of a short application, providing family income supporting documents, and applying for and receiving a determination for Medicaid coverage. If you have sufficient insurance coverage or assets available to pay for your care, you may not be eligible for financial assistance. Please refer to the full policy for a complete explanation and details by clicking here.

Eligible Services & Providers for Financial Assistance
Some hospital services and health care providers are excluded from coverage by the Financial Assistance Policy. Click here to view the list of eligible services. Click here to view the health care providers that participate in discounting through the Financial Assistance Policy. These lists are updated on a quarterly basis.

Where to Find Information
To apply for financial assistance you may:

  • Download and print the application form here.
  • Request the information by mail or by visiting the information desk located in the front/main lobby of the hospital. Copies of the policy and application are also available in the patient registration area, patient accounting office, as well as the emergency department.
  • Request the information by calling 989-635-4232.

Availability of Translations
The Financial Assistance policy, application form, and the plain language summary can be offered in English and Spanish.  For information about Marlette Regional Hospital Financial Assistance Policy and translation services, please call for a representative at 989-635-4232.

How to Apply
The process involves filling out the financial assistance application (click here) and submitting it along with the supporting documents to the patient accounting office for processing. You may also apply in person by visiting the information desk in the front/main lobby of the hospital.

Financial assistance applications are to be submitted to the following office:
Attn: Patient Accounting Office
Marlette Regional Hospital
2770 Main Street, P.O. Box 307
Marlette, MI 48453-0307

No More Than Amount Generally Billed (AGB) & Payment Terms
A patient determined to be eligible for financial assistance may not be charged more than amounts generally billed for emergency or other medically necessary care to patients who have insurance for such care. View the supporting AGB document by clicking here.

Patients also have the ability to pay a bill over time by making arrangements with a Patient Accounts Representative. Monthly payment amounts are determined by the outstanding account balance. Click here to view the account balance terms.

Questions?
Contact the Patient Accounting Department
Phone: 989-635-4042