Mercy Hospital Jefferson

Nonprofit acute care hospital in Crystal City, MO.

Verified from the hospital's own policy

Mercy Hospital Jefferson likely gives free care to households with a yearly income up to $31,920 for 1 person, $43,280 for 2, $54,640 for 3, $66,000 for 4, $77,360 for 5 or $88,720 for 6. It likely gives a discount to households with a yearly income up to $47,880 for 1 person, $64,920 for 2, $81,960 for 3, $99,000 for 4, $116,040 for 5 or $133,080 for 6.

The hospital makes the final decision.

Discount steps

• 0% to 200% of poverty level, you pay nothing (100% hospital and physician discount)
• 201% to 300% of poverty level, you pay 20% of the hospital bill (80% hospital discount, 70% discount on included physician bills)

How to apply

1. Call 855-420-7900 and ask for financial assistance.
2. Application form
3. Financial Assistance Program Policy, Hospital and Health Services
4. Plain language summary
5. Bring completed application, most recent federal tax return for each adult in the household (or IRS Form 4506-T if no return was filed), proof of income for each adult, such as 60 days of pay stubs or benefit letters, statement of support if there is no income, copy of insurance card, if insured.
6. The policy gives 240 days to apply. Ask the billing office which date the count starts from.

Languages

English, Spanish

If you have insurance

Insured patients can also apply for help with deductibles and copays. Keep your insurance. Financial assistance covers bills from this one place only.

What is covered

Covered

Emergency and other medically necessary hospital care. Also Mercy lab, home care, hospice and home infusion services, plus the doctor departments listed for this hospital in the policy. Insured patients can get help with what they still owe after insurance pays.

Not covered

Most doctor bills fall under a separate Mercy professional services policy. Cosmetic care, hearing aids, retail pharmacy, the optical shop, residential care and package-priced services are excluded. Care that insurance would not cover because it was out of network or skipped a required pre-authorization does not qualify. Bills tied to an injury claim, lawsuit or workers compensation do not qualify.

Notes

Mercy uses one policy for its hospitals in Arkansas, Kansas, Missouri and Oklahoma. If you have no insurance, Mercy asks you to call 844-764-6850 first to check for Medicaid or Marketplace coverage. You can apply on paper, through MyMercy, or by phone. Mercy asks for your papers within 15 days of applying. If approved, the discount covers bills from the 240 days before you applied and new bills for 6 months after approval. Some patients at or below 200% of the poverty level get free care without applying, based on a credit-data check. Payment plans are available through Customer Service at 855-420-7900.

Sources

• Free care level

  Level ... % of Poverty Level ... Hospital Discount ... Physician Discount ... I 0 - 200% 100% 100%

• Discount level

  II 201% - 300% 80% 70%

• Insured patients

  Financial assistance will only apply to the patient’s liability portion of the charge after all other third-party payments are applied.

• Deadline

  eligible services that were first billed to the patient in the prior 240 days from the date a completed application is submitted to Mercy.

• Presumptive eligibility

  Mercy will utilize a third-party-tool to identify patients that are at or below 200% of the Federal Poverty Guidelines with low propensity to pay.

• Insurance screening

  If you don’t have insurance, Mercy requires that you first complete an Insurance Eligibility Screening by calling 844.764.6850.

• Documents

  A full copy of the most recent federal tax return, including all forms and schedules, for each household member(s) over the age of 18

• What is not covered

  All Professional Services are excluded from the Hospital and Health Services Financial Assistance Policy unless specifically listed as included.

• Languages

  The paper Financial Assistance Application and Policy are available in both English and other languages prevalent in the area

• Financial counseling phone

  Mercy Health: Questions about the financial assistance policy may be directed to Mercy Health customer service 855-420-7900.

• Covered facility

  Jefferson N/A

Last checked. 2026-11-11