# MercyOne Newton Medical Center

Hospital in Newton, IA. Verified from the hospital's own policy.

MercyOne Newton Medical Center 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 $63,840 for 1 person, $86,560 for 2, $109,280 for 3, $132,000 for 4, $154,720 for 5 or $177,440 for 6.

The hospital makes the final decision.

| Household size | Free care if yearly income is up to | Discount if yearly income is up to |
|---|---|---|
| 1 | $31,920 | $63,840 |
| 2 | $43,280 | $86,560 |
| 3 | $54,640 | $109,280 |
| 4 | $66,000 | $132,000 |
| 5 | $77,360 | $154,720 |
| 6 | $88,720 | $177,440 |

Dollar amounts use the 2026 federal poverty guidelines.

## Discount steps

- 0% to 200% of poverty level, patient pays nothing (100% discount), uninsured patients
- 201% to 400% of poverty level, patient pays 20.5% of charges (79.5% discount, FY2026 rate), uninsured patients

## How to apply

- Call 734-343-3065 and ask for financial assistance.
- [Application form](https://www.mercyone.org/sites/default/files/2025-09/fa_MO_trinity_health_application_-final_version_050224_english_for_translation_website_091125.pdf)
- [Financial Assistance to Patients (Trinity Health Mirror Finance Policy No. 1)](https://www.mercyone.org/sites/default/files/documents/financial-assistance/mercyone-hospital-english-fap-(2)-(1).pdf)
- [Plain language summary](https://www.mercyone.org/sites/default/files/documents/financial-assistance/mercyone-fap-plain-language-summary-final-version-050224.pdf)
- The policy gives 240 days to apply. Ask the billing office which date the count starts from.
- Bring proof of gross income for the past month, bank statements for the past two months, recent tax return, or three months of profit and loss statements if self-employed, insurance card copy, if insured.
- Residency. Lives in the hospital's service area (a list of zip codes). People from outside the area who get emergency care are also covered.
- Very large bills. Insured patients whose medical bills for one episode of care are more than 20% of family income can get help with the copays, coinsurance and deductibles above that 20%.
- Languages. English, Bosnian, Chinese (Simplified), Croatian, French, German, Laotian, Marshallese, Serbian, Spanish, Vietnamese

## 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 care and other medically necessary care billed by the hospital, including care given in the hospital by a closely related group.

Not covered. Cosmetic and other elective care is not covered. Bills from independent doctors, private duty nursing and ambulance rides are not covered. Some services your insurance would cover at another location may be excluded.

## Notes

Uninsured patients at or below 200% of the poverty level may get the full bill forgiven. Uninsured patients from 201% to 400% may get a partial discount and are never charged more than what insurance generally pays. Insured patients at or below 400% may get help with copays, coinsurance and deductibles if the insurance contract allows it. The hospital may also approve help on its own, without an application, using a scoring model. Approval covers six months from the first approved date of service. If the application is missing papers, the patient has 30 days to send them. Denials can be appealed within 30 days. Interest-free payment plans are available if the balance is paid within one year. The policy looks at family income and financial resources, and the application asks for bank statements. Billing questions can go to the Patient Business Services Center at 800-494-5797.

## Sources

- Free care level https://www.mercyone.org/sites/default/files/documents/financial-assistance/mercyone-hospital-english-fap-(2)-(1).pdf
  > Uninsured Patients whose Family Income is at or below 200% of the Federal Poverty Level (FPL) will be eligible for a 100% discount
- Discount level https://www.mercyone.org/sites/default/files/documents/financial-assistance/mercyone-hospital-english-fap-(2)-(1).pdf
  > Uninsured Patients whose Family Income is above 200% of the FPL and does not exceed 400% of the FPL
- Insured patients https://www.mercyone.org/sites/default/files/documents/financial-assistance/mercyone-hospital-english-fap-(2)-(1).pdf
  > Insured Patients whose Family Income is at or below 400% of the FPL will be eligible for Financial Assistance for co-pay, deductible, and co-insurance amounts
- Residency https://www.mercyone.org/sites/default/files/documents/financial-assistance/mercyone-hospital-english-fap-(2)-(1).pdf
  > Financial Assistance described in this section is provided to patients that reside in the Service Area (as defined in this Policy).
- Very large bills https://www.mercyone.org/sites/default/files/documents/financial-assistance/mercyone-hospital-english-fap-(2)-(1).pdf
  > due to catastrophic circumstances medical expenses for an episode of care exceed 20% of Family Income
- Deadline https://www.mercyone.org/sites/default/files/documents/financial-assistance/mercyone-hospital-english-fap-(2)-(1).pdf
  > Application Period begins the day that care is provided and ends the later of 240 days after that date
- What is not covered https://www.mercyone.org/sites/default/files/documents/financial-assistance/mercyone-hospital-english-fap-(2)-(1).pdf
  > Services not provided and billed by the Ministry (e.g., independent physician services, private duty nursing, ambulance transport, etc.).
- Discount steps https://www.mercyone.org/sites/default/files/fy26_partial_rates.xlsx
  > Partial Charity Discount % ... Newton Health Ministry ... 0.795
- Documents https://www.mercyone.org/sites/default/files/2025-09/fa_MO_trinity_health_application_-final_version_050224_english_for_translation_website_091125.pdf
  > Past Two months Complete Bank Statements for all bank accounts, with all pages included
- Languages https://www.mercyone.org/for-patients/billing-and-financial-information/financial-assistance-documents
  > MercyOne - Financial Assistance Documents in Other Languages
- Financial counseling phone https://www.mercyone.org/sites/default/files/documents/financial-assistance/mercyone-fap-plain-language-summary-final-version-050224.pdf
  > Newton ... 734-343-3065
- Covered facility https://www.mercyone.org/sites/default/files/documents/financial-assistance/mercyone-fap-plain-language-summary-final-version-050224.pdf
  > Contact Information Health Ministry ... Newton

Last checked 2026-11-11.

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