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FINANCIAL POLICY

All copays and visit self-pay fees are due at check-in. Additional fees (excluding labs) for procedures, tests, etc. are collected upon checkout the day of service. The patient/legal guardian who is present for the visit is responsible for all fees on the day of service. Note that lab fees are separate, and will be billed directly by the lab.

Mercy understands that sometimes financial circumstances make it difficult to pay for your visit at the time of service. If you are experiencing a hardship, you may contact our Billing Department at (615) 790-0567 who will work with you to set up alternative payment arrangements.


SELF-PAY PROGRAM

Mercy Community Healthcare exists to provide healthcare services to everyone. We provide a Self-Pay Program for those without insurance. Our sliding fee discount schedule is determined by the Federal Poverty Guidelines. By Federal Law, qualification is based on two factors: household size and income. You will be asked to complete an application and provide proof of income for all adult members in your household. The completion of those documents will determine if you are eligible for the program, the category your household size and income place you in, and the fee(s) required at time of service.

Admittance into the Self-Pay Program is valid for a period of one year. Your fees could change if your income or household size increase or decrease during that time. Please inform us if this occurs. Mercy trusts that the information you provide is true and accurate. We reserve the right to disqualify you from the Self-Pay Program if you have misrepresented information.

 

BILLING AND INSURANCE INFORMATION

Please call our office at (615) 790-0567 and ask for the Billing Department with your billing and insurance related questions. Mercy accepts all types of insurance including; commercial, high-deductible plans, TennCare and Medicare. We are not responsible for knowing what your medical and behavioral health insurance benefits are and recommend you call your insurance company to find out if Mercy is in your insurance’s network of providers.