Financial Assistance
The MetroHealth System provides outstanding, life-long care for all members of our community. There are programs that may help you pay for your health care costs. Whether you may want to apply for healthcare insurance through the HealthCare Exchange, apply for Medicaid or need Financial Assistance, MetroHealth is here to help you. MetroHealth and the government both sponsor programs to enable you to receive the highest quality of care, even if you may not be able to afford it.
Contact Us
Eligibility Team
For questions related to insurance or program enrollment, please contact the Financial Eligibility Team at 216-957-2325 Monday - Friday from 8 a.m. to 5 p.m.
Customer Service
Call 216-957-3250 Monday through Thursday from 8 a.m. to 8 p.m. or Friday 8 a.m. to 5 p.m or e-mail [email protected]. We will respond to customer service inquiries within four business days.
Financial Assistance Resource Links
- Current Federal Poverty Guidelines
- Financial Assistance Frequently Asked Questions (FAQs)
- Financial Assistance Program and Hospital Care Assurance Program Information Sheet
- Required Documentation for Medicaid Assistance and Financial Assistance Program
- Application for Financial Assistance
Financial Assistance Criteria
MetroHealth uses the Federal Poverty Guidelines for medically necessary services to help determine what Financial Assistance Program best fits your needs.
- Income is Up to 100% of Federal Poverty Guidelines
After a financial assessment of the patient’s income has been completed, the patient’s bill will be reduced by 100% if their income level is at or below 100% of the Federal Poverty Guidelines and they are a resident of the State of Ohio. Non-Residents of the State of Ohio requiring Emergency, Trauma, or Burn Care will receive 100% reduction if their income is at or below 100% of the Federal Poverty Income Guidelines. Non-residents of the State of Ohio will be provided assistance to receive other services in their home state OR receive a 75% reduction to their bill.
- Income is 101 – 300% of Federal Poverty Guidelines
After a financial assessment of the patient’s income has been completed, the patient’s bill will be reduced by 100% if their income level is between 101% and 300% of the Federal Poverty Guidelines and they are a resident of Cuyahoga County. Non-Residents of Cuyahoga County requiring Emergency, Trauma, or Burn Care will receive 100% reduction if their income is between 101% and 300% of the Federal Poverty Income Guidelines. Non-residents of Cuyahoga County will be provided assistance to receive other services in their home county or state OR receive a 75% reduction to their bill.
- Income is 301 – 400% of Federal Poverty Guidelines
After a financial assessment of the patient’s income and assets have been completed, the patient’s bill will be reduced by 75% if their income level is between 301% and 400% of the Federal Poverty Guidelines and they are a resident of Cuyahoga County. Non-Residents of Cuyahoga County requiring Emergency, Trauma, or Burn Care will receive a 75% reduction if their income is between 301% and 400% of the Federal Poverty Income Guidelines. Non-residents of Cuyahoga County will be provided assistance to receive other services in their home county or state OR receive a 75% reduction to their bill.
- Income is Over 400% of Federal Poverty Guidelines
After a financial assessment of the patient's income and assets has been completed, uninsured patients over 400% of the Federal Poverty Guidelines will be enrolled in the Self-Pay/Uninsured Program. Residents of Cuyahoga County will automatically receive a 65% reduction to their bill. Non-Residents of Cuyahoga County automatically will receive a 50% reduction to their bill which is equivalent to MetroHealth's average insurance discount.
- Presumptive Charity Care
MetroHealth has a process to validate the patient’s ability to pay, and in the event that the patient does not contact us, nor apply for financial assistance, we may extend the patient charity care for that episode of care. This applies only to patients who do not inform us of insurance coverage.
Financial Assistance Programs
| Income as Compared to Federal Poverty Guidelines | Reduction Applied to MetroHealth's Bill |
|---|---|
| 0–100% |
100% Resident State of Ohio 100% Non-Resident of State of Ohio for Emergency, Trauma or Burn Care 75% Non-Resident State of Ohio for all other services |
| 101–300% |
100% Resident of Cuyahoga County 100% Non-Resident of Cuyahoga County for Emergency, Trauma or Burn Care 75% Non-Resident State of Cuyahoga County for all other services |
| 301–400% |
75% Resident of Cuyahoga County 75% Non-Resident of Cuyahoga County for Emergency, Trauma or Burn Care 75% Non-Resident State of Cuyahoga County for all other services |
| 401% and above without insurance coverage |
65% resident of Cuyahoga County 50% Non-Resident of Cuyahoga County |
For patients whose income is at or below (0 percent to 100 percent of the Federal Poverty Guidelines (FPG) and meets all additional eligibility criteria, The MetroHealth System participates in Ohio’s Hospital Care Assurance Program (HCAP), with 100 percent reduction of the bill.
To learn more about how our Financial Eligibility Team may help you with insurance enrollment or the Financial Assistance Programs please call 216-957-2325, Monday - Friday from 8 a.m. to 5 p.m.
Doc2Go services are excluded from MHS Financial Assistance Policy (FAP). Payment is due prior to Doc2Go services being performed.
