Medicaid enrollees: You may have to fill out a new Medicaid renewal yearly to stay in the Medicaid program. 点击这里 for more information.

365体育娱乐 付款计划 and Financial Assistance

365体育娱乐 works with patients to help pay their medical bills. Our hospitals provide payment plans as needed and financial assistance for eligible patients.


If you are unable to pay your balance in full, we can help you arrange a payment plan. (Some hospitals charge a monthly service fee of $4.95. Check with your local hospital.) If you want to set up automatic monthly credit card payments, our Patient Accounts office can help you make the necessary arrangements.

365体育娱乐 Financial Assistance Plain Language Summary

(效果Financiera) (Plain Language Summary)

365体育娱乐 Financial Assistance Program provides eligible patients with partially or fully discounted emergent or medically necessary care. 病人 who seek financial assistance must apply for the program. Please see details below.

Do I qualify for financial assistance?

You may be eligible for financial assistance if you meet the guidelines outlined in the Financial Assistance Policy. Eligible patients must submit a 完整的d Financial Assistance Application, including all necessary documentation, such as verification of income, address, 和资产.

Determination of Financial Assistance Eligibility

一般, uninsured patients are eligible for financial assistance, based on their family income level as noted in the criteria below.

100 percent discount
病人 with family income of 200 percent or less of the Federal Poverty income level are eligible for a discount of 100 percent of gross charges.

75 percent discount
病人 with family income of 201 percent to 300 percent of the Federal Poverty income level are eligible for a discount of 75 percent of gross charges.

病人 with family income of 301 percent to 400 percent of the Federal Poverty income level are eligible for a discount of 65 percent of gross charges.

Eligible patients will not be charged more for emergency or other medically necessary care than the amounts generally billed to insured patients.

Copies of the Plain Language Summary, the Financial Assistance Policy, the Credit and Collection Policy, and the Financial Assistance Application are available at no cost in 英语 and Spanish on the 365体育娱乐 website, 在注册, in Emergency Room areas, or at the locations listed under How to Apply.

What services are eligible for financial assistance?

Financial assistance is available for:

  • Emergency medical services provided by a 365体育娱乐 provider.
  • 服务 for a condition which, if not promptly treated, would harm the individual’s health.
  • Non-elective services provided in life-threatening circumstances in a non-emergency setting.
  • Medically necessary services, evaluated on a case-by-case basis at 365体育娱乐’s discretion.

How can I apply for financial assistance?

你可能会收到, 完整的, and submit financial assistance applications at any of the following locations:

ATTN: Financial Counselor
Cadillac, MI  49601
231-876-7283 or 800-637-2947

ATTN: Financial Counselor
Charlevoix, MI  49720
231-547-4024 or 800-577-0005

ATTN: Financial Counselor
989-348-5461 or 800-637-2947

Kalkaska Memorial Health Center
419 S. 珊瑚圣.

ATTN: Financial Counselor
1465 E. Parkdale大街.
manstee, MI 49660

Munson Medical Center
Financial Counselors Office
Traverse City, MI  49684

Mail your 完整的d application (with documentation) to:

Patient Financial 服务
Traverse City, MI 49684

For assistance or more information, please call Patient Financial 服务 at 231-935-7062 or 800-437-3615.

Otsego Memorial Hospital 
ATTN: Patient Financial Advocate
825 N. 中心大街.
盖洛德,MI 49735
For OMH Medical Group, please call 989-731-9542

Paul Oliver Memorial Hospital

Financial Assistance Application 形式

Click the appropriate hospital name to download an application for financial assistance.

Additional 资源