Financial Assistance

Mount Carmel East, Grove City, St. Ann's and New Albany associates are called to provide safe, exceptional care to improve or restore well-being, to relieve and prevent suffering, and to be a community of persons in service to others.

We are committed to foster healing, act with compassion, and promote wellness for all persons and communities with special attention to those who are poor, underserved and most vulnerable.

By our service, we strive to transform hurt into hope.

Patients Who Are Under-Insured or Without Insurance

Mount Carmel Financial Counselors are available at registration, and during or after the hospital stay, to explain available patient financial assistance options. We also guide patients through the application process (free of charge), and help patients to:

  • Apply for Medicaid
  • Apply for The Ohio Hospital Care Assurance Program (HCAP)
    • Ohio residents who do not currently receive Medicaid benefits and have family income which is at or below federal poverty guidelines receive hospital care at no charge.
  • Apply for Mount Carmel Financial Assistance
  • Establish an interest free or low interest payment plan
  • Receive discounted care
    • Mount Carmel offers discounts to patients who are uninsured and demonstrate financial hardship. Prompt-pay discounts are also available.

Mount Carmel Financial Assistance

Click here for the plain language summary of our Financial Assistance & Charity Care policy.

Mount Carmel offers financial assistance to eligible patients. The program may provide discounted care for individuals and families who are between 201 and 400 percent of federal poverty guidelines.

Patients with family income below 200% of federal poverty guidelines may qualify to receive their hospital care at no charge.

We also recognize that patients may need additional financial assistance for hospital care based on their individual circumstance.

Eligibility determination is based on income, personal assets, family size, and the amount of the hospital bill.

Mount Carmel also offers low interest loans for up to three years to qualifying patients, depending on the outstanding balance and/or personal situation.

Covered Providers

Click the button below to view a list of providers who are covered by Mount Carmel's Financial Assistance Policy.

Covered Providers

Not Covered Providers

Click the button below to view a list of providers who are not covered by Mount Carmel's Financial Assistance Policy.

Not Covered Providers

Patient Responsibility

Patients must assume the final responsibility to apply for assistance, and to provide complete and accurate information on the application.

Download The HCAP/Mount Carmel Financial Assistance Application

For other languages, please contact Mount Carmel Patient Financial Services.

When completed, please send your application to: 
Mount Carmel Health System 
34375 W. 12 Mile Rd. 
Farmington Hills, MI 48331

2023 Poverty Guidelines

Persons in family/household Poverty guideline
1 $14,580
2 $19,720
3 $24,860
4 $30,000
5 $35,140
6 $40,280
7 $45,420
8 $50,560

For families/households with more than 8 persons, add $5,140 for each additional person.

For more information on financial assistance programs, please call Mount Carmel Patient Financial Services at 614-234-8888 or 800-346-1009 weekdays between 9:00 a.m. and 5:00 p.m. Download our Patient Financial Services Policy.