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Center for Community Health
Financial Counseling & Medical Records
Financial Counseling
The MetroHealth Center for Community Health practices all include Financial Counselors who can assist you in finding resources to ensure your access to medical care. Please phone your provider's appointment line and ask to be scheduled for an appointment with the Financial Counselor if you need help with finding benefit programs, or would like to apply for a MetroHealth discount.
The MetroHealth System provides a discount on services for patients who qualify. To find out if you qualify, come to your Financial Counselor appointment with all of the following documentation that pertains to you and your family.
Community Discount Program - Effective March 2, 2009
For Cuyahoga County Residents
MetroHealth offers discounts to patients who have no insurance, depending on financial need. The program encourages patients to have a primary care provider who can work as a partner to make sure patients receive the right care at the right time in the right place.
Guiding Principles of the MetroHealth Community Discount Program
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You must meet residency requirements.
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If you have no health insurance, you may qualify for substantially discounted care for
medically necessary services.
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Discounts are based on family size and income (see below).
Largest discounts are available to individuals and families below 200% of the federal
poverty level.
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Discounts also available to individuals and families between 200% and 400% of
federal poverty levels (see below).
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Payment at time-of-service is required at all physician visits within The MetroHealth
System (see below).
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Financial counselors are available at all sites to provide assistance.
When is your eligibility for the discount program determined?
- Before you see the doctor, have a procedure or are admitted for an elective service
- After an emergency service is provided and before any follow-up care is scheduled
- Financial counselors at all communiyy health centers and on main campus determine if you are qualified
What kind of services are covered by the discount program?
- Medically necessary hospital and physician services provided by MetroHealth
- Discounted prescription drugs included in the MetroHealth formulary
- Discounted medically necessary dental services for children and adults
- Discounted services at MetroHealth are offered if the service is not available at the referring hospital or physician office
- Discount program does not apply to elective procedures or admissions. Pre-payment may be required to schedule elective procedures or admissions.
Does MetroHealth make any special accommodation for catastrophic situations? Yes, if your MetroHealth medical bills exceed 25% of the annual family household income, there is an additional discount for medically necessary services tailored to the individual situation.
Are there any other discounts available to patients without insurance? Yes, a patient can receive a 10% discount on a hospital stay, procedures, diagnostic tests, or other technical charges, if full payment is received within 30 days of billing.
Time-of-Service Payments
| |
Up to 200% FPL
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Up to 300% FPL
|
Up to 400% FPL
|
|
Physician Visit
|
$5
|
$15
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$30
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| ER - Urgent/Emergency |
$10
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$25
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$50
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| ER - Non-Emergency |
$75
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$75
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$75
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| Outpatient Procedure |
$10
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$25
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$50
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| Hospital Admission |
$15
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$45
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$90
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Non-Cuyahoga County residents are not eligible for the Community Discount Program.
Eligibility lncome Levels
| Family Size |
Up to 200% FPL
|
Up to 300% FPL |
Up to 400% FPL |
|
1
|
21,660
|
32,490
|
43,320
|
|
2
|
29,140
|
43,710
|
58,280
|
|
3
|
36,620
|
54,930
|
73,240
|
|
4
|
44,100
|
66,150
|
88,200
|
|
5
|
51,580
|
77,370
|
103,160
|
|
6
|
59,060
|
88,590
|
118,120
|
|
7
|
66,540
|
99,810
|
133,080
|
|
8
|
74,020
|
111,030
|
148,040
|
|
9
|
81,500
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122,250
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163,000
|
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10
|
88,980
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133,470
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177,960
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* FPL = Federal Poverty Levels 2009
Medical Records
The MetroHealth Center for Community Health operates a Health Information Services department at each location. Normal business hours are 8:00 a.m. to 4:30 p.m. Monday through Friday. To request copies of a medical record a signed and dated authorization must be provided with the appropriate information. Requests are generally processed with in 10 business days. Personal copies may require a fee.
For questions regarding Health Information Services, please contact the location where you receive your service.
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