Below is a summary to Covenant HealthCare's Financial Assistance Policy. A link to the full version can be found at the bottom of the page. If you have questions or need to contact Financial Counseling, call 989.583.2959 or 989.583.6024. You can also email financialcounseling (at) chs-mi.com. You can also download a copy of Covenant's Financial Assistance Application (pdf).
Covenant Medical Center Financial Assistance Program Summary
Mission of Covenant Financial Assistance
Covenant Medical Center (Covenant) is committed to providing Financial Assistance to patients who have healthcare needs and are uninsured, underinsured, ineligible for a government program, and are otherwise unable to pay for medical care based on their individual financial situation consistent with its charitable mission. Covenant strives to ensure people who need health care services are not prevented from seeking or receiving care due to the inability to pay. Covenant will provide, without discrimination, emergency and other medically necessary care to individuals regardless of their eligibility for Financial Assistance or for government assistance. Covenant will work actively to grant Financial Assistance to patients who are unable to pay for services received, who are not eligible for outside financial aid, or government health care programs and who otherwise meet the requirement of this Policy.
Financial Assistance will be offered to patients who qualify, based upon their inability to pay, in accordance with the U.S. Federal Poverty Guidelines, and meet the conditions outlined in Covenant’s Financial Assistance Policy. Financial Assistance should not, however, be considered a substitute for personal responsibility.
Financial Assistance will be considered for individuals who are uninsured or underinsured, unable to pay for their care, and have applied for government health care benefits based upon a determination of financial need according to this Policy. Granting of Financial Assistance shall be based on an individualized basis based on financial need, and shall not take into account age, gender, race, social, sexual orientation, or religious affiliation. A request for Financial Assistance may be made by the patient or a family member, close friend, or associate of the patient, subject to applicable privacy laws. Requests can be made prior to, during, or after service is received by contacting a financial counselor at 989-583-2959 or 989-583-6024.
Financial Assistance will be calculated based on a sliding scale, and incorporated into the Financial Assistance Policy once the following criterion is met:
- Medicaid denial based on excess income, denial by the Medicaid Medical Review Team, denial by a different program with connection, or not disabled and not a denial due to the patient’s failure to complete the Medicaid application process.
- Received completed and signed Patient Financial Profile form and the supporting paper work.
- Unusual medical expenses or widespread damaging events, as stated on the Patient Financial Profile, may also be considered.
- When patient services are medically needed, as determined by a referring/attending physician.
Financial Assistance does NOT include all cost that may be connected with medical services. Included but not limited to transportation and housing, optional procedures (not emergent or not medically necessary), food (other than inpatient meals), medical equipment, pharmacy supplies, prescriptions filled at a non-Covenant pharmacy, and Home Health Care or services at a non-Covenant entity.
Falsification of information or incomplete paper work from the patient’s sponsor/responsible party will be considered grounds for a rejection of Financial Assistance.
For a copy of the full policy, please click here.