Overview
Thank you for choosing Cleveland Clinic Mercy Hospital for your healthcare needs. We appreciate the confidence you have placed in us.
Here you will find common questions related to insurance, billing, and financial assistance for our services. Please let us know if we can answer additional questions to help make the financial side of your experience with us as easy as possible, so you can focus on your health and wellness.
For questions, please call our Patient Information Line at 330.489.1105.
Pay your bill online with MyChart
Offering a secure option for managing your account, patients can view their statements and pay electronically in MyChart.
Insurance
Accepted insurance
It's your choice. Make sure your plan includes the hospital you've trusted over the years for the healthcare needs of you and your family.
Please bring your insurance card with you when you register. Your insurance information is maintained on file, but it's always a good idea to have it on hand so that we can ensure accurate billing and simplify registration.
Commercial carriers
- Aetna.
- Anthem Blue Cross and Blue Shield.
- Anthem Blue Cross and Blue Shield Pathway HMO (Hospital Charges Only).
- AultCare.
- CareSource.
- CappCare/Beech Street.
- Cigna (through March 31, 2024).
- First Health Network.
- Group Management Services.
- Health Ohio Network.
- HealthSpan.
- Humana.
- Immergrun.
- Medical Mutual of Ohio.
- Molina Healthcare of Ohio.
- Multiplan Network.
- Ohio Health Choice.
- PHCS (Private Health Care Systems/Multi Plan).
- SummaCare.
- The Health Plan/Hometown Health Plan.
- United Healthcare.
- United Medical Resources.
- WJL Administrative Services.
- 6 Degrees Health.
Medicare carriers
- Traditional Medicare.
- Aetna.
- AultCare.
- Anthem Blue Cross and Blue Shield.
- Buckeye Health Plan.
- CareSource.
- Devoted Health.
- Humana.
- Medical Mutual of Ohio.
- Paramount Elite.
- SummaCare.
- The Health Plan/Hometown Health Plan.
- United Healthcare.
- Valor Health.
Medicaid carriers
- Traditional Medicaid.
- AmeriHealth Caritas of Ohio.
- Anthem Medicaid of Ohio.
- Buckeye Health Plan.
- CareSource.
- Humana Medicaid.
- Molina Healthcare of Ohio.
- United Healthcare Community Plan.
Other carriers
- Bureau of Workers’ Compensation.
- Community Care Network (Veteran Administration).
- TriCare.
Medicare
When it comes to Medicare, you have a lot of choices. Determining the right plan for you as an individual is a mathematical equation based on health, current prescriptions and personal needs.
Free Medicare counseling from Stark County OSHIIP coordinator
Let Mercy’s Medicare counselor Terri Gursky help you sort through the many options available in Canton, Massillon and other area communities. As the Stark County Coordinator for the Ohio Senior Health Insurance Information Program (OSHIIP), Gursky regularly reviews local Medicare and Medicare Advantage Plans and stays up to date on all Medicare changes.
Schedule a virtual counseling session with Mercy’s Medicare counselor by calling 330.489.1333 or 1.800.223.8662.
OSHIIP ‘Welcome to Medicare’ webinars
The Ohio Senior Health Insurance Information Program (OSHIIP) is offering free, convenient one-hour webinars that focus on topics related to Medicare enrollment, eligibility, and choices for people turning 65.
Need help comparing Medicare plans?
Compare your Medicare options in Stark County, Ohio, with our helpful plan comparison chart.
Frequently asked questions
Below are some common questions and answers about Medicare. For more detailed information, please visit the Medicare website at medicare.gov or call 1.800.Medicare.
What is a Medicare Wellness Visit?
If you’ve had Medicare Part B for longer than 12 months, you can have an Annual Wellness Visit once every 12 months. You and your provider will complete a Health Risk Assessment and develop a personalized prevention plan to help you stay healthy. You pay nothing for this visit.
Your Part B deductible may apply if your doctor performs tests or 9 services during this visit. To understand the limitations of a free Medicare Wellness visit, please visit medicare.gov.
How will I be covered if I am placed under observation status as a Medicare patient?
You will be provided a document summarizing your observation status. Observation status is not considered a hospitalization and does not affect your Medicare Part A benefits. No hospital days are used and the Part A deductible is not required.
Observation status is covered by Part B, and the annual deductible and copay apply. Medicare does not pay for self-administered drugs while you are in observation status. These will be billed to you.
Why am I being asked to sign an Advance Beneficiary Notice (ABN)?
Sometimes, Medicare will not pay for tests even if your doctor believes they are medically necessary. When that happens, Mercy Hospital must ask the patient to pay for these services.
Signing the ABN is an acknowledgment of Medicare’s possible non-coverage and your financial responsibility. For more information, visit medicare.gov/coverage.
Financial Assistance
We know that a hospital visit, test or therapy is often unexpected. We also understand that the expense can become a worry to you. In keeping with Cleveland Clinic Mercy Hospital’s long-standing mission, we are committed to providing quality, compassionate care for all who come to us, regardless of their ability to pay.
Patient Price Information
In compliance with state law, a price list is available containing the usual and customary charges for inpatient and outpatient services.
The shoppable services price list may help you determine the potential cost for services only. If you proceed with services at Mercy Hospital, you may be given a new estimate with more accurate cost and out-of-pocket information. Please contact 330.580.4739 or 330.458.4154 for more information.
- View Patient-Friendly Chargemaster (Mercy’s Pricing List).
- View Mercy’s DRG (Diagnosis-Related Group) Average Charge Amount List.
- Visit Shoppable Services & Chargemaster.
Right to receive a good faith estimate
If you do not have health insurance or are not using it, under the law you have the right to receive a good faith estimate for the cost of your scheduled services. You can request a good faith estimate at any time. To request one, call 330.580.4739 or 330.458.4154.
Surprise Medical Billing
Federal and state laws protect you against surprise billing (or balance billing) when you can not control who provides your care in an emergency, or when you receive care from certain out-of-network providers at an in-network healthcare facility.
- View your rights and full details.
- If you believe you've been wrongly billed: Contact the Ohio Department of Insurance at 800.686.1526, or visit the Ohio Department of Insurance for more information about your rights under Ohio state laws.
Billing FAQs
Thank you for choosing Cleveland Clinic Mercy Hospital for your healthcare needs. As a patient, you may have questions regarding your bill. This section is designed to assist you with answering some of these questions and also lists some of the most frequently asked questions.
How can I find out if my insurance is accepted at Mercy Hospital?
Look for your insurance plan on our Accepted Insurance list. You can also ask a scheduler if your insurance is accepted when you call to schedule your visit or procedure. Please call your insurance company to find out if they have a contract with Mercy Hospital.
How do I find out if services will be covered by my insurance?
You should always call your insurance plan to find out what is and isn’t covered. If your service requires prior authorization, Mercy Hospital will work with your insurance company to initiate the authorization. If your insurance company does not approve the service, we will notify you. If you choose to proceed with the service, you will be required to make a deposit and payment arrangements for charges not paid by your insurance.
How do my deductible, coinsurance, copay, and out-of-pocket maximum work together?
If your plan has a deductible, you are responsible for 100% of your medical costs until your deductible is met. Anything you pay out of pocket counts toward your deductible. Note that monthly premiums do not count toward your deductible.
Once you have reached your deductible, your insurance plan begins to pay for some of the costs. The amount you pay is your coinsurance, if applicable. Once you have reached your out-of-pocket maximum, your insurance plan pays for 100% of your medical costs. You may still have to pay copays after reaching your out-of-pocket maximum.
Should I expect to receive an estimate?
If you have an accepted insurance plan, you will receive an estimate for surgeries and diagnostics, like CT scans and MRI's, at the time of scheduling.
If you do not have coverage or your coverage is not accepted at Mercy Hospital, you will receive an estimate for all services.
What are my options for Financial Assistance?
If you do not have insurance, you may qualify for financial assistance. Even if you have insurance, financial assistance may be available under certain circumstances. If your employment status has changed, you may qualify for our COBRA assistance program.
Our Patient Financial Services caregivers can tell you about our financial assistance programs and how to apply.
What will I owe at the time of my visit?
Copays are due at the time of service, per your insurance plan. If an estimate was provided to you prior to your visit, a portion of that amount may be requested at the time of service. If you have any outstanding balances, you may be asked to pay your balance or make payment arrangements.
My primary care physician wants me to see a specialist. How do I know if I’ll be covered?
Check with your insurance company. Many insurance plans require a referral from a primary care physician before they will cover a visit to a specialist.
What should I expect if I am placed in observation status?
Insurance companies require that Mercy Hospital bill all observation status care as outpatient services. This means that your outpatient benefits will apply and your copay, coinsurance, and/or deductible may apply to these services.
You will be notified when you are placed in observation status. If you have questions about how your insurance plan treats observation services, please contact your insurance company.
When will I receive a bill?
If your insurance determines that you are financially responsible for a portion of services, based on your deductible and coinsurance, you will receive a Cleveland Clinic Mercy Hospital billing statement.
You will receive a billing statement only after your services have been processed by your insurance company. For your convenience, you may pay your balance by personal check, cash, money order, MasterCard, Visa, Discover or American Express.
Will I receive more than one bill?
You may receive more than one bill for the same hospital visit. These bills are usually for services provided by physicians, anesthetists, anesthesiologists, radiologists and pathologists. Listed below are some of the more frequent numbers for your convenience. Mercy Hospital does not have access to their billing records, so please contact these providers directly if you have questions.
- Stark County Anesthesia: 330.499.5700
- ModernPath: 800.234.7944
- Stark County Emergency Physicians: 330.492.7950
- Radiology Services: 877.850.1243
To contact Mercy Hospital's Patient Financial Services team, please call 330.489.1145. Our fax number is 330.430.6905.
How do I make a payment?
To pay by mail, use the detachable portion of your billing statement. You can also pay your bill in person at any of our check-in desks or in our Patient Financial Services office.
What forms of payment do you accept?
For your convenience, Mercy Hospital accepts cash, personal checks, money orders, Visa, MasterCard, Discover and American Express.
If I am unable to make full payment immediately, can I set up a payment plan?
Yes, please contact Patient Financial Services at 330.489.1145, Monday – Friday, 8 a.m. - 4:25 p.m.
What if I have questions about my bill?
For questions about your bill, please call our patient information line at 330.489.1105.
