Mercy Medical Center Mt. Shasta：经济援助与慈善医疗

Mercy Medical Center Mt. Shasta 的政策内容

政策详情以英文原文引自医院自己的备案文件。

申请条件： Up to 200% FPL: 100% discount (full Charity Care). 201-400% FPL: partial discount on a sliding scale. Presumptive eligibility can be granted without a completed FAA using external data, applied retroactively 12 months and prospectively 6 months.

需要提供：

• Bank or checking account statement(s) showing available resources
• At least one proof of income: most recent federal tax return, current W-2, current pay stubs, or a signed letter of support
• If no income to report: a written statement explaining why, and how basic living expenses (housing, food, utilities) are covered

Mercy Medical Center Mt. Shasta 采用 Dignity Health / CommonSpirit 的经济援助政策，另有 22 家加州医院共用此政策。

信息来自医院自己的备案文件，最后核对日期为 2026年9月24日。医院可能会更改政策；以医院现行政策为准。