Ohio Hospital Care Assurance Program (HCAP). As a participant in the HCAP Program, we offer emergency and other medically necessary services in our hospitals free of charge if you are a resident of Ohio and either (1) you are currently an eligible recipient of the General Assistance or the Disability Assistance Programs or (2) your income is at or below 100% of the Federal Poverty Guidelines (the FPG).
The following is a summary of financial assistance available at Cleveland Clinic Akron General and its facilities including Lodi Community Hospital, and Edwin Shaw Rehabilitation Institute.
Financial Assistance Offered. If you do not have insurance, we provide financial assistance for emergency and other medically necessary care as a discount from our normal charges if your family income does not exceed four times the FPG and you are a resident of the state of Ohio. All applicants will be screened for Medicaid coverage and must cooperate with the Medicaid application process to be considered for financial assistance. If you are eligible for financial assistance under our Policy, you will receive free or discounted assistance according to the following income criteria:
- If your annual family income is up to 200% of the FPG, you will receive free care,
- If your annual family income is between 201% and 400% of the FPG, you will receive care discounted to the amount we generally bill insured patients for such services.
Even if you have insurance, as long as you meet our income criteria, you will be eligible for financial assistance if:
- your insurance does not provide coverage for the medically necessary services you are seeking, or
- you have exhausted your lifetime maximum insurance benefits.
Additional Ways to Qualify. If you do not meet the income criteria above, regardless of your insurance status or state of residence, you will be considered on a case-by-case basis for financial assistance under the following circumstances:
Catastrophic Balance. If you have a balance due to an AGMC facility of greater than 25 % of your annual family income, you will be considered for financial assistance.
Exceptional Circumstances. If you have an extreme personal or financial hardship, you may contact us to be considered for financial assistance.
Specific Medical Circumstances. If you are seeking treatment that can only be provided by Akron General medical staff or you would benefit from continued medical services from Akron General for continuity of care, you will be considered on a case by case basis for financial assistance for that specific treatment.
Maternity Care. If you are pregnant and your insurance does not provide maternity benefits, you will be eligible for financial assistance under our Policy, as long as you meet our income criteria, are an Ohio resident and agree to work with us to determine if you are eligible for maternity benefits under a governmental program.
Charges Will Not Exceed Amounts Generally Billed. If you receive financial assistance under our Policy, you will not be charged more for emergency or other medically necessary care than the amount we generally bill patients having commercial insurance or Medicare coverage.
How to Obtain Copies of Our Policy and Application. You may obtain a copy of our Policy and the Financial Assistance application form: (1) online (see below) and (2) in our admissions areas, in our emergency departments, or in any of our financial counselor’s offices. If you call Patient Financial Services at 330-344-2000 or ask a financial counselor, we will mail you a copy of our Financial Assistance Policy, plain language summary and application form free of charge.
How to Apply and Obtain Assistance. You may apply at any point in the scheduling or billing process by completing and submitting an application and providing income information. Any Financial Assistance Application whether completed in person, delivered or mailed in, will be forwarded to the Patient Financial Services team for evaluation and processing. If you think you may have catastrophic, exceptional or special medical circumstances, a financial counselor or Patient Financial Services representative can initiate an application for you. If you need any help in applying, please contact our financial counselors located at our facilities or call Patient Financial Services at 330-344-2000.
Return your completed application to: Patient Financial Services – Akron General Medical Center, 1 Akron General Avenue, Akron, OH 44307