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Financial Assistance

At Children's Mercy, we're here to support you every step of the way. Our Financial Counselors can help you find programs that may reduce the cost of your child's care.

If you qualify for financial assistance — or if you need help paying copays, co-insurance or deductibles — we're here to guide you.

Medicaid Information

Missouri Medicaid
Provides health care to eligible individuals, families, and children in Missouri.
(888) 275-5908

Kansas Medicaid
Provides health care to eligible individuals, families, and children in Kansas.
(785) 296-3981

How to apply for financial assistance

We’ve outlined each step so you know exactly what to expect as you apply for financial assistance. Start with Step 1 and move through the list—our team is here to answer questions and support you along the way.

By phone:

Contact a Financial Counselor Monday- Friday, 8 a.m. -5 p.m. by calling (816) 234-3567. 

In person at one of the following locations:

Children's Mercy, Adele Hall Campus
2401 Gillham Rd, Kansas City, MO 64108
Check in at Patient Access front desk on the ground floor.
Monday – Friday, 8:30 a.m. - 4:30 p.m.

Children’s Mercy Clinics on Broadway
3101 Broadway Blvd, Kansas City, MO 64111
Check in at Patient Access desk on the ground floor.
Monday – Friday, 8:30 a.m. - 4:30 p.m.

A Financial Counselor will need to get some information from you to determine whether you may qualify for financial help. Some of the key requirements are: 

  • You must be a resident in the state of Kansas or Missouri. 

  • Your household income (based on family size) must be at or below 300% of the Federal Poverty Guidelines.

  • You have used all your resources from all other programs (including Medicaid).

  • Patients who receive services at the Hospital and have an insurance plan that does not include the Hospital in the coverage network are not eligible for financial assistance for those services. 

For additional information, please see our Frequently Asked Questions.

For full eligibility criteria, please see our Financial Assistance Policy at the bottom of this page. All financial assistance forms are available in the languages of English, Spanish, Arabic, Somali, Vietnamese, and Burmese.

There are two ways to apply for financial assistance:

  1. Enroll in MyChart, our patient portal.

    • After you log in, search "Financial Assistance" from the menu in the upper left of the screen and start an application for financial assistance.

  2. Complete the paper copy of the application for financial assistance.

    • Mail, Fax, or drop it off at our offices during walk-in hours. You can find our address, fax, and hours on the application (downloadable non-editable PDF).

    • Forms for additional languages are below.

Additional information:

  • Financial documents are required including proof of residency, pay check stubs and recent income tax returns.

  • Completion of an application does not mean you will receive a discount. You may also be eligible for other programs outside of financial assistance.

If eligibility criteria are met:

  • Decisions can be made for up to and including 100% discounted care for eligible services over a certain amount of time.

  • You will not be charged more than amounts generally billed for emergency and medically necessary care.

If eligibility criteria are not met:

  • A written letter with instructions for appeal or another review will be given to you if it is decided that you are not able to receive financial help.

Additional Information

Complete the Financial Assistance Application following Step 3 above or print and fill out the Financial Assistance Application and return it, with supporting documents, by mail or fax.

Children's Mercy Hospital
Attn: Financial Counseling Department
2401 Gillham Rd 
Kansas City, MO 64108 
Fax: (816) 302-9907

Supporting documents include proof of residency, pay check stubs, and recent income tax returns.

Financial Assistance Application

Financial Assistance Application - Spanish

Financial Assistance Application - Somali

Financial Assistance Application - Burmese

Financial Assistance Application - Arabic

Financial Assistance Application - Vietnamese


For questions, call (816) 234-3567.

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