![]() To apply for Financial Assistance, you may download, print and complete the application. Our Financial Assistance Policy and Uninsured Discount Policy are available for review online by visiting our website listed on the front of this notice. Emergency medical care is provided to everyone, regardless of ability to pay or lack of insurance coverage. Our Hospital is committed to meeting the healthcare needs of the communities we serve. Our patient liaison can be reached atĮstimates for upcoming scheduled or future elective services can be provided upon request by the Hospital Patient Access or Scheduling departments. Staff is available to answer any questions as well as discuss our financial assistance program and payment options. You may contact the hospital Business Office if you are unable to pay your balance in full. You may pay on-line with debit/credit card or electronic check by visiting our website listed on the front of this notice. Please submit your payment along with the top portion of this statement in the enclosed return envelope. Balances after insurance payment are due upon receipt. Payment in full is required at the time of service from all patients who owe co-pays, coinsurance, have not met their deductible, or do not have insurance coverage. A list of the physicians and medical providers who bill separately is also enclosed. Should you have any questions concerning their bill, please contact them directly. You will receive separate bills from these physicians or medical providers. If you have any questions please feel free to call our hospital Business Office Customer Service Department at the phone number provided on the front of this notice.ĭuring the care you received at our facility you may have received services from physicians or other medical providers, such as Anesthesiologists, CRNA's, Radiologists, Emergency Room Physicians, etc. It is important for the hospital and the patient to work together to solve payment issues. Our collection process will include additional billing notices every 28 days, until the account balance is resolved or placed with a collection agency. ![]() You can avoid future billing notices by calling your insurance company to expedite payment. In the event that your insurance company is slow to pay or for some reason disallows the claim, payment of the full account balance is expected from you. Generally, we allow 30 days for insurance to pay their portion. You may request a copy of your bill by contacting the number on the front of this statement. This could be as soon as 3 days after your discharge or release from the hospital. You should contact your insurance company to determine your cost-sharing responsibilities, if any.Ī claim will be submitted to your insurance based on information you provided during the registration process. You are responsible for deductibles, co-insurance, and any items not paid by insurance. We will submit benefit claims to your insurance company if all required information and authorization is provided. Insurance is designed to reimburse the policyholder and is a contract between the policyholder and the insurance company. If you provided us with insurance information, your insurance company will be billed as a service to you. It is possible to have several accounts open at the same time. Please be aware that each time you receive services from us a separate account is created.
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