I. Financial Assistance
a. Contact the Business Office to schedule a financial assistance appointment.
i. Insurance Coverage Determination:
1. Yes, insurance coverage is available:
a. Business Office will complete benefit check.
2. No, there is no insurance coverage available:
a. Complete a financial assessment form with the Business Office.
i. If patient qualifies for charity care:
1. Enrollment assistance offered for Medicaid or Health Insurance Exchange, if applicable.
ii. If patient does not qualify for charity care:
1. Advise of full patient responsibility.
II. Application Process – All applicability of allowable financial arrangements are based on a standardized financial assessment form to be completed by the patient with assistance from the Business Office.
a. Contact the Business Office to arrange a financial assessment.
III. Payment Plans – Payment options exist for patients’ financial responsibility that may be negotiated based on the financial assessment form.
a. If insured, upon request, deductible, co-pays, and co-insurance payment plans can be discussed, as applicable, based on the outcome of your financial assessment.
IV. Discounts – There are no standard discounts. Individual payment plans may include cost reductions.
V. Charity Care Policy – When an uninsured patient falls below certain income levels, which is identified through the financial assessment, services provided are considered charity care and recorded as such. No charges are billed to the patient.
a. A financial assessment must be completed with the Business Office.
VI. Collections Procedure – Payments can be made through various tender. Due dates are discussed during payment plan arrangements. Significantly delinquent accounts will be reviewed for potential placement with a third-party agency.
Quality Information By Provider
1. Services may be provided in the hospital by the facility as well as by other health care practitioners who may separately bill the patient;
2. Health care practitioners who provide services in the hospital may or may not participate with the same health insurers or health maintenance organizations as the hospital; and
3. Prospective patients should contact the health care practitioner who will provide services in the hospital to determine which health insurers and health maintenance organizations the practitioner participates in as a network provider or preferred provider.
4. You or your insurance company may receive a separate bill in addition to the hospital’s bill for any of the following services you may receive while at the hospital: your attending physician (including your attending psychiatrist), consults or second opinions ordered by your attending physician, internal medicine physician, anesthesiologist, and ambulance services.
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