Patient Information: Billing Information
You should be familiar with the terms of your insurance coverage. This will help you understand the hospital’s billing procedures and charges. The hospital will bill your insurance carrier/ Medicare/Medicaid agency for you.
While you are in the hospital or after your discharge, Financial Counselors are available to discuss any questions or issues related to billing, insurance or charity care. Hours: 8 a.m. to 5 p.m. Monday through Friday. (360) 734-5400 ext. 6500.
If You Have Health Insurance
We need a copy of your identification card. We also may need the insurance forms that are supplied by your employer or insurance company.
If You are a Member of an HMO or PPO
Your plan may have special requirements, such as a second opinion or pre-certification for certain tests or procedures. It is your responsibility to make sure the requirements of your plan have been met. If your plan’s requirements are not followed, you may be financially responsible for all or part of the services rendered in the hospital. Some physician specialists may not participate in your healthcare plan, and their services may not be covered.
Level of Service
PeaceHealth St. Joseph Medical Center provides both acute inpatient care that can be received only at a hospital and outpatient care, which does not medically require full inpatient service. Medicare and some others cover acute inpatient care differently than outpatient care. As a result, your own portion of payment responsibility may be affected if you do not meet medical indications for acute inpatient hospitalization. Ask for a Social Worker if you have questions regarding your level of care and payment responsibility.
If You are Covered by Medicare
We need a copy of your Medicare card to verify eligibility and process your Medicare claim. You should be aware that the Medicare program specifically excludes payment for certain items and services. You need to clarify if your care will be provided as inpatient or outpatient for clarification of benefits. Deductibles and co-payments also are the responsibility of the patient.
If You are Covered by Medicaid
We need a copy of your Medicaid card. Medicaid also has payment limitations on a number of services and items.
If you have any out-of-pocket charges, the hospital offers a variety of payment methods. Personal checks, VISA and MasterCard are accepted. Bank contracts (personal loans) can be arranged for you on the hospital premises by our Financial Counselors. Installment payment plans may be arranged depending on demonstrated need.
Financial Assistance Program
Patients who meet federal income guidelines may qualify for reduced-cost or free care at PeaceHealth St. Joseph. To learn more or to request a Bridge Assistance brochure, please contact a Financial Counselor at (360) 734-5400 ext. 6500.