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Financial Services Your hospital bill reflects the cost of operating and maintaining a technologically advanced healthcare facility 24 hours each day, 7 days per week, and 365 days per year. The various charges cover your room, nursing care, meals, housekeeping, purchase and upkeep of sophisticated equipment and maintenance of the building and physical property, linens, and administrative costs. Charges also are itemized for special services and tests such as laboratory, x-ray, surgical or medical procedures, drugs, supplies, and other special services. Patients with Commercial Insurance • The final responsibility for payment of the bill rests with the patient or legal guardian. The hospital will make every reasonable attempt to collect from your insurance carrier once the proper forms, including a consent to treat and assignment of benefits are signed. The hospital does not accept total responsibility for filing or collecting an insurance claim or negotiating a disputed settlement. • It is necessary for you to bring your insurance identification at the time of pre-registration or admission. You will be contacted to register before the scheduled date of your services. This is known as pre-registration. A picture ID is also required of the patient or financially responsible person. • The hospital will file your insurance claim for you providing you have assigned benefits to us. Please remember that your medical insurance is a contract between you and your insurance company. While we will make every reasonable attempt to expedite the filing and collection of your claim, you are ultimately responsible for the payment of your account. You should contact your insurance company if their payment is delinquent. • Every reasonable attempt will be made to verify your insurance coverage either at the time of pre-registration or admission. You will be asked to make payment at that time for any deductibles and/or co-insurance, which may be calculated. Medicare • By agreement with the U.S. Government, the hospital is obligated to file any claim for services you receive at the hospital. We will also work with the appropriate federal agencies to collect the portion due from them. • Medicare does not cover your total bill. You are responsible for certain deductibles and co-insurance as determined by Medicare as well as any private room differential and certain non-covered costs. You will be asked to pay deductibles and possibly calculable co-insurance amounts at the time of preregistration or admission. You will be billed for any balance for which you are liable. • At the time of pre-registration or admission, you will need to provide us with your Medicare card. We may also ask you for some other form of identification. Medicaid • You must present your Medicaid card and picture identification at the time of preregistration or admission. Failure to do so might delay your admission unless it is an emergency. • According to Medicaid regulations, you might be liable for a small co-payment. You will be asked for that payment at the time of preregistration or admission. • The hospital will bill Medicaid for the services provided to you. It is unlikely that you would receive any follow-up bills after discharge. Patients without Insurance • The hospital provides financial assistance to 2208


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