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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
pre-registration 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
pre-registration 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 pre-registration 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 individuals who qualify
through the Georgia Indigent Care
Trust Fund. Qualification is based upon
income and other criteria as defined by
the state and federal government and
hospital policies. A copy of the hospital
financial assistance policy is available
upon request.
• If you do not have insurance and believe
that your income might qualify you
for this assistance, please inform the
person assisting with your registration.
• Patients who do not qualify for financial
assistance might be eligible for selfpay
discount. Please contact patient
registration or the business office for
details.
Other Related Financial
Information
• You will receive separate bills for the
professional services of your doctor,
surgeon, anesthesiologist (they put you
Financial Arrangements