Insurance, Billing and Financial Assistance
This information provides answers to some of the questions most commonly
asked by patients about insurance and payment. Of course, if you have
any questions, we’ll do our best to provide you with answers. We
want your hospital stay to be as comfortable as possible, and that includes
helping to eliminate your concerns about payment.
Who is responsible for paying my hospital bill?
The patient is the guarantor (person responsible for paying) for the bill.
However, if the patient is a minor, the parent/guardian is listed as the
guarantor. Many people who have insurance assume that their insurance
company is responsible for paying for the services received at the hospital.
This is not necessarily true. If the hospital is unable to settle a claim
with the insurance company, the patient/guarantor may be billed. It is
the guarantor’s ultimate responsibility to ensure the bill for services
provided is submitted to the insurance company and resolved.
Will Saint Francis Hospital bill my insurance company?
Saint Francis Hospital bills most insurance companies directly as a service
to our patients. You will be asked to sign a form allowing direct payment
to the hospital.
Will I need to supply proof of my insurance?
At registration or upon admission, you will be asked to provide your insurance
information, and a driver’s license or picture identification. You
should also provide referrals or authorization forms that may be required
by your policy. Supplying old or incomplete insurance information as well
as not bringing the required authorization forms could result in hospital
charges being billed directly to you.
How do I know if my benefits will cover a service?
We suggest that you contact your insurance representative for an explanation
of your benefits. As a patient, you are responsible for knowing whether
or not Saint Francis Hospital is a preferred provider of your health services
beforehand. Unfortunately, many people receive unwelcome surprises when
the bill arrives because they are not familiar with their insurance coverage.
By contacting your health insurance company before anyone in the family
gets sick or receives care, you will know the benefits and limitations
of your insurance policy.
What charges, if any, will I have to pay?
You are responsible for paying for any services received during your hospital
stay that is not paid by your insurance company, including co-payments
and deductibles. You can expect a notice or explanation of benefits from
your insurance company indicating the amount to be paid to the hospital.
If you should disagree with any amount not paid by your insurance company,
you should contact your insurance company directly. Please note that the
insured person is responsible for appealing any payment discrepancy or
disputing non-payment with the insurance company directly.
What type of payment does the hospital accept?
Saint Francis Hospital accepts cash, checks, money orders, Visa, MasterCard,
American Express and Discover. A cashier is available in the main lobby
of the hospital Monday through Friday (except holidays) from 9:00 am to 4:00 pm.
What if I am on a fixed income and can’t pay my bill all at once
or I don’t have insurance?
If you need to make special payment arrangements for charges not covered
by your insurance, please call the phone number noted on the bill and
a representative will assist you.
What if I have questions about my bill?
You can call the phone number noted on the bill and a representative will
What if I cannot afford to pay my hospital bill?
If you are experiencing financial hardship and need help paying your hospital
bill, you may qualify for the hospital’s Financial Assistance Program.
Financial assistance is available for healthcare services that are medically
necessary (excluding cosmetic surgery, fertility treatments and prescriptions).
Eligibility is based upon household income, expenses and dependents. You
can make arrangements to pay your bill by calling the number noted on
the bill and a representative will assist you.
What does “managed care” mean?
Many families belong to a managed care plan called a Health Maintenance
Organization (HMO) or a Preferred Provider Organization (PPO). If you
have selected this type of insurance coverage, you must have approval
before receiving hospital services. Most plans require a separate authorization
for laboratory, radiology, electrodiagnostic testing (EKG), emergency
services and other outpatient procedures. Only your primary care physician
may authorize these services under the HMO/PPO plan to ensure payment
to Saint Francis Hospital.
Will my company pay for my emergency room visit?
If your primary care physician instructs you to go to Saint Francis Hospital
for emergency services, this does not necessarily mean the insurance company
will cover the charges incurred. The best time to find out how your insurance
company defines “emergency” is before the situation arises.