Hospital Bill
As part of your "Patient Bill of Rights," we will be providing you with an itemized copy of your hospital bill on request. Professional fees of physicians are not included and you will be receiving a separate billing from the physician's office.
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Insurance
All patients are required to present their current insurance card(s) and will be asked to assign insurance benefits to Bellin Hospital. Your insurance may require you to obtain prior approval and to complete necessary claim forms before receiving services.
Your insurance contract is between you and the insurance company. As a courtesy to you, we will be happy to prepare and submit a claim to your insurance carrier. You are responsible for all charges not covered by your insurance plan. If, after a reasonable period of time, your insurance carrier has not honored your claim, you will be responsible for full payment of total charges.
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Medicare
Medicare patients are required to present their Medicare card upon admission to the hospital. Medicare deductible will be payable unless covered by additional insurance and those benefits assigned to the hospital. Personal items and all non-covered services are your responsibility.
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Medical Assistance
Please present a valid Medical Assistance identification card upon admission. If you do not show your card or your card is invalid, the charges could become your personal obligation.
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Worker's Compensation
We will be happy to file your worker's compensation claim if the appropriate information is provided to us.
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Accidents and Injuries
Medical expenses incurred as a result of a motor vehicle accident or a liability are your personal responsibility. However, as a courtesy to our patients, the hospital will bill your health insurance, government programs, and liability insurance.
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Community Care
In agreement with its business purpose of "meeting the needs and addressing the health care concerns of the community," Bellin Hospital will provide uncompensated health care to patients who are determined unable to pay for part or all of their services. This policy will be applied in agreement with established eligibility criteria and no patient will be denied uncompensated health care based upon race, creed, color, sex, national origin, sexual orientation, age, or source of income.
All inpatient and outpatient accounts are eligible for community care. An application for this service must be filled out by the patient/guarantor. These applications are available from the financial advisors prior to treatment and the Business Office after discharge.
The application includes a listing of gross income of the most recent three-month period (income from seasonal employment will be based on a 12-month average), for individuals responsible for this obligation. Also included are resources from savings and checking accounts, certificates of deposit, stocks and bonds; number of exemptions as determined by federal income tax laws; and a copy of your most recent federal income tax return. All third party resources and non-hospital financial aid programs, including public assistance available through state medicaid programs, must be exhausted before community care can be requested.
Deductible and coinsurance accounts are eligible for community care benefits if financial circumstances warrant.
If you qualify for community care you will be notified that your application has been approved. This notice will tell you how much of your bill will be waived through community care. The Business Office will subtract this amount from your bill. Payment arrangements must be made on the balance.
For help and further information on payment arrangements before or during your stay, contact the patient financial advisor at 920 433-3701. After being discharged please contact Bellin's Business Office 920 445-7210.
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Refunds
The National Health Insurance Industry determines how insurance companies divide payment of your account. All insurance overpayments will be confirmed with the insurance companies involved and will be refunded in accordance with state and federal regulations.
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Arranging for Payment
Bellin Hospital's financial advisor will help you find the best payment plan for charges not covered by insurance.
Payment may be made in cash or by credit card (Visa, Mastercard, or Discover) in the Patient Registration Department at preadmission, admission, or before being discharged. Payment may also be made upon receipt of your bill to the Bellin Cashier Office.
If unable to pay within 30 days, payment arrangements of up to 4 months should be approved and scheduled with the Financial Advisor at 920 433-3701.
Long-term financing is available to qualified people through Corus Bank. Contact the patient financial advisor for more information.
Community care is available to all patients who show financial need; however, before applying to this program the hospital will help you explore all other options for financial help.
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