- Understanding Your Statement
- Hospital Bill
- Medical Assistance
- Worker's Compensation
- Accidents & Injuries
- Arranging for Payment
Understanding Your Statement
We've recently updated our statement to make it easier to understand. Click here to download a sample statement which explains at a glance the components of your new statement.
For questions regarding your statement, please contact our Business Office at 920-445-7210.
As part of your "Patient Bill of Rights," we will provide 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.
For questions regarding your bill, please contact our Business Office at 920-445-7210. To receive an estimate for care before your procedure, please visit the Compare Medical Care section of our website or call 920-431-5667.
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.
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.
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.
We will be happy to file your worker's compensation claim if the appropriate information is provided to us.
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.
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.
Arranging for Payment
Bellin Hospital's financial advisor will help you find the best payment plan for charges not covered by insurance. Information is available on our Financial Assistance Policy and our Self-Pay Discount.
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 36 months should be approved and scheduled by calling 920-569-4122 or by going to http://www.helpfinancial.com. Payment option and financial assistance information is available here.
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.