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Billing and insurance

Madison Health provides friendly customer service personnel to help answer questions about your hospital bill. If the information below doesn’t answer your questions, please call us.

To help us assist you, please bring a copy of your insurance card with you when you arrive at the hospital for treatment. You will be asked to assign your insurance benefits. This will allow your insurance company to send the payment directly to the hospital. You should familiarize yourself with the terms of your insurance coverage and call your insurer with any specific questions. This will help you understand what to expect and to plan accordingly.

Topics covered below:
HMO/PPO
Medicare
Medicaid
No Health Insurance
Your Hospital Bill
Bills for "Other Professional Services"

HMO/PPO
If you are a member of an HMO or PPO, your plan may have special requirements, such as a second surgical opinion or pre-certification for certain tests or procedures. It is your responsibility to make sure the requirements of your plan have been met. If your plan’s requirements are not followed, you may be financially responsible for all or part of the services rendered in the hospital. Some physician specialists may not participate in your health care plan. If not, their services may not be covered.
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Medicare
If you are covered by Medicare, bring your Medicare and supplement insurance cards. If your Medicare coverage is through a Medicare Choice plan, otherwise known as a Medicare managed care plan, please let the registrar know and provide that card. You should be aware that the Medicare program specifically excludes or limits payment for certain items and services, including cosmetic surgery, some oral surgery procedures, personal comfort items, and hearing evaluations. Deductibles and co-payments are your responsibility.
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Medicaid
If you are covered by Medicaid, we will need a copy of your Medicaid card. Medicaid has payment limitations on a number of services and items. Medicaid does not pay for the cost of a private room unless medically necessary. Newborns must be enrolled in Medicaid. Notify the hospital of your newborn’s identification number as soon as possible.
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No Health Insurance
If you do not have health insurance, you will need to provide some identification to verify your address. A representative from the hospital credit department will discuss financial arrangements with you. The representative will assist you in applying for Medicaid. Depending on your income level, you may qualify for full or partial payment write offs for medically necessary hospital services. Ask the credit representative for details.
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Your Hospital Bill
Madison Health will submit bills to your insurance company and make every effort to assist you in getting your bill paid. Please understand, your insurance policy is a contract between you and your insurance company. The hospital has no legal authority over your insurance company. Therefore, you have final responsibility for payment of your bill. We have several payment options available.
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Bills for Other Professional Services
If you have certain tests or treatments in the hospital, you may receive bills from physicians you did not see in person. These bills are for professional services rendered by doctors, such as pathologists, radiologists, Emergency Room physicians, etc. Insurance companies require them to submit separate bills. If you have a question about these bills, please call the telephone number printed on the billing statement or contact our customer service department at 740-845-7012 for a telephone number.
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