Insurance & Billing Information
Familiarize yourself with the terms of your insurance coverage. This will help you understand
the hospital’s billing procedures and charges.
If you have health insurance
We will need a copy of your identification card. You will be asked to assign benefits from the
insurance company directly to the hospital.
If you are a member of an HMO or PPO
Your plan may have special requirements, such as a second surgical option or pre-certification
for certain tests and 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.
Community Memorial Hospital may not participate in your particular healthcare plan and some
services may be considered out of network with higher deductibles and/or coinsurance, so it is
best to notify them before receiving non-emergency admissions.
If you are covered by Medicare
We will need a copy of your Medicare card to verify eligibility and process your Medicare claim.
You should be aware that the Medicare program specifically excludes payment for certain items
and services, such as cosmetic surgery, some oral surgery procedures, personal comfort items,
hearing evaluations and others. Deductibles and co-payments are your responsibility.
If you are covered by Medicaid
We will need a copy of your Medicaid card. Medicaid also has payment limitations on a number
of services and items.
If you have no insurance
A representative from the Business Office will discuss financial arrangements with you and assist
you in applying for Medicaid or other government assistance programs.
Patient care fund
The Ben & Adith Miller Patient Care Fund was established in 1989 to help people who need
medical treatment at Winona Health but cannot afford it on their own. This program is a living
example of neighbors helping neighbors, as it helps people who, through no fault of their own,
find themselves unable to pay their medical bills.
All patient-owed balances will be considered for the Ben & Adith Miller Patient Care Fund
program once the availability and limits of each patient’s insurance benefits are determined and
validated and the patient is ineligible for Medical Assistance. Please call the Business Office for
more information at ext. 4369.
Your hospital bill
The hospital is responsible for submitting bills to your insurance company and will do
everything possible to expedite your claim. However, you should remember that your policy
is a contract between you and your insurance company and you have the final responsibility for
payment of your hospital bill. In the event the hospital contracts directly with your insurance
plan, your financial responsibility may be limited to deductibles, co-pays and/or non-covered
services. We have several payment options available to assist you in paying your bill.
Your hospital bill reflects all of the services you received during your stay. Charges fall into
two categories: a basic daily rate, which includes your room, meals, nursing care, housekeeping,
telephone and television; and ancillary charges for services that may include items your
physician orders for you, such as x-rays or laboratory tests. The hospital bill also will include
physician services for the pathologist, anesthesiologist, radiologist and Emergency Department
services.
If you have certain tests or treatments in the hospital, you may receive bills from other
physicians you did not see in person. These bills are for professional services rendered by these
doctors in diagnosing and interpreting test results while you were a patient. Other specialists
may perform these services and are required to submit separate bills. Please direct all questions
for those bills to the physician’s billing office.
The Community Memorial Hospital Business Office is open from 8 a.m. to 4:30 p.m., Monday through Friday. Please contact us at 877.201.3731, 507.457.4369 or businessoffice@winonahealth.org or contact Collections at 507.457.4488.
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