Billing Questions

 

 

Billing

Billing and Insurance

How can I get in contact with the Patient Accounting Department?
Phone: 765-932-7528
Fax: 765-932-7505

What forms of payment do you accept?
We accept:
Cash
Personal Checks, Cashier’s Checks, and Money Orders
Credit and Debit Cards
Healthcare Savings Accounts

Why did I receive bills from different companies for the same visit?
A patient who receives services from Rush Memorial Hospital may receive more than one billing statement for those services. You will receive a hospital billing statement for the services that were rendered to you at the hospital as well as a separate bill for any Pathology or Emergency Room physician services.

The Emergency Physicians’ Bill is separate from the hospital bill.* When you receive a statement from Rush Memorial Hospital  for an emergency room visit, it will only pertain to charges incurred for the use of the Emergency Department treatment area, technical and ancillary personnel, supplies and equipment.  It will not include the Emergency Physicians’ fees.  The patient will receive an additional statement for the professional fees for the clinical and diagnostic evaluation, treatment and/or supervision of care. St. Vincent Emergency Physicians, Inc. will bill the appropriate insurance company for services rendered and if there is a balance remaining, the patient will receive a statement directly from IPM RUSH, LLC.  If you have any questions regarding a statement received from this company, you will need to call 866-570-4339.

Additional billing statements (other than your hospital billing statement) will have the phone number of the specific billing office for questions regarding that statement. (Note: Services rendered by providers other than the hospital may not be covered by your insurance carrier. Check your policy for details.)

The insurance listed on my bill isn’t the right one. How can I change it?
First, check to see if the insurance company that you had on that date matches the date of service on the bill. If it is an incorrect insurance company or policy number, someone from Patient Accounting can assist you Monday through Friday, 8:00 a.m.-5:00 p.m. Call 765-932-7528.

Why do I need to call the insurance company if they do not pay the bill?
The patient is ultimately responsible for the total bill or a portion of the bill your insurance carrier does not pay. Our Patient Accounting Department will make every effort to resolve the account balance with your insurance carrier. Occasionally, we will be unable to resolve the issue with your insurance provider and will need your assistance.
Would I be able to get on a payment plan if I can’t afford to pay my bill all at once?
Rush Memorial Hospital has several payment options and any of our Patient Accounting Representatives will work with you to set up a payment plan that is most appropriate.  For qualifying accounts, the balance may be spread over six monthly payments interest-free. If you require longer than six months to pay your bill in full, Rush Memorial Hospital has contracted with the Business Office Center in order to meet your needs.  Payment arrangements established by the Business Office Center assesses a $4.00 monthly service charge on all payment plans.  Any of our Patient Accounting Representatives will be able to assist you in setting up a payment plan with The Business Office Center.  The Patient Accounting Representatives are available Monday through Friday from 8:00 a.m. to 5:00 p.m.

Does Rush Memorial Hospital offer any discounts for patients without insurance?
A“Prompt Pay Discount” of 25% will be offered if the account is paid within 30 days of receiving the first statement.  If you would like more information on this discount, please contact our Patient Accounting Department and any of our patient account representatives will be able to assist you. The representatives are available Monday through Friday from 8:00 am to 5:00 pm.

I can’t afford to pay my balance. What can I do?
Patients’ balances due resulting from limited or no insurance coverage may qualify for financial assistance. If you would like more information on this program, please contact our Patient Accounting Department. Any of our representatives will be able to assist you. The Patient Accounting Representatives are available Monday through Friday from 8:00 a.m. to 5:00 p.m.

What is a deductible? Coinsurance? A co-payment?
A “deductible” is an annual expense that you must pay before your insurance benefits can begin. This amount can vary based on place of service (i.e. your doctor’s office vs. a hospital). Supplemental Insurance Plans may cover this.
“Coinsurance” is the portion of the total bill (usually a percentage) that is the patient’s (or guarantor’s) responsibility to pay. This amount can vary based on place of service (i.e. your doctor’s office vs. the hospital).
A “Co-pay” is a set amount paid each visit, based on your insurance policy. This usually does not count toward your deductible.

I have Medicare which usually covers my entire bill. Why am I being billed for some of my visit?
You are responsible for any applicable deductibles, co-payments, or other amounts not paid for by Medicare. The most common non-covered service is self-administered drugs. Generally, self-administered drugs you receive in an outpatient setting like an emergency room or observation unit aren’t covered by Medicare Part A or Part B. Your Medicare drug plan may cover these drugs under certain circumstances. You may need to pay out-of-pocket for these drugs and submit a claim to your pharmacy plan. Call your plan for more information.

How can I tell if I have a Co-Pay?
You can check with your Insurance provider to see if you have a Co-Pay. Also, this information could possibly be found on your insurance card.

What Health Plans do you accept?
We participate in numerous health plans, as shown in the list below. If you do not see your particular insurance plan on this list, or have questions about your hospital bill, please call the billing and insurance line at 765-932-7520.

  • Aetna
  • Anthem BC/BS
  • Anthem HIP (Healthy Indiana Plan)
  • Beech Street
  • CIGNA
  • Cofinity (Formerly PPOM)
  • Community Health Alliance
  • Corvel
  • Encore
  • Envision
  • First Health
  • Golden Rule
  • Great West Healthcare
  • Health Network
  • HealthSCOPE Benefits
  • Humana
  • Humana Choice Care
  • Humana Choice Medicare
  • (IHN) Indiana Health Network
  • Integrated Health Plan
  • MDWise HIP (Healthy Indiana Plan)
  • MultiPlan
  • Medicaid (Traditional)
  • Medicaid Care Select
  • Medicaid (MDWise Hoosier Alliance)
  • Medicaid (Managed Health Services)
  • Medicaid (Anthem)
  • Plan Vista (NPPN)
  • PPO Next
  • Preferred Health Network
  • Preferred Plan
  • Private Health Care Systems (PHCS)
  • Sagamore Health Network
  • Tricare Health Net
  • United Health Care
  • Wellmark Health Network

*Subject to change.