Financial Assistance & Arrangements
Philosophy
In
keeping with our mission statement "...to
protect and promote the health of the people in Mason County while extending
respect and compassion..." Mason General Hospital wants to
help make health care affordable.
No one in need of emergent medical attention will
be turned away regardless of race, national origin, or financial
status.
Washington Basic Health Plan
If you do not have medical coverage you may want to apply
for the Washington Basic Health Plan. A representative from Choice Regional
Health Network comes to Mason General Hospital every Tuesday. You can
make an appointment by calling (360) 493-4550 or 1-800-981-2123.
Charity Care/Uncompensated Care
Mason General Hospital has a Charity Care/Uncompensated
Care Policy. This policy contains the guidelines for people to follow
if they need any assistance with payment of their hospital bills. This
policy applies to those who have insurance AND who do not have insurance and
is based on income levels. Please ask at the Admitting area or
the Business Office for a copy of the guidelines and application. Completed
applications should be sent or delivered to the Business Office.
Our Charity Care/Uncompensated Care Program is based on
a sliding fee schedule extending up to 400% of the federal poverty level. In
order to quality you need to do three things:
- Apply at DSHS and be approved or denied medical coverage
- Complete the Uncompensated Care application
- Provide proof of income so that we can verify household income
for the previous 12 month period
After all the criteria have been met, a determination will
be made based on the income information. You may qualify for
a discount up to 100% of your bill.
Credit Policy
Financial arrangements must be made prior to admission for
any pre-scheduled services.
A deposit will be requested for emergency services.
For those with insurance coverage, co-payments and deductibles
are expected at the time of service.
If payment arrangements are needed, they must be set up within
15 days from the date of service. Payment arrangements are required whenever
the bill cannot be paid in full at the time of the first billing statement.
The guarantor is responsible for making appropriate financial arrangements
with the Business Office
If payment arrangements are needed, the payment schedule
is as follows:
Total Amount Due Number
of monthly payments
Up to $74.99 1
$75.00 - $149.99 2
$150.00-299.99 3
$300.00 – 499.99 6
$500.00-999.99 9
$1000.00-1499.99 18
$1500.00-3999.99 24
$4000.00 and up 36
Prompt Pay Discount
A prompt pay discount will be granted for self pay accounts where the
Hospital is not required to bill any insurance. The discount amount is
25% of the total balance due. The account must be paid in full within
30 days from the date of the first bill in order to be eligible for this discount. The
request form for the discount is included with your initial bill that is sent
to every self-pay patient.
Tax Adjustment
If you own a home in Mason County, you are eligible for a once-a-year
tax adjustment with a yearly maximum of $250.00. In order to quality,
you need to complete the Tax Adjustment Request From and provide a copy of
your Mason County Real Property Tax Statement. Only one adjustment will
be applied per year within 90 days from the date the service was billed, or
90 days from the date insurance paid their full amount. Past due accounts
or accounts in collection are excluded. Applications can be picked up
at the Mason General Admitting desk or at the Business Office.
Credit Cards
Mason General Hospital accepts MasterCard and Visa. We
will accept credit card payments in person, by phone or by mail as long as
the appropriate numbers are provided.
Finance Charge
Mason General Hospital does not charge a finance charge.
Insurance Information
Mason General Hospital will bill your insurance company if all
needed information and a copy of your insurance card is presented at the time
of registration. At the time of registration, you will be asked to sign
a form authorizing your insurance company to assign insurance benefits to Mason
General Hospital. You are expected to pay for charges that are not covered
by insurance such as co-payment, coinsurance, non-covered and deductible amounts.
Questions regarding insurance coverage or benefits
must be directed to your insurance company.
Is it your responsibility to know and meet the requirements
of your insurance policy for pre-approval of your Hospital service(s).
Medicare
Mason General Hospital will bill Medicare for your service
if you provide the appropriate Medicare ID number. If it is required
by Medicare, we will ask you to sign an Advanced Beneficiary Notice (ABN) for
non-covered services. For non covered services that are statutory denials
(these items are listed by Medicare as not covered), you will be billed when
Medicare denies and no ABN will be issued.
Medicaid/ Healthy Options Programs
At the time of service a Medicaid recipient must present their
current medical coupon and card. The Admitting Staff will verify eligibility
prior to treatment.
Workman’s Compensation
For services that are the result of a work related injury the
Business Office will need the following information:
- Employer name, address
and phone number
- Date of Injury
- Claim number, if applicable
You must notify your employer of an on the job injury. Your
employer will need to submit additional information to the industrial
carrier. Mason General Emergency Room Physicians can not help
you with Re-opening a closed claim. You will need to go to
your primary care physician for this service.
Auto Insurance
For services related to a motor vehicle accident, the Business
Office will submit a bill on your behalf once the following information is
received:
- The name of the responsible party
- The name and phone number of
the responsible party’s
auto insurance carrier and Agent name.
- The guarantor’s auto
insurance company name, phone number and Agent name
- Any claim numbers
assigned to you for this particular accident
Mason General Hospital will not wait for litigation
with regard to an accident. It will be your responsibility
to pay the bill in a timely manner if insurance does not pay timely.
Contracted Payors
Kitsap Physicians Insurance Molina
Health Plan
Premera Blue Cross Healthy
Options and PEBB
First Choice Community
HealthPlan of Washington
Regence, Blue Shield Healthy
Options
Regence, Boeing PEBB
Aetna Medicare
Advantage
United Healthcare Washington
Medicaid
Uniform Medical Plan Noridian
Medicare
Pacificare HMO Secure Horizons Skokomish/Squaxin
Indian Health
Pacificare PPO & EPO Champus
(Tricare)
Pacificare HMO Commercial
Great West Healthcare
If you have questions relating to a provider’s preferred,
participating, network or non-network status please refer those questions
to your insurance company. The patient is responsible for meeting
the requirements of their insurance policy and all questions regarding
insurance coverage or benefits must be directed to your insurance
company.
Mason General wants you to understand your hospital bill. If you have
any questions please call (360) 426-1611 (from Belfair call (360) 275-8614
and ask for the Business Office. Spanish translator is available.
Click
here for the payment options brochure (adobe acrobat pdf)
Click her for Spanish translation of information
Physicians' Listings
Map
to MGH and Gateway Center (business office)
MGH Business Office (360) 427-9547
Electronic Billing Questions
You should know that, as with other modern
communication technology, Email and Web Sites can be misdirected,
intercepted, rerouted and read by unintended recipients. In addition,
your employer has access to Email and Web Pages transmitted to
and from the workplace. MGH will take all reasonable measures
to preserve the confidentiality of electronic communications
sent to us, but for these reasons, you may wish to be cautious
about communicating sensitive information via Email or this Web
Page. In some instances, the answer to your inquiry may be considered
too sensitive to transmit electronically. In these instances,
we will communicate with you personally by telephone or letter.
Thank you for selecting Mason General Hospital
for your healthcare needs.
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