Pay Your Bill

Pay Your Bill in Person - Patient Accounts Office

Mason Health wants you to understand your hospital bill. If you have any questions please call (360) 427-3601; from Allyn call (360) 275-8614 and ask for the Patient Accounts Office. A Spanish interpretation services are available.

The Patient Accounts Office is open to the public. Safety precautions are in place and masking is required.

ADDRESS

2505 Olympic Hwy, Suite #450 Shelton, WA 98584

CUSTOMER SERVICE HOURS

Monday - Friday: 8 a.m. - 4:30 p.m.

Please contact us by phone or email us at hospitalbillingquestions@masongeneral.com for assistance.

Need Help Paying Your Bill? Visit the Patient Financial Advocate Team

Financial Assistance Move
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Disclosure of Healthcare Charges

Review the Disclosure of Healthcare Charges - Go to Disclosure of Healthcare Charges

Financial Assistance/Uncompensated Care

Mason Health has a Financial Assistance/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 do not have insurance AND those who 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 an application. Completed applications should be sent or delivered to the Business Office.

Hospitals which are nonprofit and recognized as 501(c)(3) organizations (including Public Hospital District No. 1 of Mason County) shall limit amounts charged for emergency or other medically necessary care provided to individuals eligible for assistance under this Financial Assistance Policy to not more than the amounts generally billed to individuals who have insurance covering such care and may not collect “gross charges” from such individuals. See requirements WAC 246-453-040 and WAC 246-453-050 and IRS 501(r). This financial assistance update is effective for dates of service beginning January 1, 2016. Elective services are not covered under our Financial Assistance Policy or the 501(r) requirements.

Our Financial Assistance/Uncompensated Care Program is based on a sliding fee schedule extending up to 400% of the federal poverty level. In order to qualify you need to do three things:

  1. Complete the Financial Assistance/Uncompensated Care application
  2. Provide information about your family's gross income (income before tax deductions)
  3. Sign and date application

After all the criteria have been met, a determination will be made based on the income information.

Credit Policy

Mason Health recognizes the challenging times we are all facing. We are available to speak with you and can assist you with your bill. Please reach out to us if you have any questions or concerns. Financial arrangements should be made prior to admission for any pre-scheduled services. A deposit will be requested for services as appropriate. For those with insurance coverage, co-payments and deductibles will be requested at the time of service. If payment arrangements are needed, we ask that they are set up within 15 days from the date of service; whenever the bill cannot be paid in full at the time of the first billing statement. The account guarantor is responsible for making appropriate financial arrangements with the Business Office.

If payment arrangements are needed, the payment schedule is as follows:

Balance Months To Pay

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 cannot help you with reopening 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 insurance carrier and agent's name
  • The guarantor's auto insurance company name, phone number, and Agent name
  • Any claim numbers assigned to you for this particular accident

    Mason Health 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.

    Insurance Information

    Mason Health 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 Health. 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).

    Contracted Payors

    As of January 1, 2022 Mason Health is currently fully contracting and in-network with the following payors/insurers:

    Commercial Plans:

    • Aetna
    • Cigna
    • Community Health Plan of Washington (Cascade Select Individual Product)
    • Coordinated Care (Ambetter Commercial Exchange Product)
    • First Choice Health Network
    • Humana/ChoiceCare
    • Kaiser Foundation Health Plan of Washington (PPO, POS and HMO)
    • Premera BlueCross
    • Regence BlueShield (includes Uniform Medical Plan)
    • UnitedHealthcare

    Medicaid:

    • Amerigroup of Washington
    • Community Health Plan of Washington (CHPW)
    • Coordinated Care
    • Molina Healthcare
    • UnitedHealthcare
    • Washington State Apple Health/HCA

    Medicare:

    • Aetna Medicare Advantage
    • Kaiser Medicare Advantage
    • Molina Medicare Choice Care (Medicaid dual eligible program)
    • Regence Medicare Advantage
    • Noridian/CMS

    Other Payors:

    • Labor & Industries
    • CCN TRICARE (network administered by Regence)
    • US Family Healthplan/PacMed
    • Opticare Vision
    • EyeQuest Vision
    • VSP Visioncare (for Molina Healthcare and Regence UMP PEBB enrollees only)

    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.

    **No one will be denied services based on inability to pay. Discounts are available based on family size and income.**

    Good Faith Estimate

    You have the right to receive a “Good Faith Estimate” explaining how much your medical care will cost.

    Under the law, health care providers need to give patients who don’t have insurance or who are not using insurance an estimate of the bill for medical items and services.

    • You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency items or services. This includes related costs like medical tests, prescription drugs, equipment, and hospital fees.

    • Make sure your health care provider gives you a Good Faith Estimate in writing at least 1 business day before your medical service or item. You can also ask your health care provider, and any other provider you choose, for a Good Faith Estimate before you schedule an item or service.

    • If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill.

    • Make sure to save a copy or picture of your Good Faith Estimate.

    For questions or more information about your right to a Good Faith Estimate, email goodfaithestimate@masongeneral.com or you can visit www.cms.gov/nosurprises or call 1-800-985-3059.

    Balanced Billing

    When you see a doctor or other health care provider, you may owe certain out-of-pocket costs, such as a copayment, coinsurance, and/or a deductible. You may have other costs or have to pay the entire bill if you see a provider or visit a health care facility that isn’t in your health plan’s network.

    “Out-of-network” describes providers and facilities that haven’t signed a contract with your health plan. Out-of-network providers may be permitted to bill you for the difference between what your plan agreed to pay and the full amount charged for a service. This is called “balance billing.” This amount is likely more than in-network costs for the same service and might not count toward your annual out-ofpocket limit.

    “Surprise billing” is an unexpected balance bill. This can happen when you can’t control who is involved in your care—like when you have an emergency or when you schedule a visit at an in-network facility but are unexpectedly treated by an out-of-network provider.

    Insurers are required to tell you, via their websites or on request, which providers, hospitals and facilities are in their networks. Hospitals, surgical facilities and providers must tell you which provider networks they participate in on their website or on request.

    You are protected from balance billing for:

    Emergency Services

    If you have an emergency medical condition and get emergency services from an out-of-network provider or facility, the most the provider or facility may bill you is your plan’s in-network cost-sharing amount (such as copayments and coinsurance). You can’t be balance billed for these emergency services. This includes services you may get after you’re in stable condition, unless you give written consent and give up your protections not to be balanced billed for these post-stabilization services.

    Certain services at an in-network hospital or ambulatory surgical center

    When you get services from an in-network hospital or ambulatory surgical center, certain providers there may be out-of-network. In these cases, the most those providers may bill you is your plan’s in-network cost-sharing amount. This applies to emergency medicine, anesthesia, pathology, radiology, laboratory, neonatology, surgeons and assistant surgeons, hospitalists, or intensivist services. These providers can’t balance bill you and cannot ask you to give up your protections not to be balance billed.

    If you get other services at these in-network facilities, out-of-network providers can’t balance bill you, unless you give written consent and give up your protections.

    You’re never required to give up your protections from balance billing. You also aren’t required to get care out-of-network. You can choose a provider or facility in your plan’s network.

    When balance billing isn’t allowed, you also have the following protections

    • You are only responsible for paying your share of the cost (like the copayments, coinsurance, and deductibles) that you would pay if the provider or facility was in-network. Your health plan will pay out-of-network providers and facilities directly.
    • Your health plan generally must:
      • Cover emergency services without requiring you to get approval for services in advance(prior authorization).
      • Cover emergency services by out-of-network providers.
      • Base what you owe the provider or facility (cost-sharing) on what it would pay an in-network provider or facility and show that amount in your explanation of benefits.
      • Count any amount you pay for emergency services or out-of-network services toward your deductible and out-of-pocket limit.

    If you believe you’ve been wrongly billed, you may file a complaint with the federal government at https://www.cms.gov/nosurprises or by calling 1-800-985-3059; and/or file a complaint with the Washington State Office of the Insurance Commissioner at their website or by calling 1-800-562-6900.

    Information in other languages:

    Foreign Language Translation Image


    Please visit the Office of the Insurance Commissioner website for information in other languages about the Federal No Surprises Act: CLICK HERE.