Photos by Tim Hall Photos by Tim Hall Photos by Tim Hall
Insurance and Billing

Insurance and Billing

If You Have Health Insurance

We will ask for a copy of your insurance identification card when you are admitted to the emergency room or hospital. You will be asked to assign benefits from the insurance company directly to the hospital; this is standard practice at all hospitals.

We suggest that you become familiar with the terms of your insurance coverage. This will help you to understand the hospital's billing procedures and charges, and how they will be handled by both your insurer and the hospital.

If You Are a Member of an HMO or PPO

Your particular plan may have special requirements, such as a second surgical opinion or precertification for certain tests or procedures. It is your responsibility to make sure the requirements of your plan have been met. Often your admitting physician will have already met the requirements for you, but you are ultimately responsible for making certain that the terms of your plan have been met. Be sure to ask your physician or specialist if he or she is covered under your particular plan, and whether or not the services recommended for your treatment are also covered under your plan's guidelines.

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, outpatient self-administered medications, and others. Deductibles and copayments are also the responsibility of the patient.

For Grande Ronde Hospital's statement on Medicare's policy for Self-Administered Drugs, click here.

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.

If You Have No Insurance

A representative from the Patient Accounting department is available to discuss financial arrangements with you. A hospital representative is also available to assist you in applying for government assistance, if you desire. Additionally, you may apply for the Grande Ronde Hospital Charity Program, which may qualify you to have either all or part of your bill paid by the hospital.

Financial Assistance

In an effort to help those in need of a reduction or forgiveness of the balance owing on their account, Grande Ronde Hospital has developed a hospital-based financial assistance program. To obtain additional information about our program please contact our Patient Financial Coordinator at (541) 963-1884.

Link to:  Financial Assistance Application 

Link to: Financial Assistance Policy

Link to:  Financial Assistance Policy Summary and FAQ.docx

 

Your Hospital Bill

The hospital will, whenever possible, submit bills to your insurance company.

Please note that your policy is a contract between you and your insurance company and that you have final responsibility for payment of your hospital bill. We have several payment options available to assist you in paying your bill.

Your bill reflects all of the services you receive during your stay. Charges fall into two categories:

  • A basic daily rate, which includes your room, meals, nursing care, housekeeping, telephone and television.
  • Charges for special services and necessary supplies, which include items your physician orders for you, such as x-rays or laboratory tests.

If you have certain tests or treatments while you are in the hospital, you may receive bills from physicians you did not see in person. These bills are for the professional services rendered by these doctors in diagnosing and interpreting test results while you were a patient. Pathologists, radiologists, cardiologists, anesthesiologists and other specialists perform these services and are required to submit separate bills. If you have questions about these bills, please call the number printed on the statement you receive from them.

For questions concerning your personal hospital bill, please call the inquiry number on your bill.

How to Contact Patient Financial Services

Regular Business Hours: Monday through Friday, 8 a.m. to 5:00 p.m.

Payment and Billing Questions: (541)963-1400

Financial Assistance:  If you have questions regarding completetion of the Financial Assistance Application please contact our Financial Assistance Coordinator at (541)963-1884.

Cover Oregon:  If you would like assistance applying for healthcare coverage in the state of Oregon, please contact our Financial Counselor at (541) 963-1950.

Back to the top