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Patient Financial Services

The medical billing and payment process can be complex and confusing. Our goal is to make our billing and insurance information as easy to understand as possible.  Information below will explain our hospital's billing and payment policies, and the resources available to help you.

UNDERSTANDING YOUR BILL

After your hospital visit you may receive many different medical bills from your providers and an explanation of benefits from your insurance company.  It is important to review and keep these documents.  The Healthcare Financial Management Association offers guidance about understanding medical financial documents.

 
After my visit to the Hospital, why do I receive bills from organizations other than the Hospital?

Van Wert Health uses contracted services for certain functions such as radiologists, ER physicians, pathologists, and anesthesiologists. These contracted services provide their own billing service and you will receive separate billings from them. 

FINANCIAL ASSISTANCE

Van Wert Health understands not all patients have the ability to pay their healthcare bills. We offer financial assistance to qualifying patients. If you are having trouble paying for all or some of your healthcare services, please speak with our Patient Financial Team at 419-238-8646.

HOPE Program

Van Wert Health's HOPE Program (Helping Others Pay Expenses) may be able to help if you do not have health insurance, if you have health insurance but high deductibles and co-pays still create a financial hardship, if you are not eligible for Medicaid, and/or if you meet the criteria for financial assistance. All decisions for assistance are based on family size and household income. 

Please fill-out a Financial Application or contact a member from our Financial Counseling team for more information about this program.  

Solicitud de asistencia financiera


Insurance Programs

Van Wert Health has helped many patients apply for public insurance programs such as Medicaid and Buckeye Health. These programs help alleviate current medical bills and any medical costs incurred by the applicant in the future.


Self-Pay Discount

Van Wert Health provides all self-pay patients with a discount. 


Payment Plans

In many cases, Van Wert Health is amenable to establishing a payment plan with patients so they can pay their bill over time.

Insurance

Van Wert Health accepts most major insurance plans. If you do not see your plan below or have a question about your specific plan, please call your physician's office or call your insurance company.

Medicare & Medicare Managed Care

Medicare
Aetna Medicare
Anthem Medicare
Buckeye Allwell
Humana Medicare
Paramount Elite
Railroad Medicare
United Health Care Medicare

Medicaid & Medicaid Managed Care

Ambetter
Medicaid of Ohio
Buckeye Community Health Plan
CareSource
Molina Healthcare of Ohio
Paramount Advantage
United Healthcare Community 

Commercial

Aetna
Anthem Blue Cross/Blue Shield
CCSA Lutheran Preferred
Cigna
Front Path
Medical Mutual of Ohio
Ohio BWC
Ohio Health Choice
Parkview Signature Care
Physicians Health Plan
United Healthcare

Pricing Information

Understanding the charges for medical services and procedures helps our patients make more informed decisions about their healthcare.
  • Van Wert Health provides an online list of standard charges. We make every effort to provide accurate charges based on standard charges representing the typical lowest and highest charges.
     
  • The amount a patient pays is based on many factors, including health insurance (government and commercial payers), benefit plans and other discounts, as well as the nature of services provide, based on each patient’s unique needs. Each patient’s financial responsibility will vary.
     
  • If you are covered by any type of health insurance, please contact your health insurance provider to request an estimate of your financial responsibility before your service or procedure.
     
  • If you are not covered by health insurance, you are strongly encouraged to contact our financial counselor before your service or procedure to discuss payment options and receive a price estimate.

Acknowledgement
  • I understand that a single charge may not represent a complete medical service. Multiple components may be necessary for a complete service (e.g. procedure(s), supplies, and drugs).
     
  • I understand that the List of Charges includes hospital services only and may not include professional fees.
     
  • I understand that the List of Charges represents inpatient and outpatient hospital services that may be located on the main campus or at another location off campus from the main hospital address.
     
  • I understand that Van Wert Health provides estimates of charges for hospital services and that I may speak with a patient financial services representative for an estimate of charges for a specific service based on my individual circumstances.


By downloading this file, I acknowledge that I have read the above information.  

List of Charges

IRS Ruling Related to Posting of Prices

CMS Final 2019 IPPS Rule (Price Transparency Provision)

On August 2, 2018, the Centers for Medicare and Medicaid Services (CMS) published its final inpatient prospective payment system, or IPPS, Rule for federal fiscal year 2019. The IPPS rule contained a price disclosure provision that went into effect on January 1, 2019.


2019 Final IPPS Rule

In its 2019 final IPPS rule, CMS acknowledged chargemaster data is “not helpful to patients for determining what they are likely to pay for a particular service or hospital stay.”  However, in an effort to continue moving towards disclosure on price transparency, the final rule requires hospitals to make available a list of their current “standard charges” via the internet in a machine-readable format and to update it at least annually.


Van Wert Health List of Standard Charges

The information provided via the link below is a list of charges for each inpatient and outpatient service or item provided by Van Wert Health, also known as our chargemaster. The charges do not include any related physician fees, unless specifically identified. It is not a helpful tool for patients to comparison shop between hospitals or to estimate what healthcare services are going to cost them out of their own pocket. Van Wert Health patient charges are the same for all patients, regardless of commercial insurance, Medicare or Medicaid coverage.  However, the charges do not reflect actual reimbursement from all patients or insurance companies.  Van Wert Health’s actual reimbursement depends on a variety of internal and external factors which may include negotiated insurance plan rates, fixed government (federal and state) as well as various discount programs offered by Van Wert Health for self-pay patients.  Other factors impacting actual reimbursement could include whether a procedure was performed on an inpatient or outpatient basis, specific provider orders, as well as any potential patient complications or comorbidities. For more information about the cost of your care, please contact our Patient Financial Services department at 419-238-6735.

 

OHIO PRICING DISCLOSURE

In compliance with the Ohio Revised Code, Title 37, Section 3727.42,  Van Wert Health is providing a listing containing charges for Room & Board along with our other most common tests and procedures. This is not indicative of what a patient’s final out of pocket cost will be.  The patient’s responsibility will vary depending on a variety of factors which may include negotiated insurance plan rates, the patients remaining unmet deductible and any self-pay or financial assistance discounts available to the patient. 

Patients should consult with the Patient Financial Services Department at 419-238-6735 to determine their eligibility for discounts under the Hospital’s Financial Assistance Policy.