Pay Aspirus Bill

The bill you get from Aspirus is your bill for professional services performed by our physicians and certain other medical professionals at a Aspirus clinic, a community hospital or other location.

The bill might be for:

• Services provided by your physician or other professionals who treated you.
• Services of the physician who supervised a medical professional who treated you.
• Lab tests, X-rays or special studies.

You might also receive a separate bill from the hospital for the use of the facilities, if your treatment involved hospital services. Hospital bills are generated on a different billing system and managed by a different billing staff.

If you have insurance:
Insurance forms can be complex and confusing if you are not familiar with them. To simplify things, our Central Billing Office files claims with your health insurance company, including Medicare, so you won't have to. It is important that we have your correct insurance information in order to submit claims for you.

Insurance co-payments are due at the time you receive services from the clinic.

Please keep in mind that your insurance coverage is a contract between you and your carrier. You are ultimately responsible for payment of all charges. As soon as you receive your bill, we request prompt payment of the amount that the statement indicates is your personal balance. If needed, payment arrangements may be made with our Central Billing Office.

If you do not have insurance:
Our services are available to all persons as long as the person accepts responsibility for payment. Payment is requested within 25 days of the statement date unless you make other arrangements with us. Please let us know about any changes in your insurance status.

Our Community Care Plan can help people who are unable to pay for medical services provided by us. Please contact us for more information.

Aspirus payment requests and options:

• Co-payments are due at the time you receive services at the clinic.
• Full payment is due within 25 days of receiving your bill.
• There will be a $25 charge for all returned checks.
• We offer an extended payment plan with prior credit approval.

How you can pay your bill:
Your bill may be paid online, via mail or in person. We accept:

• Check
• Cash (please do not send cash in the mail)
• Money order
• VISA
• MasterCard
• Discover

Payments in person will be accepted at the Central Billing Office in Wausau or at any of the Aspirus Clinics.

Our collection policy
If special circumstances prevent a full, timely payment, our collection specialists will work with you to arrange a payment plan. Collection specialists are available from 8 a.m. to 5 p.m. Monday through Friday. You can call them at 800-627-3570 or 715-847-2304.

What is an account?
Each time you receive care or services at Aspirus Grand View a new account is created which ties to a date of service, this includes lab or pathology specimens.

Bills and statements:
After you receive services, a monthly statement will be sent which includes:

• All accounts processed by your insurance carrier that have a self pay balance.
• A summary of all accounts listing you as the guarantor which have been processed by your insurance carrier and have a self pay balance.
• Only those accounts which have been processed by your insurance are included on your statement. If your insurance carrier has not processed your claim for a specific date of service, this account will not be reflected on your statement.
• An itemization may be obtained by calling our business office.

Some tests or treatments require services from a provider who bill you separately; examples include neurologist, cardiologist, oncologist, and other specialists. If you have questions about these charges, please call the number printed on their statement.

Patient Financial Assistance

Your ability to pay for services should not prevent you from receiving the medically necessary care you need. Aspirus Grand View has financial assistance programs in place to help you, in the form of discounted, deductible-based or free care for those patients who do may not have the financial resources to pay their bills.

Payment Options

After your insurance company processes the bill (also known as a claim), the balance (amount owed by you) is due upon receipt. The balance can be paid in any of the following ways: cash, check, or credit card. In special circumstances, a payment plan may be arranged.

Collection Activity

Formal collection actions will be started after 60 days unless an agreement has been made between GVHS and all parties liable for the bill.

What if I can’t pay my bill?
Partial or full financial assistance may be available based on established guidelines. Consideration for assistance includes the patient’s or responsible party’s income level, existing debt, assets, employment status, number of people in the home, and other indicators of inability to pay.

Requesting financial assistance
To request an application for financial assistance please call 906-932-6203 or 906-932-7661.

Insurance Questions

• Hospital: 906-337-6594
• Clinic: 906-337-4537

Self Pay Questions

• Hospital and Clinic: 906-337-6596

What is an account?
Each time you receive care or services at Aspirus Keweenaw a new account is created which ties to a date of service, this includes lab or pathology specimens.

Bills and statements:
After you receive services, a monthly statement will be sent which includes:

• All accounts processed by your insurance carrier that have a self pay balance.
• A summary of all accounts listing you as the guarantor which have been processed by your insurance carrier and have a self pay balance.
• Only those accounts which have been processed by your insurance are included on your statement. If your insurance carrier has not processed your claim for a specific date of service, this account will not be reflected on your statement.
• An itemization may be obtained by calling our business office.

Some tests or treatments require services from a provider who bill you separately; examples include neurologist, cardiologist, oncologist, and other specialists. If you have questions about these charges, please call the number printed on their statement.

Patient Financial Assistance
Your ability to pay for services should not prevent you from receiving the medically necessary care you need. Aspirus Keweenaw has financial assistance programs in place to help you, in the form of discounted, deductible-based or free care for those patients who do may not have the financial resources to pay their bills.

Patient Financial Services can assist you with:

• Payment of medical debt
• Patient statements
• Payment plans
• Patient financial assistance program

Located on the first floor, Patient Financial Services is open Monday through Friday, 7:30 am – 4 pm. For more information, call 906-337-6596 or email AKH-cbo@aspirus.org.

Financial Assistance Program
In accordance with Aspirus Medford Hospital & Clinics purpose of addressing health care concerns in the community, Aspirus Medford will provide a discount program for accounts of uninsured patients receiving hospital or clinic services.

A patient's concern regarding a hospital bill should never get in the way of him or her receiving essential health services.

Have a question? Please contact us at 715.748.8100.

If you have insurance
Insurance forms can be complex and confusing if you are not familiar with them. To simplify things, our billing office files claims with your health insurance company, including Medicare, so you won't have to. It is important that we have your correct insurance information in order to submit claims for you.

Please keep in mind that your insurance coverage is a contract between you and your carrier. You are ultimately responsible for payment of all charges. As soon as you receive your bill, we request prompt payment of the amount that the statement indicates is your personal balance. If needed, payment arrangements may be made with our Patient Accounts representatives.

If you do not have insurance
In accordance with Aspirus Medford Hospital & Clinics' purpose of addressing healthcare concerns in the community, Aspirus Medford Hospital & Clinics will provide a discount program for accounts of uninsured patients receiving hospital or clinic services. A patient's concern regarding a hospital bill should never get in the way of him or her receiving essential health services.

Aspirus Medford Hospital & Clinics has an Uninsured Discount Program, a Financial Aid Discount (Community Charity Care) Program, in addition, we may also be able to help you identify other available resources or work with you to arrange a manageable payment plan or health loan.

Payment Options
Your bill may be paid online, in person or via mail.

We accept:

• Check
• Cash (please do not send cash in the mail)
• Money order
• VISA
• MasterCard
• Discover

Payments in person will be accepted at the Aspirus Medford Hospital & Clinics Cashiers Office.

For more information
Please contact our Patient Accounts Representatives at 715-748-8154 or 715-748-7503 between 8 a.m. and 4:30 p.m. Monday through Friday.

Or write to our patient service team at:
Aspirus Medford Hospital & Clinics
Patient Financial Services
135 So. Gibson Street
Medford, WI 54451
Or visit a Patient Accounts representative at Aspirus Medford Hospital & Clinics.

Aspirus Langlade Hospital will prepare bills for services provided by our physicians and staff. Statements are mailed monthly and list payments and adjustments made during the prior month as well as your current balance. If you have any questions or need assistance, please call our Patient Financial Services staff at 715-623-9401 or 715-623-9421, or email pfs@langhosp.org.

You may receive separate bills from the physician(s) who provided you with your care while you were a patient at the hospital. Just like your personal physician, the Anesthetist, Pathologist, and other Professionals are not employees of Aspirus Langlade Hospital and you will receive a separate bill for their services. Please contact their office directly if you have any questions regarding their bills.

Financial and Payment Policy
Aspirus Langlade Hospital requires payment in full in 30 days from the date of service. If you are not able to pay your balance at this time, please contact one of our representatives at the numbers above. They will assist you with the following options:

1. Mastercard, Visa or Discover
2. Installment payments (when approved by your patient account representative)
3. Community Care Program
4. Medical Note Program (assist with arrangements for a local lending institution)

If you have insurance:
Insurance forms can be complex and overwhelming. To assist our patients with the process, Aspirus Langlade Hospital will submit claims to your health insurance company, including Medicare and Medicaid and will allow 45 days for payment. It is important that we have your correct insurance information in order to accurately submit claims for you.

Please keep in mind that your insurance coverage is a contract between you and your insurance company. You are ultimately responsible for payment of all charges. When you receive your bill, we request prompt payment of the amount that the statement indicates as your balance.

If you do not have insurance:
Aspirus Langlade Hospital’s Community Care Program offers help in paying for services provided by the hospital to people who are experiencing financial difficulty and who meet eligibility requirements.

Please contact one of our patient financial services representatives at 715-623-9401 or 715-623-9421 to answer questions or provide additional information.

Community Care Program
Aspirus Langlade Hospital offers help, as medical bills can change the best of planned budgets. In keeping with our mission of quality and compassionate service, our hospital has a program designed to provide assistance to our patients called Community Care. Patients are considered for this program based on financial status. If you would like to be considered for this program, please review income qualifications outlined below and follow steps A – G.

The financial qualification of the Community Care Program is based on percentages of the Federal Poverty Levels as follows:

Add 3,740 for each additional family member.

Eligibility Criteria
In order to be eligible for the Community Care Program the patient/guarantor, husband or wife, and dependents may not have property in excess of the following:

1. Land and home with equity in excess of $50,000
   Financial Statements and tax bills are required. Income producing land (e.g. – dairy farm) is evaluated on a case-by-case basis.
2. Cash assets in excess of $3,000 at the time of application.

   A) Complete the Community Care Application at the top of this page and return with all necessary information attached.

   B) In order to be considered for Community Care, you must apply for Medical Assistance and furnish evidence of denial.

   C) The following items must be included with your completed application:

   • Last year’s federal income tax return or if you were not required to file taxes, copies of your previous year annual statement from Social Security.
   • Current statements from your bank
   • If you are employed, please provide copies of three most recent payroll stubs
   • A denial letter for Medical Assistance through Social Services

   D) Attach copy(s) of your most recent property tax bill(s) for any real estate property you own and a copy of your mortgage statement(s).

   E) Attach proof of your last year’s child support payments from the Clerk of Courts Office if you are receiving child support. If you are not receiving child support and should be, then we would require a letter stating that the court has been unable to collect from the responsible party.

   F) Sign and date the application.

   G) Please return your completed form and required information to the Cashier’s Office on the first floor off the main lobby of the hospital. If you choose to mail your application, direct it to the attention of the Cashier at:

   • Aspirus Langlade Hospital
     112 East Fifth Avenue
     Antigo, WI 54409
     Attn: Cashier

   Should you have any questions completing this application, please contact us at 715-623-9244. If we need additional information we will contact you by phone.

Financial Assistance

Aspirus Riverview Hospital is committed to serving patients whether or not they can pay for part or all of the essential care they receive. To assist patients with financial hardship, the association offers a financial assistance program called Community Care.

Community Care Program

Patients who do not have the means to pay for necessary health care services can apply for assistance. Our Financial Counselors are available to review this and other options for financial assistance with you in confidence. If you have questions regarding this program, please call 715.421.7426 or 715.421.7581.

Assistance with Healthcare Exchange Marketplace

Riverview has Certified Application Counselors available to meet with anyone who would like help understanding the federally facilitated healthcare exchange marketplace. Our counselors are trained to answer questions about the marketplace and act in the patient's best interest by helping them choose health coverage that meets their financial and healthcare needs. To schedule an appointment with one of our Certified Application Counselors, please call 715.421.7581.

Insurance & Billing

Important Payment Information
Payment in full is requested within 20 days. For your convenience, we accept Visa, MasterCard, Discover, and American Express. Pay your bill here. To maintain your good standing, please contact a Financial Counselor if full payment cannot be made. They can be reached directly at 715.421.7426 or 715.421.7581.

Terms and Conditions
Please be aware that each time you receive services from the hospital a separate visit number is created. It is possible to have several accounts open at the same time. You will receive separate bills from the physician(s) who provided you with care while you were a patient at Aspirus Riverview Hospital. Your personal physician; the radiologist; the anesthesiologist; the pathologist; and the emergency department doctor, nurse practitioner and physician assistant are not employees of Aspirus Riverview Hospital, and you WILL receive a separate bill for their services. Please contact their offices directly if you have questions regarding their bills.

• Central Wisconsin Radiologist: 800.422.1733
• Anesthesia Associates of Wis. Rapids: 800.899.9700
• Infinity Healthcare: 888.290.6720
• Park & Associates, S.C.: 715.423.9170
• Coast-to-Coast: 800.225.0953

Billing Contact Information
Financial Counselors can be reached directly at 715.421.7426 or 715.421.7581 Monday through Friday, 7 a.m. to 4:30 p.m. If you reach our voicemail service, please leave your name and call-back number, and we will return your call.

Medicare
We accept Medicare and will submit your claims to Medicare and to your supplemental insurance. If applicable, you will be responsible for any part of the Medicare-approved amount not paid by Medicare or other insurances, and for services not covered by Medicare.

Aspirus Riverview Clinic Provider-Based Billing Notice
Aspirus Riverview Clinic is a department of Aspirus Riverview Hospital, and is referred to as "hospital-based" or "provider-based." To be compliant with Medicare regulations, Aspirus Riverview Clinic must bill technical charges under the name "Aspirus Riverview Hospital" and professional charges under the name "Aspirus Riverview Clinic."

Guarantor Policy
The guarantor of the account is the person who is financially responsible for payment. A guarantor may or may not be the policyholder of the insurance. In accordance with HIPAA privacy regulations, patients age 18 and older will be their own guarantor and receive their own billing statement. In accordance with state law, both parents are legally responsible for the cost of medical care for children under 18 years of age.

Divorce Cases
The parent who brings the child in for services and signs the admission agreement will be considered the responsible party and will receive all billing statements and letters. Any court-ordered financial arrangements must be worked out between the parents of the children.

Insurance Coverage
If insurance information is provided, we will submit an insurance claim. If insurance was not provided at the time of service, or if the information has changed, please immediately call our Financial Counselors. They can be reached directly at 715.421.7426 or 715.421.7581. Remember, your insurance policy is a contract between you and your insurance carrier and that you are ultimately responsible for all charges. If we are unable to resolve issues with your insurance, or if your claim is not processed in a timely manner, we will notify you. If your insurance carrier requests information from you, please respond promptly.

Wisconsin Medical Assistance
Please notify us if you have medical assistance and if a statement has been received for services covered.