ONLINE PAYMENT
Paying your bills online is easy, convenient, and secure all in the click of a mouse.
When making a payment online please note:
1. Do NOT use browser back button: this will cause duplicate withdrawls from your bank account.
2. Do NOT pay multiple accounts on the same day: this will cause your bank to deny the subsequent payment as a duplicate.
3. Please use the patient account number, which starts with a 7, rather than the guarantor number when entering payments. This will ensure yoru payments are applied where you intend.
Make Payment
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FINANCIAL ASSISTANCE
Please completely fill out the application and return it with a copy of your most recent Income Tax return to:
Patient Accounts Manager
Madison County Health Care System
300 W. Hutchings
Winterset, Iowa 50273
Print Application
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IMPORTANT TELEPHONE NUMBERS
If you have any questions or concerns, feel free to call the following phone numbers at Madison County Health Care System. The staff in these areas will work with you to resolve any issues or obtain information regarding your care with us.
For questions regarding your bill or to make payment arrangements, contact:
Patient Accounts
515-462-9747
For questions regarding the care received, contact:
(Hospital) Chief Nursing Officer:
515-462-2373 ext. 248
Health Trust Physicians Clinic Manager:
515-462-2950
Earlham Medical Clinic Manager:
515-462-2950
For medical record information, contact:
Hospital Medical Records
515-462-2373 ext 298
Health Trust Physicians Clinic
515-462-2950
Earlham Medical Clinic
515-758-2907
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BILLING INFORMATION
As a courtesy, we will file your insurace claim, but you are ultimately responsible for paying for the services provided. During registration, you will be asked to sign a Registration form. This form allows us to care for you as a patient, file a claim with your insurance carrier and have your carrier make payments directly to Madison County Health Care System. Inpatients will be asked to sign additional Admission paperwork. Medicare recipients will be asked questions to determine if Medicare is the primary or secondary payer. |
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FINANCIAL PAYMENTS
Madison County Health Care System request the patient portion of charges be paid at the time of registration. The amount you pay varies depending on your insurance coverage. We request co-payment and deductible amounts be paid at the time of service. Remaining balances such as coinsurance will be billed after the insurance company processes the claim. Madison County Health Care System accepts the following forms of payment: personal checks, cash, Master Card, Discover , American Express & Visa. If payment at time of service is not possible, Madison County Health Care System will perform services that are indicated to be medically necessary.
PRE-CERTIFICATION
Many insurance plans have pre-certification requirements. Generally, patients or their physicians are responsible for obtaining pre-certification. In order to ensure that a claim gets preauthorized for payment, it is required that patients present ALL insurance information at the time of registration. If complete insurance information is not provided prior to treatment, the patient's guarantor may be liable for the entire bill. To avoid penalties or reduction of payments, call your insurance carrier(s) for specific information.
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MEDICARE
Madison County Health Care System will bill medicare on your behalf for services rendered. You are responsible for any applicable deductibles, co-insurance or other amounts not paid by Medicare, including but not limited to, self administered drugs in outpatient settings such as Emergency room and observation. For your convenience, your supplemental carrier will be billed for any balances following Medicare's payment.
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MEDICAID
We require all Medicaid patients to present a current eligibility card at the time of registration. Without verification of coverage, you will be responsible for your account. We will bill Medicaid when all necessary information has been provided. you are responsible for non-covered portions associated with your individual coverage.
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COMMERCIAL INSURANCE
We will bill your insurance carrier if you have provided us with all necessary policy information, including a copy of your insurance card. In the absence of necessary billing information, you will be responsible for payment of your entire account. In the event your insurance carrier is not prompt in making payment, Madison County Health Care System may need your assistance in contacting the carrier for payment. In cases where the service has not yet been paid, you will be personally responsible for the bill.
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WORKER'S COMPENSATION
Your employer must approve Worker's Compensation coverage prior to your registration. Madison County Health Care System will not become involved in disputes between you and your employer other than to supply factual information. If your claim is denied by your employer or their worker's compensation insurance, you are ultimately liable for the care you received.
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THIRD PARTY LIABILITY
If you have been injured in some manner, whether automobile accident, fall, etc., another party may have some legal responsibility for your injuries. Although this is a matter between you, your attorney, and the party responsible for the injury, Madison County Health Care System will bill, on your behalf, to the carrier you provide. If you are a Medicare or Medicaid recipient, health care laws require that we bill the liaility carrier first, then Medicare or Medicaid. |
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FINANCIAL ARRANGEMENTS
Madison County Health Care System has staff available to discuss your individual financial needs. If you do not have inurance or will have difficulty in paying your portion of the bill, the staff can assist you in making payment arrangements or may suggest alternate financial assistane options. Patients will receive necessary medical care, and the care will never be based on the patient's ability to pay.
Financial assistance options:
HRS Erase - facilitate patient in finding coverage for care received
HAWK - I - insurance coverage for minors under age 19
Department of Human Services - various options available
Crime Victim Compensation Program
Senior Health Insurance Information Program (SHIIP)
Madison County Health Care System Financial Assistance Program |
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