Billing Payment Policies

Gilbert Hospital will provide care without discrimination for emergency medical conditions regardless of a patient’s ability to pay and Gilbert Hospital will adhere to the hospital’s debt collection practices policy.

There is no doubt that health insurance benefit plans are confusing. Most plans do not provide 100% coverage for a hospital bill. Each plan has its own set of rules, exclusions and services that are not covered.

It is your responsibility to be familiar with your specific benefit plan. If you are unsure of your coverage for a particular medical procedure or test, you should call the customer service telephone number on your insurance card before scheduling the procedure.

Your health insurance policy is a contract between you and your insurance company. As a service to you, Gilbert Hospital will send a claim to your health insurance company. By working together, we can minimize misunderstandings, payment delays and billing costs, However, you are responsible for any charges not covered by your benefit plan.

Once your insurance company notifies you of your responsibility portion, please call Patient Financial Services to make arrange for payment or make a payment online.

Depending on your plan, you may be required to get approval (pre-certification) before you receive hospital services. Also, obtaining approval does not guarantee that the cost of tile service is completely covered by your benefit plan. You will still be responsible for any charges not covered by your benefit plan.

If Gilbert Hospital does not participate in your insurance plan, you can still receive services here. In an emergency, your insurance company will consider our services as “in-network'” and you will pay for your services the same as a contracted hospital. You will still be responsible for any co-pay, deductibles or co-insurance.

Medicare

If you are covered by Medicare, we will send in a bill for you, we accept assignment, but you are responsible for any deductible, coinsurance or non-covered services. You should present a valid Medicare card.

Medicaid

If you have Arizona AHCCCS coverage, we will send in a bill for you, we accept assignment, but you are responsible for any co-payment, or non-covered charges. Remember you arc only covered for 25 In Patient days per year! You should present a valid AHCCCS card.

Accident Related Injuries

If you are involved in an accident related injury, we will submit claim to your insurance company for you. Any medical expenses that are not paid by insurance arc your responsibility.

Workers' Compensation

If your medical care is covered by Workers’ comp insurance, we will bill your employer’s health insurer. If the claim is disputed, you are responsible for paying the hospital bill.

Financial Assistance

Gilbert Hospital offers financial assistance through the hospital’s own Charity Program. You must apply within 10 days of your date of service. A snapshot of your current financial situation will be used to determine eligibility for assistance.

Our Financial Counselors can help you apply for financial assistance. Click here to obtain a Financial Assistance application. Please call 480-984-2000 or click here after an emergency visit.

Self Pay

Gilbert Hospital will provide care without discrimination for emergency medical conditions regardless of a patient’s ability to pay. For all other services, self-pay patients are expected to pay in full prior to receiving service. When possible, we will estimate the required payment when you schedule your service. A prompt pay discount consistent what is typically paid by insurance is available when paid at time of service.

We have Financial Counselors who can help determine if you qualify for financial assistance and explain our prompt pay discounts. Call 480-984-2000 or email click here. We will reschedule self-pay patients who are unable to pay prior to a scheduled service and have not made appropriate payment arrangements with our Financial Counselors.

Preparing for Your Visit

Please bring these items with you to the hospital:

  • Insurance cards
  • Referrals or pre-certification numbers/information from your physician
  • Valid driver’s license or state identification card
  • Payment for your co-pay, deductible, and any services that are not covered by your health insurance plan

 

Paying Your Bill

We accept cash, checks, VISA, MasterCard, Discover and American Express.

Physician Bills

You will receive separate bills from the physicians (radiologists, surgeons, etc.) involved in your care. If you have questions or concerns about those bills, call the physician office or the customer service telephone number on your insurance card.

Keeping Records

It’s your responsibility to ensure that your health benefit plan meets its obligations to you and pays everything it should. An important step in doing that is to keep every hospital (and physician) bill you receive. Likewise, keep all the documentation sent by your health insurance plan. In this way, you can compare the payments made by your insurance company against your health benefit plan.

Questions About Your Bill?

The Patient Financial Services Department is available to assist you with questions concerning your hospital bill. Call Customer Service at 480-984-2000 weekdays from 9 a.m. until 4:00 p.m., or email click here anytime.