We appreciate your selection of AdventHealth Ottawa for your health care needs. We understand that you have come to expect the highest level of quality care from AdventHealth Ottawa and its staff and we want you to know that we do not take your trust and expectations lightly. Healthcare has become a hot topic in the past several years, with mandatory changes and increasing requirements from both patients and healthcare providers. We recognize that these changes can be unsettling and confusing.
AdventHealth Ottawa wants to help our patients to become more knowledgeable about the costs of their medical services, payment responsibilities and options. AdventHealth Ottawa has already begun implementation of a new payment process that will assist patients in understanding their portion of their medical care and services costs. The first phase of this process has been learning to utilize real-time technology tools to communicate with insurance plans regarding co-payments, co-insurance portions and deductibles to assist us in determining your financial responsibility or a reasonable estimation of such. Starting summer of 2015, a payment based upon your care is due at the time of service.
Our goal is to continue providing the highest quality healthcare services while assisting our patients to become more informed and engaged consumers of healthcare.
Frequently Asked Questions
How will AdventHealth Ottawa determine my payment?
The hospital is already utilizing real-time tools to communicate with some health plans, but in the event a patient’s actual benefits cannot be determined, we have determined nominal standard payment for most hospital services.
What if I have to go to the hospital with an emergency?
We assure you that our ONLY priority in an emergency situation is for all staff to focus on assisting the patient with their immediate healthcare needs. If, after medical screening and/or treatment, you are deemed to be stable and ready for discharge to home or your condition is determined to be non-emergency in nature, a registration clerk will ask for payment at that time.
What if I don’t have health insurance?
Patients without health insurance coverage will be asked to pay an amount at the time of care. We will work with them to make arrangements for payments on their remaining balance. These amounts are similar to the most reasonable co-pays paid by those with health insurance. Additionally, you will be offered the opportunity to apply for assistance through Financial Assistance.
What is Price Transparency?
The Centers for Medicare and Medicaid Services (CMS) mandates in the 2019 Medicare Inpatient Prospective Payment System Final Rule, for hospitals to make available a list of their standard charges in machine readable format, effective January 1, 2019. RMH complies with this regulation and the promotion of patients having better access to health care services.
The chargemaster encompasses a list of items and services available at AdventHealth Ottawa, along with the charge for each item. The charge master does not allow patients to accurately estimate their patient responsibility for services rendered. Things you should consider:
- Charges could change throughout the year, but may only be updated on the website annually. Please call for most up to date charges.
- Tests, procedures and visits often include multiple charge items, depending on services ordered by your physician.
- Visits often include services rendered by other institutions, such as physician clinics, hospitalist physicians, ER physicians, Radiologists, Anesthesiologists as well as Pathology; therefore, charges are not all inclusive. These institutions bill separately for their services; you should reach out the them directly for their charge item inquiries.
- Similar charges may vary depending on the location within the hospital where services were rendered.
- Most patients do not pay the charge amount, as specific adjustments are made depending on a patient’s insurance plan and coverage.
Estimating Patient Responsibility – Estimating patient responsibility, unfortunately, is not as simple as identifying charge items in the charge master; it is complex. In addition to determining charges included in certain types of visits, insurance coverage is another determining factor of estimating patient responsibility.
For patients with insurance, the different insurance payers may contract with each facility at a different payment rate, or allowable amount, which adds to the complexity of price transparency. Every patient has an agreement with their insurance company of what is determined as acceptable for insurance and patient responsibility to be, upon services being rendered. In addition to monthly premiums, a patient’s out of pocket expense includes co-pays, deductibles and co-insurance. Contact your insurance company for specific questions regarding your coverage and benefits.
For an estimate on scheduled hospital services, call our office at
Call785-229-3383. Staff will review the scheduled procedure ordered by your physician, as well as your insurance coverage and benefits.
Uninsured and underinsured patients may be eligible for discounts.
For those who qualify, financial assistance is also available. To apply, complete the Financial Assistance Application.