Understanding Your Medical Bill Charges
Had a recent visit or procedure at one of our physician offices located at the Wyandot Memorial Hospital Campus? You may have noticed two types of charges on your bill: hospital services and clinical professionals.
Hospital Services: Covers your room and any medical or technical services, supplies or equipment. The facility and/or treatment room charge will be shown here.
Physician and Clinical Professionals: Covers your doctor’s services, treatment, or procedures. This also applies to other clinical professionals involved in your care.
Frequently Asked Questions About Provider-Based Billing
• What does provider-based mean?
Provider-based is a Medicare classification. It means that hospitals have met specific Medicare regulations to have their outpatient doctors’ offices and clinics classified as provider-based facilities.
When we provide care in a provider-based setting, you’ll see two charges: the charge for the provider care and for the facility.
• I have health insurance with my employer. How does provider-based billing affect me?
This billing applies to all patients, regardless of the type of insurance you have.
The way your insurance company covers the hospital service part of your bill varies. It’s based on whether you have insurance through your employer, another insurance company, or if you’re covered by Medicare. Some insurance companies cover this part of your bill, while others apply it to your deductible.
Contact your insurance company to understand your benefit design. If you have questions, call one of our patient financial services representatives at 419-294-3270, option 2.
• I have supplemental coverage in addition to Medicare. Will it cover my hospital services?
Wyandot Memorial Hospital will submit any balance to your secondary insurance company. If your secondary insurance doesn’t cover the remaining balance (or if you don’t have secondary insurance), you’ll get a bill for what you owe.
What can I do if I am having trouble paying my medical bills?
You can see if you may qualify for help paying your bill by calling our Patient Access Department at 419-294-3270, option 1 or visit our Financial Assistance Page for more information.