Financial Assistance & Arrangements
Mason General wants you to understand your hospital bill. If you have any questions please call (360) 427-3601 from Allyn call (360) 275-8614 and ask for the Patient Accounts Office. Spanish translator is available.
Washington Basic Health Plan
If you do not have medical coverage you may want to apply for the Washington Basic Health Plan. A representative from Choice Regional Health Network comes to Mason General Hospital every Tuesday. You can make an appointment by calling (360) 493-4550 or 1-800-981-2123.
Charity Care/Uncompensated Care
Mason General Hospital has a Charity Care/Uncompensated Care Policy. This policy contains the guidelines for people to follow if they need any assistance with payment of their hospital bills. This policy applies to those who who do not have insurance AND those who have insurance and is based on income levels. Please ask at the Admitting area or the Business Office for a copy of the guidelines and application. Completed applications should be sent or delivered to the Business Office.
Our Uncompensated Care Program is based on a sliding fee schedule extending up to 400% of the federal poverty level. In order to qualify you need to do three things:
- Apply at DSHS and be approved or denied medical coverage
- Complete the Uncompensated Care application
- Provide proof of income so that we can verify household income for the previous 12 month period
After all the criteria have been met, a determination will be made based on the income information. You may qualify for a discount of up to 100% of your bill.
Credit Policy
Financial arrangements must be made prior to admission for
any pre-scheduled services. A deposit will be requested for emergency services. For those with insurance coverage, co-payments and deductibles
are expected at the time of service. If payment arrangements are needed, they must be set up within
15 days from the date of service. Payment arrangements are required whenever
the bill cannot be paid in full at the time of the first billing statement.
The guarantor is responsible for making appropriate financial arrangements
with the Business Office.
| If payment arrangements are needed, the payment schedule is as follows: |
|
| Balance: | Months to Pay: |
| Up to $74.99 $75.00 - $149.99 $150.00-299.99 $300.00 – 499.99 $500.00-999.99 $1000.00-1499.99 $1500.00-3999.99 $4000.00 and up |
1 2 3 6 9 18 24 36 |
Workman’s Compensation
For services that are the result of a work related injury the Business Office will need the following information:
- Employer name, address and phone number
- Date of Injury
- Claim number, if applicable
You must notify your employer of an on the job injury. Your employer will need to submit additional information to the industrial carrier. Mason General Emergency Room Physicians can not help you with Re-opening a closed claim. You will need to go to your primary care physician for this service.
Auto Insurance
For services related to a motor vehicle accident, the Business Office will submit a bill on your behalf once the following information is received:
- The name of the responsible party
- The name and phone number of the responsible party’s auto insurance carrier and Agent name.
- The guarantor’s auto insurance company name, phone number and Agent name
- Any claim numbers assigned to you for this particular accident
Mason General Hospital will not wait for litigation with regard to an accident. It will be your responsibility to pay the bill in a timely manner if insurance does not pay timely.
Insurance Information
Mason General Hospital will bill your insurance company if all needed information and a copy of your insurance card is presented at the time of registration. At the time of registration, you will be asked to sign a form authorizing your insurance company to assign insurance benefits to Mason General Hospital. You are expected to pay for charges that are not covered by insurance such as co-payment, coinsurance, non-covered and deductible amounts. Questions regarding insurance coverage or benefits must be directed to your insurance company. Is it your responsibility to know and meet the requirements of your insurance policy for pre-approval of your Hospital service(s).
Contracted Payors |
||
| Kitsap Physicians Insurance Premera Blue Cross First Choice Regence, Blue Shield Regence, Boeing Aetna United Healthcare Uniform Medical Plan |
Pacificare HMO Commercial Pacificare PPO & EPO Great West HealthcareMolina Health Plan Healthy Options and PEBB Community HealthPlan of Washington Healthy Options |
Medicare
Advantage Washington Medicaid Noridian Medicare Skokomish/Squaxin Indian Health Champus (Tricare) Pacificare HMO Secure Horizons PEBB |
| If you have questions relating to a provider’s preferred, participating, network or non-network status please refer those questions to your insurance company. The patient is responsible for meeting the requirements of their insurance policy and all questions regarding insurance coverage or benefits must be directed to your insurance company. | ||