Patient Billing & Insurance
Please Note: Patient Accounts and Billing is located at 1621 Centennial Boulevard, Springfield, rather than at the main hospital site of 1460 G Street. The phone number is 726-4411.
All patients should familiarize themselves with the terms of their insurance coverage. This will help you understand the hospital's billing procedures and charges.
If there is a question about your insurance coverage, a member of the Patient Accounting Department will contact you or a member of your family while you are here. Information is needed in order to process your claims.
For questions, call Patient Financial Services, 726-4411, or stop by their offices at 1621 Centennial Boulevard, Springfield.
If You Have Health Insurance...
We will need a copy of your identification card. We also may need the insurance forms, which are supplied by your employer or the insurance company. You will be asked to assign benefits from the insurance company directly to the hospital.
If You Are a Member of an HMO or PPO...
Your plan may have special requirements, such as a second surgical opinion or pre-certification for certain tests or procedures. It is your responsibility to make sure the requirements of your plan have been met. If your plan's requirements are not followed, you may be financially responsible for all or part of the services rendered in the hospital. Some physician specialists may not participate in your healthcare plan and their services may not be covered.
If You Are Covered by Medicare...
We will need a copy of your Medicare card to verify eligibility and process your Medicare claim. You should be aware that the Medicare program specifically excludes payment for certain items and services, such as cosmetic surgery, some oral surgery procedures, personal comfort items, hearing evaluations and others. Deductibles and co-payments also are the responsibility of the patient.
If You Are Covered by Medicaid...
We will need a copy of your Medicaid card. Medicaid also has payment limitations on a number of services and items. Medicaid does not pay for the cost of a private room unless medically necessary. (See more at Medicaid Eligibility Program).
If You Have No Insurance...
A representative from the Accounting Department will discuss financial arrangements with you. A hospital representative from Care Management/Discharge Planning Services is also available to assist you in applying for Medicaid or other government assistance programs.
Your Hospital Bill
The hospital will submit bills to your insurance company and will do everything possible to expedite your claim. But you should remember that your policy is a contract between you and your insurance company, and you have the final responsibility for payment of your hospital bill. We have several payment options available to assist you in paying your bill.
Your bill reflects hospital services you receive during your stay. If you have certain tests or treatments in the hospital, you may receive bills from physicians you did not see in person. These bills are for professional services rendered by these doctors in diagnosing and interpreting test results while you were a patient. Pathologists, radiologists, cardiologists, anesthesiologists and other specialists perform these services and are required to submit separate bills. If you have questions about these bills, please call the number printed on the statement you receive from them.
McKenzie-Willamette has direct contracts with the following insurance providers, but other insurers may offer coverage for our hospital services as well. Call your insurer, or our patient billing office, 726-4411, to find out if your plan covers services at McKenzie-Willamette Medical Center.
- America's Health Plan (AHP)
- BlueCross BlueShield (PAR, PPP)
- Confederated Tribes
- Employers Health Alliance
- First Health Network
- Galaxy Health Network
- Great-West Healthcare of Oregon (PO, POS)
- Healthcare Direct (LLC)
- HealthNet of Oregon
- Health Payor (HPO)
- Managed HealthCare
- National Provider Network
- Northwest/Caremark (PPOS)
- ODS (PPO, POS, HMO)
- PacificCare (All Plans)
- PacificSource Health Plans (All Plans)
- Private HealthCare Systems (PHCS)
- Providence Health Plans (All Plans)
- Samaritan Health Services
- Secure Horizons
- United Healthcare
- United Payors & Providers (Up & Up)
- Wilson & Paschall, Inc