Hospital Billing Information
Your hospital bill will reflect services provided to you by the hospital during your stay. Please contact our Patient Accounting Department at (209)461-7583 with questions about your hospital bill. To better assist you, please have your patient account number and date of your visit available at the time of your call. A Patient Accounting representative is available to assist you Monday through Friday, 7:00 a.m. to 5:00 p.m., excluding holidays.
Professional or Physician Services
During your hospital visit, other professionals or physicians may be involved with your care and they have their own billing office. Charges for professional or physician services are not part of your hospital bill. Emergency Medical Care and other Medically Necessary Services provided by professionals or physicians, other than the hospital facility itself, are not covered by the Hospital’s financial assistance policies. Professional or physician services include:
- Ambulance Services
- Emergency Physicians
- Internal Medicine
- Magnetic Resonance Imaging (MRI)
- Nuclear Medicine
- Otolaryngology (ENT)
- Physician Assistants
- Psychiatric Services
- Radiation Therapy
- Respiratory Care
If you provide us with insurance information at the time of your visit, it will be made available to the professional or physician that provided you service.
Dameron Hospital cannot make sure that the professionals or physicians who treat you are contracted with your insurance or provider network. Services provided by a professional or physician who is not contracted with your insurance may be considered “out-of-network services.” Your insurance benefits may be reduced for “out of network services.” If your insurance benefits are reduced, this may increase your personal financial responsibility for “out-of-network services.”
Dameron Hospital personnel do not have access to a list of professionals and physicians who are contracted with your insurance. If you have any questions regarding professionals or physicians who are contracted to your insurance, or about coverage or benefits, please call your insurance plan or network administrator.
Billings for professional or physician service will come to you directly from the provider, and you should contact them with questions regarding their bills. The hospital is unable to assist you with these claims or accept any payments for the services these professionals or physicians provided you.
What a Hospital Bill Covers
Your hospital bill will reflect services provided to you by the hospital during your visit. Physicians and other providers will bill you separately for their services. You will need to contact them directly with any questions you may have regarding their billings.
For questions about your hospital bill, please contact our Patient Accounting Department at (209)461-7583. To better assist you, please have your patient account number and date of your visit available at the time of your call. A Patient Accounting representative is available to assist you Monday through Friday, 7:00 a.m.–5:00 p.m., excluding holidays.
Prior Authorization/Non-Covered Services
Depending on your insurance, services ordered may require prior authorization. Failure to prior authorization may result in non-payment for services rendered. Please contact your insurance company to ensure services are authorized and covered.
Verification of Insurance Coverage
It is the responsibility of the patient or patient’s representative to verify that their insurance covers services rendered at Dameron Hospital.
HMO or PPO Insurance
Your plan may have special requirements, such as receiving services from a preferred provider or prior authorization for certain tests or procedures. It is your responsibility to make sure the requirements of your insurance plan have been met. If your plan’s requirements are not followed, you may be financially responsible for all or part of the services you receive. Some professional or physician services may not be contracted within your insurance company’s “provider network.” If an out-of-network professional or physician provides you services, it is likely that you will be responsible for those expenses.
We will need a copy of your Medicare card to verify eligibility and to process your Medicare claim. Deductibles and co-payments are the responsibility of the patient, unless supplemental insurance information is provided.
You should be aware that the Medicare program specifically excludes payment of certain items and services. For more information about your Medicare coverage please refer to your Medicare & You handbook. If you do not have a handbook, you can visit www.medicare.gov or call 1-800-MEDICARE (800-633-4227) for assistance.
We will need a copy of your Medi-Cal Benefits Identification Card (BIC) to verify eligibility and to process your Medi-Cal claim. Medi-Cal also has payment limitations on a number of services and items. Some Inpatient/Outpatient services require a Treatment Authorization Referral (TAR) from your primary care physician. Please have this authorization and referral with you when you arrive for registration.
Payment plans for the amount owed may be arranged for those unable to pay their account in full within 30 days of the initial billing. It is important that you contact our office within 30 days of your first billing notice to discuss your payment options.
Should an account be referred to an attorney or collection agency for collection, the account’s guarantor shall pay actual attorney fees and collection expenses, as permitted by law.
Patients Not Covered by Insurance
If you do not have health insurance coverage, you may be eligible for Medicare, Healthy Families Program, Medi-Cal, coverage offered through the California Health Benefit Exchange, California Children’s Services program, or other state- or county-funded health coverage. Contact our Financial Counselor at (209) 944-5400, ext. 7525, for information on how to obtain an application for these programs. The hospital can provide these applications to you and assist you in completing them. If you lack, or have inadequate insurance, and meet certain low- and moderate income requirements, you may qualify for financial assistance.
Dameron Hospital Association
525 West Acacia Street, Stockton, CA 95203 Tel: 209.944.5550