Billing Information
Your bill from Mon Health Medical Center will include charges for all medical services and supplies provided by the hospital during your stay. The hospital will assist you in obtaining the benefits to which you are entitled under your insurance policy or from other sources that might help you pay your hospital bills. However, it is your responsibility to pay your bills, or to see that they are paid.
Prior to August 1, 2020, patients received one statement per visit to a Mon Health care center. Based off your feedback and continued efforts to provide a more convenient billing experience, we have now combined statements into one following your initial statement.
For help on how to interpret your new statement, click here.
Your care is very important to us and we want to make sure that we are doing everything that we can to provide you with the safest, highest quality of care that you expect from Mon Health
Insurance
All necessary insurance claim forms should be completed by you and submitted to Patient Registration at the time of admission. If you did not present the insurance card issued by your insurer, Medicare, or Medicaid when you were admitted to the hospital, please contact the Business Office:
304-598-1560.
If you have any questions concerning payment, a Patient Accounting Financial Representative is available to discuss the hospital's payment policies and the options available. Contact Patient Accounting:
304-598-1560.
Other Bills
Please remember that you or your insurance company will receive a separate bill for professional services rendered by the following physicians:
- Attending Physician
- Radiologist interpreting your X-Rays
- Anesthesiologist
- Consulting Physician(s)
- Physician(s) acting as surgical assistants
- Physician interpreting your electrocardiogram
- Surgeon(s)
- Hospitalist(s)
- Provider Based Billing
Insurance Verification
It is important that you be familiar with your insurance plan to avoid any unexpected financial charges resulting from your hospital treatment.
The company that insures you may have one or more utilization management programs, requiring that your admission be authorized for medical necessity and length of stay.
Among the utilization management programs are:
- Pre-Admission certification
- Second surgical opinion
- Concurrent review
- Retrospective review
- Discharge planning
Each program monitors and manages the utilization of the services that hospitals provide. If your insurance plan requires pre-admission certification, you must obtain this pre-authorization. It may further require that the appropriateness of services provided be monitored and reviewed during your hospitalization and/or after discharge.
Additionally, most insurers, including Medicare, Medicaid, and Blue Cross, require that certain surgical procedures be performed only on an outpatient basis. With certain other defined surgical procedures, the patient is required to obtain a second surgical opinion to determine the necessity for surgery.
If the insurer, during your hospitalization or after your discharge, questions your admission, length of stay or services received, your physician, the hospital and you will be notified. Such findings may result in the insurer not paying for days of hospitalization or services it deems medically unnecessary, and the financial responsibility could be placed on you. If your insurer denies services, admission, or continued stay, we will notify you as a courtesy, and administer an "Advanced Beneficiary Notice of Non-Covered Services" or "Exhausted Benefits" form.