Henry County Health Center Financial Services

At Henry County Health Center we have a team of insurance specialists/financial counselors who are dedicated to assisting our patients with services that include:

• Filing insurance claims
• Interpreting individual or group insurance coverage
• Collecting payments
• Providing itemized billing upon request
• Assisting patients in applying for HCHC’s Financial Assistance Program
  • No one will be denied access to services due to inability to pay.
  • A discounted/sliding fee schedule is available based on family size and income.
• Referring private pay patients to appropriate staff who can assist them in signing up for Presumptive Medicaid or The Bank Loan Program to cover medical expenses
• Providing estimates for future services (including cost of procedure/out-of-pocket)

Patient Financial Services hours are 8:00 am to 4:30 pm Monday through Friday.

We have payment boxes conveniently located in the main lobby, Emergency Department, and at the north entrance located next to the Patient Financial Services window.

For questions please call 319-385-6140.

HELP FINANCIAL Loan Program:
Low Fixed Rates
0% Interest Rate (to qualified applicants)
Quick & Easy Application
Click here to access the loan application form

Financial assistance Policy & apPLICATION

Please Click Here to download the Financial Assistance Policy Summary & Application. Applications can also be picked up at each hospital location.

Click Here for the complete Financial Assistance Policy.

Collections Policy

Please Click Here to view our Patient Balance Policy.

Please Click Here to view our Charity Matrix.

Henry County Health Center understands there are situations when patients cannot pay for the services provided. If you need help paying for medical services, you may qualify for financial assistance from the health system. No one will be denied access to services due to inability to pay, and there is a discounted/sliding fee schedule available based on family size and income.

Where to apply and how to request a free copy:

• Printable Financial Assistance application

• In person. Please return completed applications to:

Henry County Health Center
Patient Financial Services
407 S. White St.
Mount Pleasant, IA 52641

Request a mailed copy by calling 319-385-6140.

Who is eligible?

• Insured and uninsured patients receiving medically necessary or emergency care

• Patients whose household income is between 200% and 300% of the Federal Poverty Guidelines that are updated each year

Note

Patients with no insurance who qualify for financial assistance cannot be charged more than the amount generally billed to patients who have insurance.

How to apply:

• Complete and sign all sections of the Financial Assistance Application on the back of this summary.

• Provide this information:

  • Paycheck stubs from the last two months for everyone living in your household above age 18 (excluding high school students)

  • Social Security income. You can use a copy of your most recent check, bank statement, or benefits letter.

  • Most recent state and federal income tax forms

  • If you are unemployed: state unemployment claims AND final paycheck stub from your last job

  • A denial letter from the Department of Human Services

Standard Charges

Each hospital is required to make available to the public a list of the hospital’s current standard charges.

862701018_henry-county-health-center_standardcharges

Cost estimates for some of our most common services and procedures are based on a range of possible charges or an average price, depending on which method will give the most accurate estimate. While we try our best to provide you with an accurate estimate, the actual charge may vary due to other factors that may arise. We encourage you to utilize our Cost Estimator tool for Henry County Health Center and Southeast Iowa Regional Medical Center or call our Patient Financial Services teams.

Patients also have rights and protections against surprise medical bills. Click here for more information.

Facts regarding hospital pricing

Please remember that in addition to the list of standard charges, additional information is necessary to fully understand how and why hospitals price certain services. The following information helps explain the charges:

General Facts:

• Hospital charge data is being provided as part of a federal regulatory policy mandated by the U.S. Department of Health & Human Services and the Centers for Medicare & Medicaid Services.

• Hospital charge data is not representative of a patient’s expected out-of-pocket costs. Because each patient’s case is different based on specific medical conditions, the actual amount owed by a patient will depend on that patient’s insurance coverage.

• Hospital charge data is the amount a hospital bills an insurer for a service. In the vast majority of cases, however, hospitals are reimbursed by insurance companies and Medicare/Medicaid at a rate that is considerably less than the amount charged.

• Patients should talk with their insurance provider to understand which costs will be covered, and which will be the patient’s responsibility.

• Hospital charges can include unlisted procedures, services, supplies, and tests as well as any fees associated with services, such as equipment fees and room charges.

Facility Charges vs. Patient Out-of-Pocket Financial Obligations

The amount a facility bills for a patient’s care is known as the “charge.” This is not the same as the actual cost or amount paid for the care. The amount collected by a hospital for each service is almost always less than the amount billed.

Differences in charges across hospitals

There are many reasons that charges may differ among hospitals. Among them are the following: payer mix, facility cost structures, new technology, staffing costs, intensity of care, range of services provided, service frequency, documentation, and capital expenses.

If you have questions about your hospital bill, please contact HCHC’s Patient Financial Services at 319-385-6140.