Patient Financial Information
WellSpan Ephrata Community Hospital is pleased to provide this information to help you better understand our patient billing practices and answer any general questions you may have about the process.
This information will help you recognize the various types of insurance you may have and understand the information we need from you in order to properly file and claim on your behalf. In addition, we’ll clarify how the health services you receive are paid.
What to expect after your health care visit
After you leave the hospital you will likely receive:
- A Billing Summary intended to inform you of the charges for your care. This required notice is not your bill. Pennsylvania law requires us to let you know how much we charge for your care, even when it is fully covered.
- Your insurance company will send you a notice called "Explanation of Benefits or EOB’s", showing you which services were paid by your insurance and indicating those services for which you may be financially responsible. These are not bills. Questions about your EOB’s should be directed to your insurance company.
- A Statement that notifies you of the services you received from the hospital, which includes the amount you need to pay. If you have questions, you may contact our Customer Service Office at (717) 738-6261. Our representatives are available Monday through Friday from 8:00 a.m. until 4:30 p.m.
- Physician Statements for professional fees charged for services provided to you during your visit at the hospital. They are charges billed separately and apart from the fees charged by the hospital. Physicians are independent contractors. Please call the telephone number listed on that statement if you have any questions.
Please carefully review all of the statements and Explanation of Benefits notices you receive. If you have questions, you may contact our Customer Service Office at (717) 738-6261. Our representatives are available Monday through Friday from 8:00 a.m. until 4:30 p.m. Questions about the Physician services provided to you must be directed to your physician’s office.
Your Financial Responsibility
You are responsible for all balances due not paid by your insurance company. This includes co-pays, deductibles, co-insurance and non-covered services. If you do not have insurance you are responsible for the entire bill unless you qualify for one of our Discount Programs below:
Prompt Pay Discounts
Discounts are offered to True Self Pay patients only. True Self Pay patients are defined as patients that do not have any health insurance. Prompt pay discounts do not apply to elective/plastic surgery procedures.
• 20% discount on total charges
• If payment is received within 20 days of first bill a 10% discount will be offered. There is no balance restriction.
How can you Help?
To help ensure prompt and correct payment of your claim, we ask you to provide the following information at the time of registration:
- Your full name
- Your date of birth
- Your current home address
- Your telephone number
- A valid insurance identification card for all Insurance (s) you may have.
We encourage you to familiarize yourself with the terms of your insurance coverage. It is best to contact your insurance company before your services are scheduled.
- Make a list of questions before contacting the company.
- Document the representative’s responses. Note the date of your conversation and the name of the person you spoke to.
- Keep or file your notes. Refer to them should you find a discrepancy after your services.
Some plans may:
- Not pay for all of the services that you intend to receive.
- Require you to pay a yearly deductible before your health plan will pay for health care services.
- Require patients to make a small co-payment each time you see your doctor or use outpatient services.
- Require a co-payment (sometimes called coinsurance) for visits to the Emergency Room that are usually slightly higher.
- Not pay for amenities like private room rates. You may be required to pay for these services at the time of your admission.
Other Ways to Pay
- "ECH CARES" Program
Patients with balances due resulting from limited or no insurance coverage may qualify for our "ECH CARES" Program for financial assistance. “ECH CARES” Program” brochures are located at the Customer Service Office near the Main Entrance on the first floor. For information, call (717) 738-6261.
- Payment Plans
Payment options are granted based on balance due amount. No ‘finance’ charges are added.
- Uninsured - Applying for Medical Assistance
The hospital utilizes MA Consulting Services to work with our patients to process their Medical Assistance applications. They will contact the patient and assess their qualifications to continue with the application process.
- Personal Choice Maternity Plan
Participation in the Personal Choice Maternity Plan should be arranged in advance of delivery. The reduced rates apply to charges for normal and uncomplicated deliveries. Prompt pay discounts do not apply.
- Old Order Group
These claims are discounted through Preferred Health Care and requires payment in full within thirty (30) days of receipt of the bill.
Payments may be made by cash, check/ money order, Visa, Master Card and Discover Card.
Please contact the Customer Service Office at (717) 738-6261 Monday–Friday from 8:00 a.m. to 4:30 p.m. for more details.