Memorial Hospital accepts Medicare assignment.  A claim will be filed to Medicare and your secondary insurance.

Memorial Hospital accepts Medicare Advantage Plans.  A claim will be filed to your MA plan and the remaining co-insurance and deductible will be billed to you.

Accepted Plans:

• Aetna Medicare Advantage
• United Health Care Medicare Advantage
• Humana Medicare Advantage

It is your responsibility to ensure that your insurance company has up-to-date and correct information about you and others covered by your insurance.  To help you get the most from your health plan, we encourage you to become familiar with your medical insurance plan’s requirements before seeking care.

Plans can differ significantly.  Each patient should know and understand his or her individual benefits package.  Please contact your insurance company at the telephone number on your insurance card if you have questions regarding your coverage.  Your plan may have special requirements such as a second surgical opinion or pre-certification for certain procedures or tests.  It is your responsibility to make sure your plan’s requirements have been met and that all referrals and prior authorizations are in place before seeking health care.

We will submit a claim to your insurance company, provided you supply all the required information.  Payment for service will be sent to Memorial Hospital.  If your insurance company fails to pay within a reasonable time, you will be asked to contact your insurance company to inquire why payment has not been made for your services.  If payment is not received within 30 days following our request for your assistance the account balance will be deemed patient responsibility.

If you are underinsured or uninsured, you may qualify for Medicaid/KanCare.  Applications for Medicaid/KanCare are available at your local Kansas Department of Social & Rehabilitation Services Office.  The processing time frame for Medicaid/KanCare applications runs from 30-45 days.

All Medicaid/KanCare patients must present a current eligibility card at the time of arrival. You are responsible for all non-covered portions. If your Medicaid/KanCare program requires a referral from your primary care physician you are responsible for making sure the referral is in place before the service is provided.

Memorial Hospital does not submit bills to out-of-state Medicaid plans. You will be responsible for payment of your services. We will provide a claim form for you to submit to your local Caseworker for personal reimbursement.

Memorial Hospital has signed contracts with KanCare Providers Sunflower, Healthy Blue, and United Healthcare Community Plan. Patients enrolled with any of these plans will be in their network for services received at Memorial Hospital.

If your health care needs are the result of a work-related injury, we will bill your employer or your employer’s liability carrier.  We will also ask for your health insurance information in the event that Workers’ Compensation denies the claim.  You are responsible for ensuring that your worker’s compensation company will cover services.

If you have VA benefits, a referral from the VA must be secured for every visit.  You are responsible for making sure the VA referral is in place before the service is provided.

After services are provided, the hospital will submit a claim to your insurance company as a courtesy. Processing times vary by plan, and you may receive more than one billing statement if other providers were involved in your care.  For example, a radiology test will result in a billing statement from Memorial Hospital, and a separate billing statement from the radiologist who interprets your test.

Submitting a claim does not eliminate your responsibility for payment of the full charge. To help ensure timely and accurate claim processing, it is important that we have your correct and current information. Please notify your Patient Account Representative of any changes to your name, address, phone number, or insurance coverage.

If your visit is related to an accident or injury involving another party, additional billing information may be required. In accordance with Medicare, Medicaid, and other commercial insurance regulations, Memorial Hospital will bill the Third Party Liability carrier for any medical expenses resulting from a motor vehicle accident or personal injury. Your personal health insurance will also be requested at the time of service in case the Third Party Liability carrier denies the claim.

If your visit is related to an accident or injury involving another party, additional billing information may be required. In accordance with Medicare, Medicaid, and other commercial insurance regulations, Memorial Hospital will bill the Third Party Liability carrier for any medical expenses resulting from a motor vehicle accident or personal injury. Your personal health insurance will also be requested at the time of service in case the Third Party Liability carrier denies the claim.

Your Rights and Protections Against Surprise Medical Bills (pdf)
Good Faith Estimate (pdf)

A self-pay discount will be granted for uninsured accounts for medically necessary services provided at Memorial Hospital when MH is not required to bill any type of insurance.  The policy does not apply to co-pay and deductible balances remaining after insurance payment.  The discount amount is as follows:

• 30% deduction of the total balance

Account balances are expected to be paid in full within 30 days of the first statement date. If you have questions about insurance billing please contact the biller assigned to you by the first letter of your last name.

Need to discuss payment options, or want to see if you qualify for financial assistance?
Please contact Memorial Hospital’s Self-Pay Biller: 785-263-6815

Memorial Hospital is a nonprofit facility, which renders medically necessary care to all persons in need of such care, regardless of their ability to pay. Memorial’s Patient Financial Assistance Program helps people who are unable to pay all of their medical bills. You may qualify for discounts on medical expenses through this program if:

• You do not have health insurance
• Your health insurance doesn’t cover all of the medically necessary care you need
• You are not eligible for Medicaid or some other type of insurance
• You meet the financial criteria.
• You are a legal resident of Dickinson County, KS

Please click the link to access the Application for Financial Assistance
Application for Financial Assistance (pdf)

Please click the link to access the Memorial Health System Summary of Financial Assistance
MHS Summary of Financial Assistance (pdf)

Please click the link to access the Memorial Hospital Financial Assistance Policy
Memorial Hospital Financial Assistance Policy (pdf)
MHS Financial Assistance Policy Plain Language Summary (pdf)

Eligible and Not Eligible Provider for Financial Assistance (pdf)