Billing & Insurance
When the health and well-being of you or your family are at issue, insurance should be the last thing on your mind. But too often, we're overwhelmed with fears of enormous out-of-pocket expenses or being unable to pay for the care that we need. That's why Rochelle Community Hospital accepts a variety of health plans to meet your unique healthcare needs - so you can stop worrying and start getting better.
Insurance Plans Contracted with RCH
Please contact your insurance provider prior to scheduling services to verify coverage. For additional information concerning your specific health plan's access to RCH, contact Doris Dickey at 815-562-2181, ext. 1620 or e-mail Doris here.
- Aetna/Coventry/and their Medicare Advantage Plans
- The Alliance
- Blue Cross of Chicago - Plan limitations may apply for plans purchased through the Marketplace/Affordable Care Act or Individual Brokers. Check with your plan to verify network coverage.
- DeKalb County Healthcare
- Harmony/Wellcare Medicaid
- Health Alliance
- Health Network
- Humana Health Plan
- Humana Medicare
- Illinicare Medicaid
- Meridian Medicaid Health Plan
- OSF Healthcare
- Quartz Health Solutions
- Railroad/Medicare Retirement
- United Health Care
In the meantime, the following policies and guidelines should be helpful:
- Medicare Deductibles and Coinsurance
- Group/Private Medical Insurance
- Medicare Coverage
- Medicaid Coverage
- Patients with No Medical Insurance
- Financial Assistance
- Patient Viewing of Hospital Charges
- Payment Options
- Physician Billing
RCHA allows the public to view Rochelle Community Hospital's standard charges in compliance with the Affordable Care Act, Section 2718(e) of the Public Health Service Act. It is intended to promote transparency for patients to understand their potential financial liability for services obtained at our hospital and to allow comparison for similar services across hospitals.
Rochelle Community Hospital is committed to price transparency and has posted a chargemaster, a list of charges for inpatient and outpatient services, as required by law. However, the chargemaster is not a helpful tool for patients to comparison shop or to estimate what their financial obligation will be. Descriptions for a particular service will vary from hospital to hospital. Actual procedures are comprised of numerous components and from several different departments (room and board, laboratory, imaging, pharmaceuticals, therapies, supplies, etc.).
Hospital charges are the amounts set before any discounts. Hospitals are required by the federal government to utilize uniform charges as the starting point for all bills.
Charges are based on what type of care was provided and can differ from patient to patient for the same service depending on any complications or different treatment provided due to the patient's health. Therefore, actual charges for a specific patient will differ from the listed standard charges.
Requests for specific price estimates should be directed to the Patient Financial Services department for further assistance. Patients will be advised that the estimate is for gross hospital charges, prior to insurance benefits being applied, if applicable.
The public may have access to this information upon request at Rochelle Community Hospital during normal business hours Monday - Friday, 8:00 a.m. - 4:30 p.m. A designated representative from Patient Financial Services will be available during these hours to assist the public in accessing the information. Initial responses to charge inquiry messages shall be returned within two business days. This information will not be a quote or guarantee of what the charges will be for a specific patient's care.
The patient will be informed this charge information will not include professional services provided by a physician, surgeon, radiologist, anesthesiologist, pathologist, or other independent practitioners.
In addition to public request, Rochelle Community Hospital also posts a summary of charges in the Patient Access/Financial Counselor area of the hospital pursuant to the Illinois Health Finance Reform Act Sec. 4-4 (b).
This is an opportunity to have important conversations regarding finances. Those with health insurance can be directed to contact their health plan for specific financial obligations. Those without health insurance should be provided information related to the hospital's financial assistance policy or any other discounts that could be applied.
Any patient or patient's responsible party who feels they are unable to pay for their services received, may request a financial aid application from the hospital. RCHA offers financial assistance to eligible individuals based on the hospital's financial assistance policy. Click here for Financial aid applications and policies or please call the Patient Financial Services Department at 815-562-2181, ext. 1600. You may also inquire in person at 900 North Second Street, Rochelle, IL 61068 at the Patient Financial Services Department or the Registration Desk.
The billing you receive from the hospital will be for hospital services only. You may receive bills from physicians who assisted in your care whom you did not see in person. These bills are for professional services rendered by these doctors in diagnosing and interpreting test results while you were a patient. These physicians are required to submit separate bills. Some of these physicians may not participate in the same insurance plans as the hospital. You may have greater financial liability for out-of-network services. Benefit questions should be directed to the patient's healthcare plan and subscriber's certificate of coverage. If you have a question about these bills, please call the number printed on the statement you receive from them.