Insurance

Part A – Hospital Insurance

• Services Furnished Beginning January 1, 2021
• Deductible: $1,484.00
• Coinsurance 61st-90th: $371.00
• Lifetime Coinsurance 60 Days: $742.00
• Skilled Nursing Facility Coinsurance 21st-100th Days: $185.50

For more information on the 2021 Medicare premiums and deductibles, visit the The Federal Register.

Part B – Medical Insurance

• Deductible: $203.00

The hospital will be responsible for submitting bills to your insurance company if you provide us with the necessary information. We will do everything possible to expedite your claim. But you should remember that your insurance policy is a contract between you and your insurance company, and you have the final responsibility for payment of your hospital bill.

Approximately 60 days after your service, and every 30 days thereafter, you will receive a monthly statement. This statement will show your beginning balance and any payments. If no payment is received from your insurance within 60 days from billing, we ask that you contact your insurance and pay on the charges yourself.

There is no charge for either the telephone or the television, these are provided as a courtesy to all patients.

We will need a copy of your insurance identification card. Depending on the extent of your coverage and deductible requirements, you may be asked to pay a deposit. If your insurance card indicates a per-visit co-pay is due, our staff will ask for your payment on the day of services. You will be asked to assign the benefits from the insurance company directly to the hospital.

Your insurance plan may have special requirements, such as pre-certification for certain tests or procedures. Many insurances now require pre-authorization for outpatient diagnostic testing such as MRI and CT. It is your responsibility to make sure the requirements of your plan have been met. If requirements are not met, you may be financially responsible for all or a larger portion of the bill. For questions concerning insurance, call 815-562-2181, ext. 1320 or 1600.

The Health Care Finance Administration (Medicare) has strict guidelines about paying for healthcare services. Upon admission of a Medicare patient, we are required to complete a survey that helps identify any primary payors that should be billed prior to Medicare. We will need a copy of your Medicare card to verify eligibility and process your claim. You should be aware that the Medicare program excludes payment for certain items such as cosmetic surgery, personal comfort items and oral medications given to a patient or take-home medications. Deductibles and co-payments also are the responsibility of the patient. After Medicare pays, we will bill any supplement policy you may have. If you have questions concerning Medicare, please call 815-562-2181, ext. 1230.

Medicare Replacement Plans: RCH is contracted with some replacement plans. Prior to non-emergency services, the patient should check with their individual plan for provider limitations.

We will verify your coverage on the website for Illinois Medicaid.

The hospital is also contracted with the following Medicaid Managed Care Organizations (MCO’s):

• Blue Cross Community Health Plan
• Meridian
• Aetna Better Health

Most MCO’s require pre-authorization for diagnostic services. Patients should check with their provider and case manager prior to scheduling services.

Consistent with the mission of Rochelle Community Hospital, the hospital’s Financial Aid program is designed to provide a reasonable amount of services to uninsured and under-insured patients seeking services without charge or at a reduced charge. Those patients who indicate they are unable to pay full charges for the services they received may follow hospital procedures for discount consideration.

All patients receiving services at Rochelle Community Hospital may be considered eligible to apply for financial assistance. Please see our “Financial Assistance” section for information and necessary forms.