Insurance

What to do before you need care:

We encourage you to become familiar with the terms and conditions of your health insurance coverage and review any changes each year. Understanding your insurance coverage can help you avoid unnecessary bills. Please remember that your policy is a contract between you and your insurance carrier. Most contracts do not provide full payment. They assign deductibles, co-pays, and co-insurance that you are responsible for. Co-pays will be collected at the time of service.

If you are a member of a managed care plan:

Your health insurance plan may have special requirements, such as a second surgical opinion, prior authorization or limitation of where care is provided. If your insurance plan’s requirements are not followed, you may be financially responsible for all or part of the bill for services provided by GVHS. If you are referred to a specialist by your primary care provider, you should confirm if the specialist participates in your health care plan.

If your service is related to auto, work, or other accident:

If your service is related to any type of accident, please let us know at registration as your health insurance may not be primary. Medicare and/or Medicaid are always the payer of last resort. Please be prepared to provide auto or other liability insurance information so we can bill the correct carrier.

If Medicare is primary:

Medicare will be billed first. Once Medicare’s payment is received, your secondary insurance will be billed. Please be advised Medicare does not cover some items and services. Examples of services that may not be covered by Medicare include dental-related services, self-administered medications (such as pills), personal comfort items, hearing evaluations, and others. After Medicare and any secondary insurance have paid their portions, you will be billed any deductibles, co-payments and non-covered items that are your responsibility.