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 Hill Regional Hospital
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Financial and Insurance Information
 

For many patients and their families, a visit includes filling out unfamiliar forms and answering financial and insurance questions. The information below and the phone numbers that follow can help with this process.

Hill Regional Hospital will honor assignments of insurance benefits for 45 days from the date of billing to the insurance company. If, at the end of 45 days, the insurance company has not settled the account, Hill Regional Hospital will look to the patient for the final settlement of the account.

Any patient having inadequate insurance coverage, or no insurance coverage, will be requested to make appropriate deposits at the time of admission. 

If you need further information on Financial & Insurance Information, please call (254) 580-8939 or Contact Us through our website.

Case Managers/Discharge Planning

Case Managers, doctors & nurses work as a team to stabilize patients and/or provide their families with the knowledge and resources necessary for a safe and efficient discharge.  The case manager also acts as a link between patients and long-term care and other alternative facilities.

The Case managers assess daily the progress of each patient, working with the attending physician and other health care providers, and arrange for home care services and equipment as needed.  They also serve as a liaison between the health care team members, patients and families.

Issues relating to the above services can be addressed Monday through Friday, 8:00 am to 5:00 pm, and accessed on weekends through the ER Operator.

If you need further information on Discharge Planning, please call (254) 580-8782 or Contact Us through our website.

Outpatient Medicare Patients Notice

Items not covered by Medicare include “self-administered” drugs.  Basically, Medicare, even when used in hospital outpatient settings such as the emergency room, outpatient surgery or observation does not cover drugs that can be taken in pill form, drops, sprays, lotions, or inhalants.  Under this rule you are not reimbursed for prescription drugs, even though they may be medically necessary.

Since Medicare considers these types of drugs non-covered, they fall under the “general exclusions” section of the Medicare guidelines.  This means that you will receive a bill from the hospital for any self-administered drugs you receive while an outpatient.  Also, please be aware that what Medicare does not reimburse, normally, your secondard will not reimburse.

There are some exceptions to the self-administered drug rule for which Medicare allows payment.  Some of these exceptions include blood-clotting factors, immunosuppressive agents, erythropoietin, certain oral anticancer drugs and their associated antiemetics, and insulin administered in a medical emergency.

If you have question about Medicare’s billing requirements, please speak to a representative from our business office at (254) 580-8937 or Contact Us through our website.

  • Managed Care Contracts
  • Accountable Health Plans, Inc
  • Aetna U.S. Healthcare
  • Alliance Health Providers
  • Blue Cross Blue Shield
  • CCNChildren’s Health Insurance Plan
  • Choice Care / Humana
  • CignaEthix
  • The First Health Network
  • Galaxy Health Network
  • HealthSmart Preferred
  • MedicalControl, Inc
  • One Health Plan/Great Western
  • PHCS
  • Providence Health Alliance
  • Proviider Networks of American
  • Quest Diagnostics of Texas
  • Southwest Health Alliance/FirstCare (HMO only)
  • Teacher Retirement System of Texas
  • True Choice, Inc
  • Unicare
  • United HealthCare Insurance
  • United Payors & United Providers (UP&UP)
  • USA Managed Care Organization
 
  Hill Regional Hospital
101 Circle Drive
Hillsboro, Texas 76645
254-580-8500
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