Financial Assistance

For billing and statement questions - (844) 836-8321

COVID-19 REQUIREMENTS AND PRICING FOR TESTING

COVID-19 Laboratory Testing Charge - $199.00

Requirements for testing:

A physician's order is required for COVID-19 testing. Specimen samples can be collected at our facility and sent to an outside reference lab for testing. To ensure judicious use of resources, only patients who meet the following CDC-approved criteria may receive a physician's order for testing:
• Signs and symptoms compatible with COVID-19, including fever, cough and shortness of breath
• Recent travel to an affected country or state
• Close contact with any persons confirmed to have, or undergoing evaluation of having COVID-19

A NOTE FROM WILSON MEDICAL CENTER PATIENT FINANCIAL SERVICES REGARDING COVID-19

Patients without health insurance coverage should not be deterred from having the necessary test(s) performed. Patients are encouraged to contact our billing office at 620-325-2611 for information and guidance for financial assistance. All patient accounts billed for the COVID-19 test will be reviewed to ensure that patients are not being billed for co-pays and deductibles on COVID-19 testing. We will also contact self-pay patients to assist with resolving their account balances. The following is the temporary rule from The Families First Coronavirus Response Act which references eliminating cost-sharing to patients for any co-pays or deductibles:

The Families First Coronavirus Response Act (FFCRA) was enacted on March 18, 2020.3 Section 6001 of the FFCRA requires group health plans and health insurance issuers offering group or individual health insurance coverage to provide benefits for certain items and services related to diagnostic testing for the detection of SARS-CoV-2 or the diagnosis of COVID-19 (referred to collectively in this document as COVID-19) when those items or services are furnished on or after March 18, 2020, and during the applicable emergency period. Under the FFCRA, plans and issuers must provide this coverage without imposing any cost-sharing requirements (including deductibles, copayments, and coinsurance) or prior authorization or other medical management requirements.

Family First Coronavirus Response Act Frequently Asked Questions Click Here

OUR FINANCIAL ASSISTANCE PROGRAM

Medical expenses can seem overwhelming, but you don't have to face them alone. If you need assistance paying your medical bills, Wilson Medical Center may be able to help. If you qualify for financial assistance, you can get help for your full or partial bill. (This does not include bad debt.)

WHO CAN QUALIFY?

Patients who do not have insurance may qualify based on their monthly or annual income and their family size. Patients having insurance may also qualify for assistance for the portion of their bill that is not covered by insurance, including deductibles, coinsurance, and non-covered services.

The determination of full or partial financial assistance will be based on the patient's ability to pay and will not be lessened on the basis of age, sex, race, creed, disability, sexual orientation or national origin.

WHAT IS THE FIRST STEP?

An application (known as the Financial Responsibility Statement) is used by patients to apply for financial assistance from the hospital. The hospital Patient Account Manager will assist you with this process by mailing you or your authorized representative a letter explaining the application process and an application form.

WE'LL NEED YOUR HELP

The Financial Responsibility Statement must be filled out completely with proof of the patient's financial information that is requested on the application. The patient's household income and number in household are compared to the Federal poverty guidelines to determine if the patient qualifies for a write off or the reduced monthly payment program.

Proof of financial information is needed. You may choose to provide copies of pay stubs for the past 3 months for all employed household members. Another option is to provide a copy of last year's federal income tax return with all attachments for all household members that filed. Any other income information must also be provided such as a benefit letter or copy of a check from the payer. Unfortunately, if applications are received without proof of finances, a letter will be sent requesting this information and processing of your application will be delayed.

WHAT HAPPENS WHEN YOUR APPLICATION AND ALL REQUESTED INFORMATION IS RECEIVED?

Your application will be processed by the Patient Account Manager and officially approved by the Chief Financial Officer. Please give them 14 days to complete the process.

If you qualify for assistance, you will be notified verbally or by letter of the type of assistance you qualify for.

If you do not qualify, you will be notified verbally or by letter.

OUR COMMITMENT TO YOU

Preservation of individual dignity and confidentiality shall be maintained for all who apply for this program. No information obtained in the application may be released unless the patient gives permission for such release.

Financial Assistance Instructions
RHC Financial Assistance Instructions
Financial Assistance Policy
Hospital Financial Assistance Application
RHC Financial Assistance Application
Self-Pay Collection Policy

Wilson Medical Center has partnered with Revenue Cycle Specialists, lnc. (RCS) and as at
August l, 2022 RCS will be managing the billing and payment aspects at your account(s).