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Payment Expectations & Discounts

This policy is effective for hospital discharge dates on or after May 1, 2014. This policy is applicable for all patients, and can be used in conjunction with our Financial Assistance policy.

John C. Lincoln Health Network is committed to providing the best care possible for all of our patients. Hospital representatives make every effort to identify patients in need of free or discounted health care, both at the time of service and through our normal collection cycle.

Policy

Payment Expectations

Except as otherwise provided by law, the patient or responsible party is financially responsible for services provided by John C. Lincoln Health Network and agrees to pay the hospital's charges which are those rates filed with the Arizona Department of Health Services. The hospital may verify the patient's address and ability to pay by utilizing credit reporting data.

  • If patient does not have health insurance, we will expect the patient or responsible party to pay the discounted estimated charges at the time patient is admitted or registered.
  • For emergency services, a deposit is expected after the medical screening exam is completed.
  • If patient has insurance, deductibles and co-payments will be collected at time of service.
  • If patient's insurance company has not paid John C. Lincoln within 60 days of the time we bill the company, we will expect payment from the Guarantor.
  • Formal payment arrangements can be set up to extend the payment time frame, within the hospital’s policy.
  • If the account is referred to an independent agency for collection, the Guarantor will be responsible to pay reasonable collection expenses including court costs, credit verification expenses and attorney fees.
  • If the Guarantor is unable to pay the hospital bill, or cannot make formal payment arrangements, notify hospital personnel immediately, in order to initiate time-sensitive applications for state, federal, or hospital programs.

Discount Eligibility for Insured Patients

  • Medicare: The patient share is not eligible for a discount because the reimbursement for services is determined by the program and is apportioned between the Medicare payment and the beneficiary deductible and coinsurance amounts.  Medicare expects the beneficiary to pay their share in full and the provider is expected to be in compliance.

    Non-covered services and services for which an Advanced Beneficiary Notice has been issued are eligible for a discount.
     
  • Contracted Insurance: The patient share is not eligible for a discount because the contracted amount is apportioned between the insurance and the patient.  The charges are already discounted, and no further reduction is available.

    Non-covered services are eligible for a discount.
     
  • Non-contracted Insurance: Patients may receive a prompt pay discount on their portion.
     

Discount Eligibility for Uninsured Patients

Basic financial assistance is provided for uninsured patients who sign an attestation (PDF document; requires free Adobe Reader software.) indicating that their annual gross household income is less than 500% of the federal poverty guidelines (FPG) for a family of four.

  • A discount is available if annual income is less than 500% of current-year FPG for a family of four.
  • A basic financial assistance adjustment of 75% will be applied to the billed charges.
    • For scheduled, non-emergent services, the patient is expected to pay 25% of the estimated charges at the time services are provided.
    • For non-scheduled services, the balance must be paid within the payment plan matrix (see below).
  • This adjustment is consistent with the average payer (insurance) reimbursement for hospital charges.
  • The Guarantor is eligible to apply for additional assistance due to financial hardship or compassionate circumstances.

The hospital offers the following discount options to Guarantors who do not quality for basic financial assistance:

  • Scheduled / Elective Services
    • Fifty percent (50%) discount if 25% of the estimated hospital charges are paid at the time of service and the balance is paid within 14 days from the date of service.
  • Non-Scheduled Services
    • Fifty percent (50%) discount if total billed charges are paid within 14 days from the time the patient is informed of their charges.

Packaged services (case rates) are excluded from discounts. These services include but are not limited to the following:

  • Outpatient Clinically Supervised Exercise
  • Outpatient Cardiac Rehab
  • Outpatient Diabetic Education
  • Adult Fitness
  • Massage Therapy
  • Nutrition Consult
  • Plastics

Payment Arrangements / Payment Plan Matrix

Low

High

Suggested
Down
Payment

Minimum
Payment

Maximum

$50.00

$600.00

20%

50.00

12 Months

$601.00

$3,000.00

20%

100.00

24 Months

$3,001.00

$9,000.00

10%

225.00

36 Months

$9,001.00

$18,000.00

5%

360.00

48 Months

$18,001.00

$36,000.00

5%

715.00

48 Months

Liens

In the event that another person or entity is responsible for the injuries giving rise to this treatment, the hospital retains its lien rights pursuant to A.R.S. 33-931, and will enforce its lien against any such recovery.