Scotland Memorial Hospital is committed to providing quality health care to our patients. We recognize the cost of necessary health care services may be a burden for our patients and their families. If you are not able to pay your hospital bill, please click on the links below to read important information on the options available to you.
|Financial Assistance Plain Language Summary||Resumen en Lenguaje Sencillo de la Ayuda Financiera|
|Financial Assistance Policy||Política para Ayuda FinancierFinancial|
|Financial Assistance Application||Solicitud para Ayuda Financiera|
|Billing and Collection Policy||Política de Facturación y Cobros|
Amount Generally Billed
IRS Regulation 501r requires the hospital to calculate the Amount Generally Billed to patients who have insurance and to assure patients who qualify for the Financial Assistance Program are not charged more than the average amount reimbursable by insurance.
Scotland Memorial Hospital uses the “Look Back Method” described by the IRS in the 501r regulations. This method compares the charges for claims processed by insurance companies and Medicare with the “amounts allowed” for those services. The “amounts allowed” means the portion that insurance and Medicare pay and/or assign to the patient to pay.
The percentage is updated annually, based on activity provided through September 30th and updated in the Financial Assistance Policy and related calculations within 120 days.
Financial Assistance - Sliding Fee Policy with Application
To promote access to preventative and illness care for un-insured low income persons, Scotland Health Care System's Family Practice Center patients who meet the eligibility requirements outlined in this policy will qualify for a discount applied against charges. No one is refused services regardless of their ability to pay.
Scotland Health Care System offers extended payment plans to our patients through our trusted partner AccessOne®. They offer no-interest and flexible low-interest monthly payment plans that are tailored to your health and financial situation. They are not a traditional credit card nor are they a collection agency. Their program covers all patients regardless of credit balance or credit history—and they never report to credit bureaus. Their customized payment options offer many benefits:
Their patient advocates will work with you to determine the right plan for your situation, helping you pay in regular low-monthly installments you can realistically manage. To learn more, speak to one of their Patient Advocates by calling 888.458.6272 or visit their website at www.myaccessone.com/scotland. Contact Us For more information regarding financial assistance or completing an application, please contact our Financial Counselors at 910-291-7171, Monday – Friday between 8:30 am and 4:30 pm.
List of Standard Charges
Scotland Health Care System is committed to empowering patients, in partnership with their care team, to make informed decisions about their healthcare. This includes helping patients understand the cost of their care, as well as financial assistance that may be available.
In compliance with federal law, Scotland Health Care System provides a list of standard charges. As part of the FY 2019 Medicare Inpatient Prospective Payment System rulemaking, CMS updated its guidelines to require hospitals to post a list of their current standard charges via the internet in a machine-readable format. This information must be updated at least annually.
The list charge of a hospital service is not equivalent to the actual amount paid by governmental or commercial insurance companies; accordingly, each patient’s financial responsibility may vary. The amount a patient pays is based on many factors, including health insurance, benefit plans and other applicable discounts, and the services provided based on each patient’s unique needs.
Scotland Health Care System reviews our hospital charges annually to ensure they accurately reflect the high-quality care we seek to provide. In some cases, our charges are different from other providers when we offer a higher level of care and unique clinical expertise. Overall, Scotland Health Care System works with patients, providers and partners to lower the cost of care through wellness, disease management and quality care.
I understand that Scotland Health Care System provides price estimates for many common hospital services, and that I may call 910-291-7171 Monday through Friday, 8:30 a.m. to 5 p.m. to speak with a patient financial services representative (after first consulting with my ordering physician to obtain the applicable procedure code) to obtain a service-specific price estimate based on my individual circumstances and patient responsibility.
Scotland Health Care System Average Charges by MS-DRG are available here
The NC Division of Health Service Regulation requires that all NC hospitals report charging and payment information for the Top 100 Inpatient DRGs, Top 20 Outpatient Surgical Procedures and Top 20 Outpatient Imaging Procedures:
The Healthcare Financial Management Association (HFMA), in collaboration with the American Hospital Association (AHA) and America’s Health Insurance Plans (AHIP), provides resources to assist healthcare consumers understand healthcare prices as well as avoid surprise medical bills:
The Centers for Medicare and Medicaid Services (CMS) provides the following Frequently Asked Questions (FAQs) documents as a resource for further clarification of the requirements: