We thank you for choosing Butler County Health Care Center as your health care provider. If you have questions about your bill at any time, please call our billing department. Our goal is to provide the best health care at the lowest possible cost. In order to accomplish this goal, the hospital must remain in strong financial condition by receiving payment for the services that we provide. We will do everything that we can do to obtain payment from your insurance carrier(s). However, the basic responsibility for payment belongs to the patient.

We now accept Visa, MasterCard, and Discover.

Admissions Policies
If you require care from the Butler County Health Care Center, please come to the admissions office to complete paperwork. After hours, please report to the nurse's station. Please have available:

• Social Security Number
• Birth Date
• Insurance / Medicare / Medicaid cards to be copied
• Emergency Contact Information
• Power of Attorney / Advance directive information
• Other Personal & Employment Information

This information will be asked of the patient and the party responsible for payment of the account. It is important that this information is verified each time you come in.

Billing Policies
It is important to note that no tax dollars are needed for the operation of the Butler County Health Care Center. Although this is a county hospital, there is no assurance that the county would be either willing or able to subsidize the hospital if needed. We are a hospital, but we are also a business. It is our job to provide our service area with quality, low-cost health care. We take pride in knowing that we provide this without burdening our taxpayers. For our hospital to remain in good financial standing, patients need to provide payment for the services we provide.

If you do not have insurance
You have the right to receive an appropriate medical screening examination, necessary stabilizing treatment, and if necessary, an appropriate transfer to another facility even if you do not have medical insurance, or you are not entitled to Medicare or Medicaid, or you cannot pay.
Patients that do not have insurance will have their bills sent directly to them, or to the party responsible (guarantor) for payment of the bill. For example, a child's bill would be sent to the parent, or party who is financially responsible. Payment options are also available.

We are contracted with the following insurance companies:

• Affordable - First Health Network
• Blue Cross Blue Shield of Nebraska
• Corvel
• Medicare
• Medicaid
• Midlands Choice
• Midwest Select
• Mutually Preferred
• Mutual of Omaha
• PPO, POS, HMO, Fee-For Service
• United Health Care
• Worker's Compensation

How we receive payment from Insurance Carriers, Medicare & Medicaid
We will forward your bill to your insurance carrier for payment. This includes Medicare and Medicaid. If you receive a bill from us before we have heard from your insurance carrier, the amount submitted to your insurance carrier will show up in the Insurance Pending column on your bill.

If you have multiple insurance carriers
Some people have more than one insurance carrier, such as a supplement to Medicare. We will submit your bills to additional insurance companies for you. However, we will wait to hear from your primary insurance carrier before doing so. After we have received word from all insurance carriers involved, you will need to pay the remaining balance. On your bill, you will be able to see all payments made by your insurance carrier(s). The amount you owe will be listed in the Patient Pay column and in the Amount Due Now box.

Payment Plans
Payment in full is expected as indicated on the statements. If payment in full cannot be made, you will need to call our billing department. We may make arrangements with you for full payment within 2 to 6 months. If you are unable to pay the balance in full within six months, you will be referred to the bank loan program. Charity care applications are available for patients who do not have the financial means to pay. There are certain eligibility requirements for charity care, please call for more information.

Collections Policy
Accounts will be reviewed at approximately 60 days after discharge. If there has been no payment, we will follow up to determine reasons for nonpayment and resolve those issues. If the balance remaining on your bill is your responsibility, and no payment has been made in 60 days, you will receive a letter stating the past-due nature of your account. After 90 days, you will receive a letter from our collection agency. At this point, your bill can still be paid to the hospital. If we do not hear from you, your account will be turned over to the collection agency. At this point, you will need to pay the collection agency directly. We will no longer accept payments on that account.

If you have questions please contact Charlene Yindrick by email at cyindrick@bchccnet.org or at (402) 367-1352.