Patient Financial Services

Pay Your Bill Online
Self-Pay Discount
Patient Pricing Information
Most insurances are accepted.

Because of the numerous provider networks available, please contact your insurance company’s Customer Service or Account Representative to verify your benefit coverage at Prowers Medical Center as well as with your Primary Care Provider.

PAYMENT POLICY FOR UNINSURED PATIENTS

For those without medical insurance, the cost of hospitalization or having a diagnostic test can be a financial challenge. We believe that patients should seek care when medically necessary without fear of related costs. To assist patients without medical insurance, we offer a discount in the following cases:

  • The total charges for hospital services will be reduced by 40% when payment is received at the time of service or within 30 days of the receipt of your first bill.

  • The total charges for hospital services will be reduced by 20% when payment is received within 60 days of the receipt of your first bill.

  • If payment of your bill is a financial hardship, please call our Patient Financial Counselor at 719-336-7137 to find out about financial assistance.

UNDERSTANDING YOUR BILL

Do you have questions about your bill? We can help. You’ll find answers to some commonly asked questions below. If you have other concerns about billing and/or payments, please do not hesitate to give us a call. Our Customer Service / Patient Representatives are available Monday-Friday, 9:00 am – 4:30 pm or you can email us your questions.

A: With the exception of co-payment amounts, the medical center expects full payment within 30 days of the billing date shown on your statement.

A: Prowers Medical Center accepts payments made by cash, check, money order, or credit card. We accept Visa, MasterCard and Discover.

Payments may be made:

  • Online: View account balances, make payment arrangements, make a one time payment and save credit card information and schedule reoccurring payments on our Payment Portal.
  • By Mail: Use the return envelope that came with your billing statement to make a payment by check, money order or credit card.
  • In Person: Stop by our Admissions / Registration Department or Business Office to make a payment in person.
  • By Phone: Credit card payments can be made by calling 719-336-4343.

A: Patients who find it difficult to pay their bill in full within 30 days should contact our Patient Financial Counselor at 719-336-7137. The medical center has several payment options available.

A: Financial assistance is available for those individuals who are uninsured or underinsured, who are experiencing financial hardship. Eligible patients would be those who have limited financial resources to pay for an individual insurance policy and who do not qualify for Colorado Medicaid. Your inability to pay for care should not prevent you from receiving medically necessary services. To learn more about our Financial Assistance Program, you can call 719-336-7137.

A: Your visit to Prowers Medical Center may result in billing from various service providers. In addition to the hospital bill you may receive separate billings from professional providers who assisted with your care. These professionals may include, but are not limited to:

  • Your Attending Physician/Provider
  • Radiologist
  • Ambulance Company
  • Emergency Medical Technician

A: Many insurance companies have amounts which the patient must pay. The amount may be for a co-insurance payment, deductible or an out of pocket expense (an expense not covered by your insurance provider). If you have questions about why your insurance did not pay a portion of your claim, you should contact your insurance company directly. You may also receive a bill if your insurance company does not process our claims by their due date or if they deny coverage of your service. If you receive a statement that does not show insurance processing, you should contact your insurance company to determine the reason for delay / denial.

A: Co-payments are due at the time of service. If you are unsure of your co-payment responsibility please contact your insurance plan. If you are an inpatient our financial counselors will obtain the deductible information at the time they check your eligibility. Prowers Medical Center expects co-payment/deductible amounts to be paid at the time of service. Please be prepared to pay your co-payment/deductible when you check in.

A: The specific requirements and responsibility for completing pre-certification or notification depends on several things:

  1. Contract agreements between the medical center and your insurance company, or
  2. The requirements as defined by your insurance or employer group plan.

In many cases, the medical center can assist with these requirements if we have a contract with your company.

However, if you have questions about your responsibility for completing these requirements, you should contact your insurance company directly. You may have to pay a higher deductible or coinsurance amount if these steps are not completed.

A: The charge for services included on your bill is based on many factors that vary from hospital to hospital, including the costs of buying medications, surgical equipment and other supplies; powering and maintaining hospital buildings; paying highly trained healthcare workers; and purchasing up-to-date medical technology.

Charges are usually revised on an annual basis. These changes are made at the beginning of our fiscal year, which is January 1st. However, as technology and resource needs change, we may have to update our charges at other times during the fiscal year.

A: Regardless of a hospital’s charges, the government determines how much the hospital is paid for a service for those enrolled in a federal and/or state program like Medicare or Medicaid, and local negotiations determine how much a hospital is paid by those enrolled in commercial health plans. For patients with no insurance, Prowers Medical Center offers a discount off of its charges so uninsured patients can take advantage of similar discounts much like those the hospital offers to health plans.

A: These are documents showing a detailed listing of how your insurance company processed your claim or bill. An EOB or EOP is mailed by your insurance company directly to you.

PROWERS MEDICAL CENTER CHARITY POLICY

Para ver la versión en Español de la Póliza de Cuidados de Caridad

POLICY

Prowers Medical Center, a Colorado Health Services District, will not discriminate in providing medically necessary services to the needy, regardless of their ability to pay.

Patients deemed unable to pay will be eligible to receive financial assistance.

Financial assistance is not considered to be a substitute for personal responsibility. The patient is ultimately responsible for fulfilling their financial obligation to Prowers Medical Center and is not granted financial assistance until the application has been completed and approved.

DEFINITIONS

Financial Hardship: The inability to pay for medical services rendered.

Family: Using the Census Bureau definition a group of two or more people who reside together and who are related by birth, marriage, or adoption. As per the Internal Revenue Service rules, if the patient claims someone as a dependent on their income tax return, they may be considered a dependent for purposes of the provision of financial assistance.

Uninsured / Self Pay: The patient has no third-party insurance coverage to pay for hospital/clinic services.

Emergency Medical Conditions: A sudden medical condition where the absence of immediate medical attention could result in placing the individual’s health in serious jeopardy or result in serious impairment to bodily functions or serious dysfunction of bodily organs or parts.

Medically Necessary: Services or items reasonable and necessary for the diagnosis or treatment of illness or injury (as defined by Medicare).

PROCEDURES

Services Eligible Under This Policy: The following healthcare services are eligible for CICP or Hospital Discounted Care (HDC):

  • Emergency Room services.

  • Services for conditions that if not promptly treated, would lead to an adverse change in the health status of the patient.

  • Non-elective services are provided in response to life-threatening circumstances in a non-emergency room setting.

  • Medical necessary services are evaluated on a case-by-case basis at Prowers Medical Center.

Services Not Eligible Under This Policy:

  • Services not Medically Necessary as determined by medical professionals

  • Elective surgeries that are not medically necessary

  • Cosmetic surgery

  • Sex change surgical procedures

  • Dental Services

  • Court ordered procedures, such as drug testing

  • Prescription drugs

  • Abortions, except as specified in Sec.25.5-3-106C.R.S.

COLORADO INDIGENT CARE PROGRAM

Prowers Medical Center implements the Colorado Indigent Care Program (CICP), which provides discounted health care services to low-income people and families. CICP is not a health insurance program. Discounted heath care services are provided by Colorado hospitals and clinics that participate in CICP.

HOSPITAL DISCOUNTED CARE

Prowers Medical Center implements the Colorado Hospital Discounted Care Program (HDC), which provides discounted health care services to low-income people and families. HDC is not a health insurance program but a sliding fee scale. Hospital Discounted Care services are provided by Colorado hospitals and clinics that participate in HDC.

Patient Rights – ENGLISH
Patient Rights – SPANISH
Uniform Application

WHO QUALIFIES?

  • People who reside in Colorado regardless of immigration status

  • People who meet income and family size guidelines

  • People who are not eligible for Medicaid or Child Health Plan Plus (CHP+)

  • People who have Medicare

  • People who have health insurance

HOW TO APPLY

  • You must provide personal identification, household income and resource information for you and your family

  • You may call a participating CICP/HDC provider to schedule an appointment to complete the application process

  • To find hospitals and clinics that participate in CICP/HDC, call 1-800-221-3943; TDD: 1-800-659-2656; or click here.

BENEFITS AND SERVICES

  • Emergency care is covered at hospitals that participate in CICP/HDC

  • Some providers may cover urgent care, inpatient hospital care and primary care

HOW LIKELY ARE YOU TO QUALIFY?

If you would like a preliminary assessment to see if you might qualify for CICP/HDC or any other available programs, please contact our Financial Counselor at 719-336-7137. You will be asked a few simple questions, including your household size and income, so we can determine your potential eligibility. If you are likely to qualify, you can schedule an appointment to complete the application process.

WHAT DO YOU NEED TO APPLY?

  • All pay stubs of monthly income, Social Security letters or pensions

  • Date of birth information for EVERYONE IN THE HOUSEHOLD

  • Valid Colorado driver’s license – if possible

  • Insurance cards for every household member

  • Self-employed individuals must bring in a tax return or a profit and loss sheet or ledger

  • Legally married couples who are separated must provide proof of legal separation or divorce

  • Pharmacy printout of last 12 months of medications and their cost

  • Vision or dental receipts that you paid out of pocket for in the last 12 months

  • Any other medical bills incurred in last 12 months outside of Lamar that you paid out of pocket

  • Provide documentation of dollar amount on the following items:

    • Old Age Pension Benefits (OAP), Supplemental Social Security (SSI)
    • Aid to needy & Disabled (AND), Commissions, Bonuses & Tips
    • Amount paid for Child Support, childcare or health insurance
    • Retail income-net of expenses (if you own a rental property)

To qualify, you must provide the above-listed items every year. If we do not have all of the information that applies, you may be asked to re-schedule your CICP/HDC appointment for a later date.

If you have more questions about CICP/HDC please call the Medicaid Customer Contact Center: 1-800-221-3943 or visit the state’s website here.

For questions or to schedule an appointment, please contact Debra Crossland at 719-336-7137.

If unable to pay in full, the patient may contact a Patient Financial Services Representative at Prowers Medical Center to make payment arrangements at 719-336-4343 ext 3225.

PAYMENT PLAN GUIDELINES

  • A 40% discount is available to patients with no insurance if paid in 30 days.

  • A 20% discount is available to patients with no insurance if paid in 60 days.


Self-Pay Discount cannot be used in conjunction with the Financial Assistance Policy.

Account Balance # of Months Payment Amount
Up to $1,200 N/A $75 Month
$1,200 to $3,000 15 $XX / 15 = Monthly Payment
$3,001 and above 24 $XX / 24 = Monthly Payment
Contact Us

9:00 am – 4:30 pm, Monday – Friday
(719) 336-7137