Billing & Insurance
Health Plans
Providence Medical Centers are contracted with most major health plans, including HMOs, PPOs, EPOs, PPS, Medicare and Medi-Cal. For a complete listing of contracted health plans, please call our Business Office at (800) 750-7703.
All patients should familiarize themselves with the terms of their insurance coverage. This will help you understand the hospital's billing procedures and charges. If there is a question about your insurance coverage, a member of the Admitting Department will contact you or a family member while you are at the hospital.
Health Insurance
We will need a copy of your identification card. We also may need the insurance forms, which are supplied by your employer or the insurance company.
HMO or PPO Members
Your plan may have special requirements, such as second surgical opinion, pre-certification or authorization prior to certain tests or procedures. It is your responsibility to make sure the requirements of your plan have been met. If your plan's requirements are not followed, you may be financially responsible for all or part of the services rendered in the hospital. Some physician specialists may not participate in your health care plan and their services may not be covered.
Medicare
We will need a copy of your Medicare card to verify eligibility and process your Medicare claim. You should be aware that Medicare program specifically excludes payment for certain times and services, such as cosmetic surgery, some oral surgery procedures, personal comfort items, hearing evaluations and others. Deductibles and co-payments also are responsibility of the patient.
Medi-Cal
We will need a copy of your Medi-Cal Beneficiary Identification (BIC) to verify eligibility and process your Medi-Cal claim. You should be aware that the Medi-Cal program excludes payments for certain services. Any applicable deductibles and co-payments are also the responsibility of the patient.