Billing and Insurance FAQ
Thank you for choosing us for your health care needs. We know billing and insurance can seem complicated, so we have some answers to your frequently asked questions to make it a little easier to understand.
Yes. If you are insured and have provided us with your current insurance information, we will submit bills directly to your insurance company. We will also bill more than one insurance company for you.
Please remember that health insurance coverage varies and some services may not be covered. Contact your insurance company directly if you wish to check coverage for specific services.
- We allow 45 days after billing for your insurance to make a payment. If your account is not paid within that time, we will ask for your assistance in obtaining payment from your insurance company.
- You are responsible for charges not covered by your insurance, including deductibles and/or co-payments, which are due at the time of service.
- Your insurance company handbook or representative can give you more information regarding specific benefits.
- Please give your complete and accurate insurance information to Hillsboro Medical Center’s admitting personnel each time you visit. This helps us get your claim paid quickly.
We will provide an estimate based on historical price averages. We will include any applicable discount calculations and an estimated out of pocket per available insurance benefit information. Please call the Patient Financial Services team at 503-681-1012 to get an estimate for an upcoming procedure.
Note: Information found to be helpful in providing an estimate includes: procedure CPT4 codes, detailed description of planned service(s), surgeon’s’ name and a contact information, the patient’s name and number, as well as insurance and identification numbers.
Not using insurance? You have the right to receive a “Good Faith Estimate” (GFE) that explains how much your care will cost
By law, health care providers must give patients who don’t have insurance or who are not using insurance an estimate of their medical bill (Good Faith Estimate).
- What a GFE covers: the total expected cost of any non-emergency medical goods or services. This includes costs like medical tests, prescription drugs, equipment and hospital fees.
- You have the right to get a GFE in writing at least 1 business day before your medical good or service. You can also ask for a GFE before you schedule your medical good or service.
- You can dispute your bill if it is $400+ more than your GFE.
- Be sure to save a copy or picture of your GFE.
Learn more or ask questions at www.cms.gov/nosurprises or 503-681-1750
To save paper and reduce costs, itemized hospital bills are not automatically mailed to patients. You may request an itemized copy by calling the Patient Accounting Office at 503-681-1000.
Deposits may be requested by some service departments at the time of service.
No. Most physicians practicing here, including emergency room physicians, anesthesiologists, radiologists, pathologists, surgeons and other specialists, are not hospital employees. You may receive separate bills from their practices.
No, we cannot delay charges while liability claims or legal action are pending. Full payment remains the responsibility of the patient. Upon proper authorization, the hospital will make the records available to the necessary parties.
Special payment arrangements can be made if you do not have insurance or have a balance due after your insurance payment. Our payment options include:
- Payment in full. We accept cash (in person only), check (please include your account number on the check), money order (please list your account number on money order), or major credit card (Visa, MasterCard, Discover, American Express)
- Approved equal monthly payment plan based on balance due
- Monthly payment plan through Accent, Inc., subject to a minimum payment schedule and interest.
Please call our office at 503-681-1000 if you have questions or would like to set up payment arrangements.
Yes, payment for services received here can be made online using MyChart. You may pay your bill online using a major credit card. Please have the following information ready to complete your transaction:
- Patient name, date of birth and account number.
- A credit card.
- Pay bill using MyChart
We assist patients with financial need by providing discounts or by waiving all or part of the charges for services provided by us.
If you are denied financial assistance and believe the determination does not accurately reflect your current situation, you may appeal. To request an appeal, please submit a letter explaining why you feel the determination was not appropriate and include further information and clarification to:
- Hillsboro Medical Center
Patient Accounting Office
P.O Box 548
Hillsboro, OR 97123
If your medical question needs an in-depth answer (involves medical decision-making and takes your provider more than 5 minutes to respond), we may bill you or your insurance.
Why we bill
Virtual options have become part of standard health care. We spend more time answering MyChart messages than ever before. We bill for messages that use clinical expertise and time so you can keep getting high-level care in a way that is most convenient for you. Billing lets your provider spend the time they need to look at your medical history and give you the best advice. Please only send a message if you are okay with possibly being billed.
If you have Medicaid/Oregon Health Plan (OHP)
All messages are free for you.
If you have insurance or Medicare
You’ll have a co-pay just like an in-person visit — usually $25 – $40. If you don’t have a co-pay, the most you’ll pay is $77. Your deductible would apply.
For exact costs, all patients can use our Cost Estimator tool (use CPT code 99423 to see the most you’ll pay).
Hillsboro Medical Center patients can also call the clinic for an estimate.
If you don’t have insurance
The most you’ll pay is $77.