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Medical Billing Information

Edgerton Hospital and Health Services will bill your primary and secondary insurances for you. You will not receive a statement from the hospital until your insurance company has finished paying their portion of your claim.

When Edgerton Hospital does bill you directly, the amount indicated on the statement is the amount that you owe the hospital for services rendered. We recommend keeping a copy of this statement for future reference. Please keep in mind:

  • Always reference your admission number (shown on statement) when calling or writing regarding your account
  • Charges or payments posted after the date of your statement will appear on your next statement
  • You may also receive separate statements from any physician’s office that may have provided services for part of your visit
  • We accept Visa, Master Card, Discover and American Express
If you have any questions on your statement or would like a detailed statement, please call the Hospital Business Office at 608 884-1666. Hours are from 7:00 a.m. to 4:00 p.m.

Please click here to learn about our Patient Payment Alternatives

Please click here to read the Wisconsin Act 146

Patients with Insurance Coverage

Insurance is designed to help you meet the cost of medical services. If you provided EHHS with all of the requested insurance information, including a copy of your insurance card, we have submitted a claim to your insurance company as a courtesy to you. However, your insurance contract or policy is between you and your carrier or employer. Therefore, the ultimate responsibility for payment rests with you. It is our hospital policy to allow 45 days from the billing date for your insurance to pay. If they have not paid within 45 days, you will be responsible for payments of the balance due.

Please check with your insurance company to ensure that we are a covered facility under your plan. EHHS is contracted with the following insurance plans/ networks: Alliance, Anthem BCBS, ChoiceCare, Cigna, Dean Care, ECOH, Great West Healthcare, Humana, Multiplan Networks (including Multiplan, Health EOS, WPPN, AHC, PHCS), Physicians Plus, UnitedHealthcare, Unity, WEA and WPS.

Patients with Medicare Coverage

If you provided EHHS with your Medicare number, we will bill Medicare for you. If you have insurance for amounts not paid by Medicare, and provided us all the requested information including copies of insurance cards, we have also billed that as a courtesy to you. You will be responsible for any amounts not paid by Medicare or your insurance company. It is our hospital policy to allow up to 45 days for your insurance to pay the amount not covered by Medicare. If your secondary insurance does not pay within 45 days after they are billed, you will be responsible for the balance.

Workers Compensation Patients

If your hospital visit was work related, we will not bill your employer unless we have received either written or verbal approval from them. You should request that your employer send an authorization to EHHS. Unless we have received written approval, your account balance will be billed to your health insurance and if denied, will be due by you. If we have received approval, we will allow 45 days from the billing date for your employer to pay. If they do not pay in 45 days, you will be responsible for payment of the balance due.

Patients with No Insurance

Please pay the amount indicated on your statement in full, unless an acceptable payment plan has been arranged with our Patient Accounts Department. If payment or arrangement for payment is not made within 45 days, we will turn your account over to an outside collection agency.
Please call 608-884-1674 for information about the Hospital Expense Loan Program (H.E.L.P.).
Edgerton Hospital and Health Services offers some of its services free or at a reduced charge to eligible persons who cannot afford to pay for medical care. If you are not able to pay for all or part of the care you need, please contact the Business Office at 608 884-1674 and ask about our Community Care program.

Click here for info on our Community Care Program
Community Care Application

Click here for a brochure on general billing.

© 2014 Edgerton Hospital and Health Services, Inc. Affiliated with SSM Health Care of Wisconsin. All Rights Reserved. SSM Health Care.
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