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. For paying medical bills, please keep in mind:

• Always reference your admission number (shown on statement) when calling or writing about your account.
• Charges or payments posted after the date of your statement will appear on your next statement.
• You may 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.
• We accept the CareCredit healthcare credit card. To pay using CareCredit, click on the graphic below:
  
  

If you have questions or would like a detailed statement, please call the Edgerton Hospital Business Office at 608-884-1666. The office is open from 8 am to 4:30 pm (Monday through Friday).

Discover information about quality, safety and pricing for services at Edgerton Hospital at CheckPoint and PricePoint.

Patients with Insurance Coverage

Insurance is designed to help you cover the costs of medical services. If you provided Edgerton Hospital with all of the requested insurance information, we will submit a claim to your insurance company as a courtesy to you. However, you are ultimately responsible for ensuring your bill is paid. 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 Edgerton Hospital is a covered facility under your plan. We are contracted with the following plans/networks: Aetna Medicare, Alliance, Anthem BCBS, Cigna, Dean Health Plan (select plans), ECOH Network, Humana (select plans), MHS Health Wiscosin, Multiplan Networks (including Multiplan, Health EOS, WPPN, AHC, PHCS), Quartz,TRICARE, UnitedHealthcare, WEA and WPS.

Patients with Medicare Coverage

If you provided Edgerton Hospital with your Medicare Number, we will bill Medicare for you. If you also have insurance to cover amounts not paid by Medicare, we will also submit a claim to your insurance, if you provide all the requested information. You are responsible for any amounts not paid by Medicare or your insurance company. It is our hospital policy to allow 45 days from the billing date for your insurance to pay the amount not covered by Medicare. If they have not paid within 45 days, you will be responsible for payments of the balance due.

Workers Compensation Patients

If your hospital visit was work-related, we will not bill your employer unless we have received written or verbal approval from them. You should request that your employer send an authorization to Edgerton Hospital. If we do not receive an approval, your account balance will be billed to your health insurance, and if denied, it will be billed directly to you. If we do receive approval from your employer, we will allow 45 days from the billing day for them to pay. If they do not pay within 45 days, you will be responsible for payments. 

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 608-884-1666 for information about the Hospital Expense Loan Program. Edgerton Hospital 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 unable to pay for all or part of the care you need, please contact the business office at 608-884-1666 and ask about our Community Care Program.

For information on financial assistance, click here.

Disclosure for No Surprises Act