FAQ
We are pleased that you have selected Saint Agnes Medical Center for your health care needs. We look forward to providing you with high quality, compassionate care.
Saint Agnes does not discriminate against patients based on their inability to pay, and no patient is denied urgent or emergent care based on his or her ability to pay at the time of service. For patients who require financial assistance or are experiencing temporary financial hardship, Saint Agnes also offers flexible financial arrangements or additional financial assistance.
What is the difference between a co-payment, coinsurance, a deductible and an out-of-pocket maximum?
- Out-of-pocket responsibility: The amount due based on the defined terms of an individual’s insurance plan. Please read below for a brief explanation of what your out-of-pocket responsibility may include.
- Co-payment (co-pay): A fixed amount that is requested for covered medical services at the time the service is received, as determined by your insurance plan. Example: $50 payment due for each visit to the hospital’s Emergency Department.
- Coinsurance: This refers to the sharing of covered medical expenses by the patient and his or her insurance company. The insurance company pays a certain percentage of covered expenses and the patient pays the remainder.
- Deductible: The part of a patient’s covered medical expenses that the individual must pay each calendar year before the insurance company starts to pay benefits.
- Out-of-pocket maximum: A predetermined, limited amount of money that an individual must pay directly before an insurance company or self-insured employer will pay 100 percent of the individual’s healthcare expenses.
Why is payment requested upfront for my out-of-pocket responsibility?
Saint Agnes Medical Center started collecting amounts upfront as a courtesy to our patients to reduce some of the financial worry associated with a hospital visit. This upfront payment will apply towards your total expenses. You will be billed for any remaining balances after insurance pays.
What are my payment options?
The hospital accepts checks, credit cards, debit cards, and cash.
What if I do not have insurance or am unable to pay my out-of-pocket responsibility?
Saint Agnes Medical Center offers flexible financial arrangements to help meet your individual needs. For those who are unable to pay for necessary medical services, every effort will be made to assist you in obtaining help for payment of your medical bills, including the following options:
- Payment plans or patient loans – Patients may pay for services in monthly increments over a period of time.
- State assistance programs – Our team can work with you to see if you qualify for government programs.
- Financial assistance programs – There are programs for patients who are not deemed eligible for state/federal assistance, yet do not have adequate financial resources. After completing a financial evaluation, you may be eligible for financial assistance for services provided to you by Saint Agnes.
Why are there multiple bills sent for a single visit?
Saint Agnes is only responsible for billing and collecting on hospital services. Since physicians are not employed by the hospital, they are required to send separate bills for service. Durable medical equipment and ambulance companies also bill separate from the hospital.
Depending on the services rendered, you may receive a separate bill from one or more of the groups listed below. If you have any questions, we encourage you to contact the appropriate billing office.
- Ambulance – Complete list of ambulance companies available, click here.
- Anesthesiology – Anesthesia Consultants of Fresno, (559) 436-0871. For a complete list, click here.
- Durable Medical Equipment – DJO Global, Inc., (888) 225-4398. For a complete list, click here.
- Emergency Department – California Emergency Physicians of America (CEP), (800) 498-7157. OB Hospitalist Group (OBHG), (864) 908-3627. For a complete list, click here.
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Laboratory/Pathology –
Saint Agnes Pathology Medical Group, (877) 411-9005 or (800) 775-4238. For a complete list, click here.
- Hospitalists – California Emergency Physicians of America (CEP), (800) 498-7157. For a complete list, click here.
- Radiation Therapy – California Cancer Associates (cCare), (559) 438-1245. For a complete list, click here.
- Radiology (X-ray, CT scan, MRI, Nuclear Medicine) – Wishon Radiological Medical Group Inc., (559) 485-8330. For a complete list, click here.
Thank you for giving Saint Agnes the opportunity to serve your health care needs. Should you have any further questions, please do not hesitate to contact our Benefit Advocates office, (559) 450-SAMC (7262).
Billing and Collections Policy
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