We know that insurance and financial issues can be confusing and stressful. We are providing the following information to help you in understanding your financial responsibility and our relationship with your insurance carrier.
McKenzie Health System participates with many medical insurance plans. Your insurance policy is a contract between you and the insurance company. If you have questions about what services and providers are covered, if referrals or prior authorization is required, or if you will have any out-of-pocket expenses, you should contact the insurance company.
Our team will submit a claim on your behalf, but that is not a guarantee that the claim will be paid. If your claim is rejected or only partially paid, your insurance company should send you an explanation. It is your responsibility to pay any balance not covered by insurance. If McKenzie Health System does not participate with your insurance plan, payment is expected at the time of service.
Referrals and Authorizations
Many medical insurance plans require a referral or prior authorization of a condition for coverage of services.
A “referral” is permission from your primary care physician and your health plan to see a particular provider or to have specific procedures done.
An “authorization” is often required for procedures such as surgery or CT scans. If your plan requires a referral or authorization, it must be obtained prior to services being rendered.
Some insurance plans require that services such as laboratory work, X-rays, and physical/occupational therapy be performed at specific sites. It is the patient’s responsibility to know which site you must use for tests and services. If you have questions, contact your health plan for the most accurate information.
Multiple Insurance Plans
If you have multiple insurance plans, those plans must agree on a Coordination of Benefits order. This determines what insurance program will be billed as primary and secondary for your covered services. Some insurance companies require patients to verify this order every year. Please be sure to complete any Coordination of Benefits paperwork you receive in a timely manner.
Assignment of Benefits
If we file a claim on your behalf, payment will be made to McKenzie Health System. However, if your insurance plan does not allow you to assign benefits and will only make payment to the insured, you will be required to pay in full for all services rendered.
Co-pays, deductibles, co-insurances and fees for non-covered services are expected at the time service is provided.
For your convenience we accept cash, personal checks, Visa, MasterCard, Discover, American Express and debit cards. More information is available by downloading our Financial Policy Brochure.
McKenzie Health System provides financial counseling services to patients regarding their ability to pay. If you are uninsured, have concerns about your account, or have other questions concerning your financial obligations, please contact us at 810-648-6199. Financial Assistance may be available.
Patients will receive one monthly statement for all services from the hospital. Bills are sent as soon as possible after receiving services from their physician or the hospital. Typically, bills are not sent until all insurance claims have been processed. It is important to note that patients are not billed more than once for the same service, however two different bills may be received, a hospital bill and a physician bill.
McKenzie Health System bills patients for hospital-based procedures and hospital stays. This includes such items as the daily hospital room rate, medication, and services performed by hospital personnel.
Your physician bills for services provided by the doctor. If you had diagnostic testing done that required a physician to interpret the test, such as radiology services or an EKG, you will receive a separate bill for the physician’s services.
Once a bill is received, patients have 20 to 30 days to pay the bill in full, depending on the procedure or service. The due date will be noted on your bill. McKenzie Health System can arrange flexible payment options or can provide information related to a loan application from an outside company.
If you have questions about your hospital bill, contact McKenzie Health System during office hours (Monday-Friday, 8:00 a.m.-4:30 p.m.) at 810-648-6199 and ask for the patient account representative.
You can also visit our offices at
McKenzie Billing & Insurance
394 Loraine Street
Sandusky, MI 48471
See map: Google Maps