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When
do Health Center bills get mailed?
Health
Center statements are typically mailed between the 10th and
15th of the month. While St Camillus pre-bills for room and board charges, we
must wait for outside service providers (i.e. pharmacy, medical
supplies, etc.) to submit their charges in order to complete the billing
process.
When
is payment due?
Payment is due upon receipt
of the statement.
Who
should I call if I have other questions regarding a Health Center
statement?
You
should call Pat Lewis at (414) 259-8366.
What
is Co-Insurance A?
Co-Insurance
A relates to Medicare Part A charges.
Medicare pays 100% for the first
20 days for an approved stay in a skilled nursing facility.
Starting on the 21st day Medicare covers all but $114 per day.
The $114 per day the resident is responsible for, is
called Co-Insurance A.
This amount can be billed to a secondary insurance if the
resident has
one.
St. Camillus will bill this directly to the insurance company but
it will still show on the
monthly statement because the resident is still ultimately responsible.
What
is Co-Insurance B?
Co-Insurance
B relates to Medicare Part B charges.
Medicare B is billed for all out-patient services provided by St.
Camillus Health Center (i.e. Therapy).
Medicare B pays 80% of the approved amount starting on the first
day of services, the remaining is the residents responsibility and can
be billed to a secondary insurance.
St. Camillus will bill this directly to the
insurance company but it will still show on the monthly statement
because the resident is still ultimately responsible.
It is important to note that the Co-insurance is an estimated
amount. It may increase or decrease upon Medicare’s determination.
Do
I need to pay the Co-Insurance now or can I wait for my insurance
company to pay it?
If
you do not have a secondary insurance carrier, yes you should pay it
immediately. However if you
have a secondary insurance carrier, it is an option of yours to either
pay it now or wait for a response from the insurance company.
If you pay the co-insurance and your secondary insurance carrier
pays St. Camillus, we will issue you a reimbursement of this dollar
amount.
What
is patient liability?
Patient
liability applies to individuals on Medicaid (Title 19).
Patient liability is the amount assigned by the state of
Wisconsin that a resident must pay while residing in a skilled nursing
facility. A basic
calculation of patient liability is a resident’s monthly income (i.e.
pension, Social Security) minus
$45.
Why
am I being charged for a telephone installation?
The
fee is for activating the telephone jack in the resident’s room and
for setting up an account for any long distance calls placed by the
resident. This service is
performed by our Telecommunications Technician. Typically this fee is only charged to new residents. Should a
resident transfer from one room to another, this fee is waived.
If
I have questions regarding the medications the resident is being charged
for,
who should I contact.
You
could either call Roeschen’s Omnicare at (414) 486-3100 or the nurse
manager on the unit.
If you are a
perspective or current St. Camillus resident and you have other
questions not listed above, please:
Call Pat Lewis weekdays at (414)
259-8366, or complete
the information below to submit your question to Pat.
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