GENERAL BILLING & FINANCIAL INFORMATION
FREQUENTLY ASKED QUESTIONS: CLICK HERE
Healthcare expenses are often unexpected or may seem overwhelming. We are here to assist you through understanding your bill and payment options.
In best effort, Lake Chelan Health (LCH) contracts with as many insurance plans as possible. We are happy to bill your insurance directly for services provided by LCH. Because each insurance plan has different coverage allowances, benefits, and limitations, payment of services is never guaranteed and are subject to review of the specific insurance plan being billed.
We encourage all patients to contact their insurance provider directly or online to learn more about their specific coverage benefits.
- Good Faith Estimate
- Estimación de Buena Fe
- Your Rights and Protections Against Surprise Medical Billing
- Sus Derechos y Protecciones Contra Facturas Medicas Sorpresas
Hospital or Clinic Outpatient Services Billing – Know before you visit.
Hospital vs Clinic Visits
Some insurance plans cover hospital-based billing claims differently than a free-standing clinic. Some insurance companies have different rules related to copays and deductibles when billed as a hospital-based charge versus a free-standing clinic.
- Lake Chelan Health Specialty Care is a hospital owned Provider-Based Clinic and a department of Lake Chelan Health (LCH) Hospital. You may receive a bill for hospital facility charges in addition to your provider’s professional fee. This means you could receive more than one bill for Specialty Care services provided.
- Lake Chelan Health Primary Care, Express Care and Pediatric Care clinics are hospital owned Provider-Based Rural Health Clinics.
LEARN MORE: About Provide Based & Rural Health Clinics and Outpatient Services
APRENDA MAS: Clínica Basada en el Hospital vs. Clínica de Salud Rural y Servicios Ambulatorios
If you have questions about how this may affect your out-of-pocket costs, please ask our registration staff or call LCH Billing Department at 509-682-3300 (select option 4).
Verify Your Coverage
To fully understand what your out-of-pocket expenses may be for outpatient services, we encourage you to check with your insurance company to determine if your plan handles facility/hospital-based claims.
Our reception staff obtain prior authorization visit limit (if applicable) information prior to your visit. We do not have information about your specific out-of-pocket expense limits or how these charges may apply to any deductibles on your plan.
Patient is responsible for charges not covered by their health insurance plan.
For questions please call: 509-682-3300 or email: billing@lcch.net
Lake Chelan Health (LCH) is contracted with the following plans:
Please be advised that this list is subject to change, and although Lake Chelan Health has a contract with an insurance company, this does not guarantee coverage/payment of services provided by LCH. If LCH is not contracted with your health insurance company this is referred to as “out of network”.
Out of Net Work typically means that a patient may have higher out-of-pocket costs as insurance companies may cover less of the bill or in some cases the insurance company may not cover any of the costs at all. Out-of-network providers can bill patients for the difference between what the insurance company pays and the total cost of the service, which is called “balance billing”.
If you have questions regarding coverage of a service or out of network, contact your insurance company directly.
UNDERSTANDING YOUR HOSPITAL OR CLINIC BILL
Although we are one organization, Lake Chelan Health (LCH) bills separately for hospital and clinic services. We will submit a claim to your insurance company for services provided. If we are contracted with your insurance company, they will make payment directly to LCH for your services.
When payment is received, your insurance provider informs us of what amount is your responsibility based on your plan’s coverage. Any balance remaining after insurance payment and any partial payment made by the patient at the time of service (if any) is due upon receipt of the first statement.
Billing statements are mailed monthly for any unpaid account balances. If you are unable to make payment in full upon receipt of the first statement, we recommend that you contact our Patient Financial Counselor for personal assistance. We have a variety of payment options as well as Financial Assistance. Please note, that partial payments without an agreed payment arrangement on file will not stop an account from transferring to an outside collection agency.
If you are uninsured or underinsured, our Financial Assistance and Charity Care programs are available to help you manage your healthcare costs. For an itemized statement, simply contact our Patient Financial Services department at 509-682-3300 (select option 4).
If you need assistance understanding your bill, require a copy of an itemized statement, or would like more information about our Financial Assistance programs, our Patient Billing Specialists are here to support you.
- Patient Financial Services is open Monday-Friday 8:00am – 4:30pm at the Lake Chelan Health Clinic/Business Office at 219 E. Johnson Ave., Chelan, WA 98816
- Over the phone assistance at 509-682-3300 and select Option 4
- By emailing billing@lcch.net
Some of the services provided are billed separately and may even be billed by a provider other than Lake Chelan Health. If you receive any of the following services, charges for this will not be included on your hospital bill:
- Surgeon
- Primary Care Physician
- Consultant
- Pathology
FINANCIAL ASSISTANCE & CHARITY CARE
Lake Chelan Health offers Financial Assistance to those who are uninsured or underinsured. Discounts are available to those who have received services at either Lake Chelan Health or Specialty Care. Discounts are allowed on a sliding fee schedule to individuals and families that make less than 300% of the Federal Poverty Level.
A Patient Financial Counselor is available to assist you in completing an application for one of our programs and can ensure that your account(s) are placed on hold while applying for one of our programs.
Contact a Patient Financial Counselor Monday – Friday 8:00am –3:30pm
For assistance over the phone or to schedule an appointment, call 509-682-3300 and select Option 4
For other billing assistance options, call 509-682-3300 and select from the automated prompts.
Forms
- Charity Care Financial Assistance Policy
- Charity Care Application 8.2.2023
- Charity Care 2025 Sliding Scale – Charity Care Eligibility
Formas
- Ayuda de Caridad -Asistencia Financiera – Poliza
- Ayuda de Caridad – Aplicacion
- Ayuda de Caridad 2025 Pauta de Elegibilidad
BALANCE & BILLING INFORMATION
With your health plan, you are responsible for certain cost sharing amounts. This includes co-payments, deductible, and/or co-insurance. There may be cases where you are responsible for additional amounts if your insurance is not contracted with Lake Chelan Health. This is often referred to as “balance billing” or “surprise billing”. In many scenarios, however, you are protected by law from receiving a balance bill for your care. To understand your rights and details of your rights as a patient, please click the tab “Balance Billing Act Notice” below for additional information.
WHERE TO MAKE A PAYMENT
- Make an online payment:
- Over the phone at 509-682-3300 (select Option 4) with a Credit Card, we accept Visa, Mastercard and Discover. Please note, we currently do not accept Care Credit.
- In person at our Hospital or downtown clinic.
Clinic Location:
Lake Chelan Health Clinic / Business Office
219 E. Johnson Ave.
Chelan, WA 98816
Hospital Location:
110 S. Apple Blossom Dr.
Chelan, WA 98816
Mail:
P.O. Box 908
Chelan, WA 98816
PRICING INFORMATION
The Centers for Medicare and Medicaid Services (CMS) as part of the 2019 IPPS Final Rule requires hospitals, including Critical Access Hospitals such as Lake Chelan Hospital make available online a list of their standard hospital charges.
Lake Chelan Health supports the intent of these regulations as a way to inform and educate patients. However, Lake Chelan Health uses a chargemaster system, which is a list of the charges that are the different components to a patient’s care. These are the baseline rates for items and services provided at the hospital. The total charges could vary depending on the scope of the service provided and ordered by their physician.
Many factors may influence the actual cost of an item and/or service, including insurance coverage, rates negotiated with payers, and so on. The cost of treatment might also be impacted by variables involved in a patient’s actual care, such as specific equipment, specific supplies required, the length of time spent in surgery or recovery, additional tests, or any other changes that may have occurred due to unexpected conditions, circumstances, or complications that may arise. Moreover, the foregoing list of charges for services only includes charges from the hospital and does not include charges that would be billed separately such as physician and pathology charges.
We support your concern in learning how much a service and/or procedure may cost and encourage you to reach out to us for an estimate. Our Centralized Scheduling team can prepare a good faith estimate upon request and are happy to discuss our payment options as well. They can be reached at: 509-682-6130.
CURRENT PRICE LIST
Click Price Transparency button below.
Other Resources
Washington Hospital HealthCare Compare CLICK HERE for hospital price comparisons.
CMS No Surprise Billing Learn More
