Financial Assistance for Patients
Hospital Financial Assistance Policy:
• The Western Maryland Health System provides care to all patients seeking care, regardless of their ability to pay. A patient’s ability to pay is based on a review which is done by a member of the Health System’s Business Office. This review assures that all patients who seek emergency or urgent care receive those services regardless of the patient’s ability to pay.
• In accordance with Maryland law, the Western Maryland Health System has a financial assistance policy and you may be entitled to receive financial assistance with the cost of medically necessary hospital services if you have a low income, do not have insurance, or your insurance does not cover your medically-necessary hospital care and you are low-income.
• The Western Maryland Health System meets or exceeds the state’s legal requirement by providing financial assistance based on income established by and published by the Federal Government each year. In order to determine eligibility for assistance, you will be asked to provide certain financial information. It is important that we receive accurate and complete information in order to determine your appropriate level of assistance.
Patients’ Rights and Obligations
• Those patients that meet the financial assistance policy criteria described above may receive assistance from the Health System in paying their bill.
• If you believe you have wrongly been referred to a collection agency, you have the right to contact the hospital to request assistance (See contact information below).
• You may be eligible for Medical Assistance. Medical Assistance is a program funded jointly by the state and federal governments that pays the full cost of health coverage for low-income individuals who meet certain criteria (See contact information below).
• For those patients with the ability to pay their bill, it is the obligation of the patient to pay the hospital in a timely manner.
• The Western Maryland Health System makes every effort to see that patient accounts are properly billed, and patients may expect to receive a uniform summary statement within 30 days of discharge. It is your responsibility to provide correct insurance information.
• If you do not have health coverage, we expect you to pay the bill in a timely manner. If you believe that you may be eligible under the hospital’s financial assistance policy, or if you cannot afford to pay the bill in full, you should contact the business office promptly to discuss this matter. (See contact information below).
• If you fail to meet the financial obligations of this bill, you may be referred to a collection agency. In determining whether a patient is eligible for free, reduced cost care, or a payment plan, it is the obligation of the patient to provide accurate and complete financial information. If your financial position changes, you have an obligation to promptly contact the business office to provide updated/corrected information.
• If you have questions about your bill, please contact the hospital business office at 240-964-8435. A hospital representative will be glad to assist you with any questions you may have.
• If you wish to get more information about or apply for the hospital’s financial assistance plan, you may call the business office or download the uniform financial assistance application from the following link: http://www.hscrc.state.md.us/consumers_uniform.cfm
Click HERE to download a pdf of the WMHS/Maryland Uniform Financial Assitance Form.
• If you wish to get more information about or apply for Maryland Medical Assistance you may contact your local Department of Social Services by phone 1-800-332-6347; TTY: 1-800-925-4434; or internet www.dhr.state.md.us. West Virginia residents may contact 1-800-642-8589 or www.wvdhhr.org. Pennsylvania residents may contact, 1-800-692-7462 or www.compass.state.pa.us
Physician services provided during your stay will be billed separately and are not included on your hospital billing statement. This includes the fees for emergency department physicians, primary care physicians, surgeon, cardiologist, radiologist, and other physicians who provide care during your stay.