Financial Services
Welcome to Patient Financial Services
Thank you for choosing Chase County Community Hospital for your healthcare services. We want to help you understand our billing process and encourage you to contact us with questions or concerns that you have regarding your account. Please review the following information related to patient account services. These plans are available for both hospital and clinic services. You may also call us between the hours of 8:00 AM and 4:30 PM, Monday through Friday to speak with one of our patient accounts staff. Call (308) 882-7111.
Billing Policy
Payment is due and payable at the time of service. We understand that meeting medical payment obligations can be challenging and have developed options to accommodate your needs. Please review the following, decide on a plan that is best for you, and call to make arrangements.
Payment Plans
We want to work together with you to make the resolution of your account as convenient as possible. You will receive monthly statements for services not covered by your insurance carrier.
Monthly Payments
We are happy to work with you to make monthly payments. Please contact us at 308-882-7310 to set up your payment.
Credit/Debit Card Payment
Chase County Community Hospital accepts both credit and debit cards.
pinnacle bank Medical Repayment Plan:
Pinnacle Bank (308-882-4297) of Imperial offers a Medical Repayment Plan for patients who qualify. If you need assistance with the payment of medical bills please check out the brochure at the link below or give them a call.
Financial Assistance Application:
If the above options do not fit your needs and you need further assistance meeting medical expenses, you may qualify for the Financial Assistance program at Chase County Community Hospital.
As a non-profit hospital and as part of our mission, Chase County Community Hospital provides Financial Assistance to patients with limited financial means who have exhausted all other sources of payment or assistance.
Chase County Community Hospital does not deny or extend financial assistance on the basis of age, race, creed, color, sex, religion, disability, or national origin. If you are, in need of assistance, please complete the form listed below and return it to the address below. If you have any further questions about our financial assistance policy please download the policy below or contact a Financial Services member by calling (308) 882-7111.
Application for Financial Assistance
Good Faith Estimate
You have the right to receive a "Good Faith Estimate" explaining how much your medical care will cost
Under the law, health care providers need to give patients who don’t have insurance or who are not using insurance an estimate of the bill for medical items and services.
You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency items or services. This includes related costs like medical tests, prescription drugs, equipment, and hospital fees.
Make sure your health care provider gives you a Good Faith Estimate in writing at least 1 business day before your medical service or item. You can also ask your health care provider, and any other provider you choose, for a Good Faith Estimate before you schedule an item or service.
If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill.
Make sure to save a copy or picture of your Good Faith Estimate.
Good Faith Estimate Policy – English
Política de estimación de buena fe – Español
For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises or call the federal surprise billing hotline at 1-800-985-3059.