Hill Country Memorial determines its standard charges for patient services with the use of a chargemaster system, which is a list of charges for the components of patient care that go into every patient’s bill. These are baseline rates for services provided at HCM.
Standard charges shown on the following page do not necessarily reflect what a patient may pay. Hill Country Memorial may provide charity care to persons who have health care needs and are uninsured, underinsured, ineligible for government programs, or otherwise unable to pay, for medically necessary care based on their individual financial situation. Hill Country Memorial strives to ensure that the financial capacity of people who need health care services does not prevent them from seeking or receiving care.
This information can be used as a factual starting point for a more informed discussion among consumers, insurers and providers of care. This website contains information on the most common services only; specific questions you may have might not be addressed here. To receive more specific information on services for yourself or a family member, please contact us and/or your health insurance provider directly. Also, please talk to your doctor or other qualified health care provider about this information to help you, your family and your friends make the best health care decisions for your specific circumstances.
To learn more about HCM Pricing and Insurances Accepted, visit one of the following links:
Things to Know When You Look at Hill Country Memorial Reports
Commercial insurers negotiate discounts with hospitals on behalf of the patients they represent. The discounts vary among insurers. Numerous factors, such as type of plan, co-pay, co-insurance, deductible, out-of-pocket maximums and any limitations on coverage – such as whether or not the hospital is a participating provider in the insurance plan’s network – also will affect your financial responsibility to a hospital. Begin by contacting your insurance company to understand all of the factors affecting your financial responsibility.
Medicare pays hospitals according to a set fee schedule that represents a discount from a hospital’s billed charges. Medicare will pay for many of your health care expenses but not all of them. Special rules apply if you have employer group health insurance coverage through your own job, a spouse’s job or coverage thru a Medicare HMO/PPO. If you have a supplemental insurance policy, it may cover some costs Medicare does not cover. Contact Medicare at http://www.medicare.gov/
Medicare Choice plans and PPOs negotiate discounts with hospitals on behalf of the patients they represent. The discounts vary among the plans or PPOs. Numerous factors, such as type of plan, co-pay, co-insurance, deductible, out-of-pocket maximums and any limitations on coverage – such as whether or not the hospital is a participating provider in the Medicare Choice plan’s network – also will affect your financial responsibility to a hospital. Begin by contacting your Medicare Choice plan or PPO to understand all of the factors affecting your financial responsibility.
Medicaid pays hospitals in accordance with a set fee schedule that represents a discount from a hospital’s billed charges. Generally, Medicaid recipients are not responsible for any portion of the bill. Contact your local Medicaid office or visit the Texas Health and Human Services Commission at http://www.hhsc.state.tx.us/medicaid/index.html
Medicaid managed care plans and Children’s Health Insurance Program (CHIP) plans negotiate discounts with hospitals on behalf of the patients they represent. The discounts vary among the plans. Numerous factors, such as type of plan, co-pays if applicable, out-of-pocket maximums and any limitations on coverage under your Medicaid managed care plan or CHIP also will affect your financial responsibility to a hospital. Begin by contacting your Medicaid managed care plan or CHIP plan to understand all of the factors affecting your financial responsibility.
For patients who do not have insurance, hospitals typically offer discounts to qualifying patients based on need. Some discounts may be based on the patient’s income level and family size. You should contact the hospital’s business office for information on the hospital’s policies and how to request a discount. In some cases, you may be asked to verify income or other assets to determine whether or not you qualify for full or partial financial assistance. Various state and local assistance programs are also available for patients who qualify for them. Uninsured or underinsured patients should consult with a Hill Country Memorial Patient Financial Representative to determine whether they qualify for discounts and may be contacted (here).
Access on-line information provided by the Texas Department of Insurance to help you shop for health care coverage at www.texashealthoptions.com.