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Receptionist

COST & INSURANCE

Sliding Fee Discount Program

 

Our mission is to provide quality and compassionate health care services to all in need, regardless of their ability to pay. For patients that are uninsured or underinsured, we offer a Sliding Fee Discount Program which can provide discounts on medical, dental and behavioral health services to individuals based on income and household size.

 

 

 

 

Pharmacy Discount Program

Our patients may be eligible for a discount of their prescriptions through the 340B Drug Discount Program. For more information on this program, please call 309-867-2202 to speak with a staff member today. 

 

Health Insurance Enrollment Assistance 

Enrollment specialists are available to help you find a health insurance plan that meets your needs and budget. Questions about Medicare, Medicaid and private insurance? No problem, we are here to answer all of your questions. Call (309) 867-2202 to speak to a specialist today. 

 

 

Health Insurance at Eagle View

Eagle View accepts most health insurance plans including Illinois and Iowa Medicare and Medicaid plans. Before making an appointment with us, we recommend contacting your insurance provider to find out if Eagle View is within your network. If you have any additional questions regarding insurance or billing, please call us at (309) 867-2202. 

Good Faith Estimate

Patients of Eagle View who don't have insurance or who are not using insurance have the right to receive an estimate of the bill for medical, dental or behavioral health items and services.

For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises or call 1-800-985-3059.

Glossary of commonly used health insurance terms

Benefit Period

When services are covered under your plan. It also defines the time when benefit maximums, deductibles and coinsurance limits build up. It has a start and end date. It is often one calendar year for health insurance plans.

 

Co-Insurance

The part you pay for a health care service that is covered under some health insurance plans.

 

This co-insurance amount is a percent of the amount the service costs. The insurance company pays for the rest.

 

Co-Pay

A co-pay is the amount you must pay for a health care service such as an office visit or prescription.You pay this amount at the time of your appointment.The amount will be different for different health insurance plans.

 

Co-pay is different than coinsurance and deductible. You may have to pay a co-insurance, a co-pay, and part of a deductible for one visit.

 

Most insurance companies require doctors and other health care providers to collect this payment from the patient.

 

For services that are not an emergency, some health care providers may refuse to see a patient that does not pay their co-pay.

 

If you do not pay your co-pay, the health care provider can collect payment for this just like any other money you owe.

 

Deductible

A deductible is a fixed amount you must pay for health care services before the insurance will pay for services. This can be an individual amount or a family amount.

 

Most of the time the deductible is for a fixed period, often for one year. The deductible may not apply to some services.

 

Health Insurance

Health insurance is a health care plan that pays for some or all costs for medical care.

 

You have insurance if someone else such as your place of work or the government is paying for some or all your healthcare.

 

Your insurance can be an individual plan that you buy, a plan from your place of work, a plan from a union at your place of work, or a government plan like Medicare or Medicaid.

Managed Care

Managed care is an insurance plan that offers health benefits, but the patient must use a defined network.

 

For some health services, managed care may require you to get a referral or have the health services approved.

Network
All health care plans work with doctors, hospitals, clinics, and other health care providers. This group of health care providers working together is known as the health plan’s network.

​​Preventive Service

This is a service to prevent you from getting sick or needing more health care later. For example, getting a flu shot is a type of preventative service, because it can prevent you from getting the flu. Another example of a preventive service is a routine dental exam and dental cleaning, which help maintain good oral health.

​​Premium

Payments you make to your insurance provider to keep your coverage. The payments are due at certain times. 

 

 

Provider (Healthcare Provider)

A hospital, facility, physician or other licensed healthcare professional.

Out-of Pocket Cost

Cost you must pay. Out-of-pocket costs vary by plan and each plan has a maximum out of pocket (MOOP) cost. Consult your health insurance plan for more information as it varies by organizations.

 

Source: https://www.healthcare.gov/glossary/

 

 

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