Have questions about your bill? Please contact our billing office at (802) 728-2200, Monday-Friday, 8 a.m. – 4:30 p.m.
Frequently Asked Billing Questions
Q. Why do I have a deductible?
A. Most insurance policies have deductibles. They are chosen by your employer when they decide on a health plan. It is important when signing up for benefits with your employer that they explain what can be applied to your deductible. Having a service applied to a deductible does not mean it is not covered by your insurance.
Q. How much is my deductible?
A. Deductibles vary by plan, if you are not sure of how much your deductible is, you should contact your insurance company and they can tell you how much and what you may have met.
Q. Why can’t I talk to you about my spouse’s date of service? He is on my insurance.
A. We are not allowed to discuss any services that are provided to anyone other than you, unless it is a child under the age of 18. This is due to confidentiality and HIPAA. Click here for more information about HIPAA.
Q. Why wasn’t a service covered by my insurance?
A. There could be many reasons why your insurance did not cover a service. If you have questions regarding why a service wasn’t covered, please contact our office and/or your insurance company.
Q. I can’t pay my bill in full. What are my options?
A. We can help you by setting up a payment plan for the balance(s) due. Payment plans are set up for the 1st and 15th of each month. To set up a payment plan call our office at (802) 728-2200. If a payment plan isn’t possible, then we can have you fill out a free care application to see if you qualify for some assistance.
Q. I don’t have insurance and I need to see a doctor, but have no money. What can I do?
A. We can direct you to Health Connections, our affordable care program, at (802) 728-2323. They can assist you with your insurance and getting you the care you need.
Health Connections, our Financial Assistance Program
The medical center and hospital additionally work with patients to find financial assistance through our Affordable Care Program, state and federal resources, and no-interest payment plans.
Price Transparency at Gifford Health Care
Effective January 1, 2021 Center for Medicare & Medicaid Services (CMS) requires hospitals to make public their standard charges online in two ways:
Use the following links to access a machine readable list of all standard charges and a list of ‘shoppable’ services.
A consumer-friendly display of standard charges for ‘shoppable’ services that are grouped with charges for ancillary services that are customarily provided by the hospital. A ‘shoppable’ service is a service that can be scheduled by a healthcare consumer in advance.
A comprehensive machine-readable file that includes all standard charges for all hospital items and services
*Please note, charges listed for some shoppable services are an estimate based on the typical set of ancillary services provided during that procedure. The estimate is to provide you with a general idea of what other patients with similar medical conditions have been charged for similar procedures or treatments. Actual procedure charges will vary based on the actual treatments provided to each patient. The shoppable services list is as an estimate and should not be considered a quote. All patients are urged to consult with their health insurer to confirm individual patient responsibilities and remaining deductible balances.
Read our Patient Privacy Notice.
https://hpitpa.com/transparency-in-coverage-machine-readable-files/
Health insurers and self-funded health benefit plans must post machine-readable files (MRFs). These MRFs should help you understand pricing and costs for health care services. They include negotiated rates for all covered items with in-network providers and previous payments to, and billed charges from, out-of-network providers. MRFs are accessible free of charge, without establishing a user account, password or other credentials and you don’t need to submit identifying information such as a name, email address or telephone number.
