Financial Services

Your hospital bill reflects the cost of operating and maintaining a technologically advanced healthcare facility 24 hours each day, 7 days per week, and 365 days per year. The various charges cover your room, nursing care, meals, housekeeping, purchase and upkeep of sophisticated equipment and maintenance of the building and physical property, linens, and administrative costs. Charges also are itemized for special services and tests such as laboratory, x-ray, surgical or medical procedures, drugs, supplies, and other special services.

Commercial Insurance

  • The final responsibility for payment of the bill rests with the patient or legal guardian.  The hospital will make every reasonable attempt to collect from your insurance carrier once the proper forms, including consent to treat and assignment of benefits are signed.  The hospital does not accept total responsibility for filing or collecting an insurance claim or negotiating a disputed settlement.
  • It is necessary for you to bring your insurance identification at the time of pre-registration or admision.  You will be contacted to register before the scheduled date of your services.  This is known as pre-registration.  A picture ID is also required of the patient or financially responsible person.
  • The hospital will file your insurance claim for you providing you have assigned benefits to us.  Please remember your medical insurance is a contract between you and your insurance company.  While we will make every reasonable attempt to expedite the filing and collection of your claim, you are ultimately responsible for the payment of your account. You should contact your insurance company if their payment is delinquent.
  • Every reasonable attempt will be made to verify your insurance coverage either at the time of pre-registration or admission.  You will be asked to make payment at that time for any deductibles and/or co-insurance, which may be calculated.

Health Plans and Managed Care Participation

  • AARP
  • Aetna
  • Ambetter
  • Amerigroup
  • Anthem / Blue Cross Blue Shield of Georgia
  • Caresource
  • Cigna Healthcare
  • Clover Health
  • Core Administrative Benefits
  • GEHA (UMR)
  • Healthgram
  • Humana
  • IBG (Industry Buyers Group)
  • Mailhandlers Benefit Plan
  • Medicaid
  • Medicare
  • Memorial Health Partners
  • Mutual of Omaha
  • Peach State Health Plan (also formerly Wellcare of Georgia)
  • Tricare
  • United Healthcare of Georgia

Medicare

  • By agreement with the U.S. Government, the hosptial is obligated to file any claim for services you receive at the hospital.  We will also work with the appropriate federal agencies to collect the portion due from them.
  • Medicare does not cover your total bill.  You are responsible for certain deductibles and co-insurance as determined by Medicare as well as any non-covered costs.  You will be asked to pay deductibles and possibly calculable co-insurance amounts at the time of pre-registration or admission.  You will be billed for any balance for which you are liable.
  • At the time of pre-registraton or admission, you will need to provide us with your Medicare card.  We may also ask for some other form of identification.

Medicaid

  • You must present your Medicaid card and picture identificaton at the time of pre-registration or admission.  Failure to do so might delay your admission unless it is an emergency
  • According to Medicaid regulations, you might be liable for a small co-payment.  You will be asked for that payment at the time of pre-registration or admission.
  • The hospital will bill Medicaid for the services provided to you.  It is unlikely that you would receive any follow-up bills after discharge.

Patients without Insurance

  • The hospital provides financial assistance to individuals who qualify through the Georgia Indigent Care Trust Fund.  Qualification is based upon income and other criteria as defined by the state and federal government and hospital policies.  A copy of the hospital financial assistance policy is available upon request.
  • If you do not have insurance and believe that your income might qualify you for this assistance, please inform the person assisting with your registration.
  • Patients who do not qualify for financial assistance might be eligible for a self-pay discount.  Please contact patient registration or the business office for details.

Other Related Financial Information

  • You will receive separate bills for the professional services of your doctor, surgeon, anesthesia provider (they put you to sleep), pathologist (they read your lab tests), radiologists (they read your x-rays), emergency department physician, or other consulting physicians.  Questions regarding their bills should be directed to their office and telephone numbers indicated on their bills.
  • All hospital patient billing or insurance inquiries should be directed to (912)739-5003 or (912)739-5123.  Office hours are: Monday-Friday, 8:00 a.m. to 5:00 p.m.

Organizational and Financial Information

Annual reports, governance and financial statements

Price Transparency

Standard charges and cost estimates for our services
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Georgia Heart

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