Billing & Payments

To make a payment by phone 866-256-2771

 

Our Policy

As a not-for-profit health care institution, Pondera Medical Center (PMC) recognizes an obligation to provide needed health care services to the community.  PMC is committed to providing emergency and other non-elective medically necessary care to individuals without discrimination regardless of their ability to pay, ability to qualify for financial assistance or the availability of third party coverage.

Preparing for Your Visit

Each time you visit Pondera Medical Center we will ask a series of questions to ensure we have accurate information needed for billing and collection purposes.  Please bring the following items with you:

  1.  Valid photo ID; drivers licenses, state identification card, etc.

  2.  Insurance card(s); the most current card received

  3.  Payment for your copay, coinsurance, deductible and any services that are not covered by your health   insurance plan.

Financial Assistance

A structured Financial Assistance Program is maintained to provide financial assistance in the form of forgiveness of all or a portion of the hospital or clinic bill for medically necessary services based on the most current Federal Poverty Guidelines. For more information, visit the below links or contact Patient Financial Services.

Financial Assistance Application

Patient Financial Assistance Policy

Federal Poverty Guidelines

Health Insurance

If you are covered by a health insurance benefit plan, it is your responsibility to provide PMC with accurate information necessary to submit a claim(s) on your behalf.  We will attempt to verify insurance information and eligibility at the time of service. If we are unable to verify the insurance coverage is active, the services may be considered self-pay.  You will be responsible for any deductible, co-payment, coinsurance or non-covered services not paid by the insurance company.

 

Most plans do not provide 100% coverage for services.  Each plan has its own rules, exclusions, and services that are covered.  If you are unsure of your coverage for a particular medical procedure or test, you should call the customer service telephone number on your insurance card before scheduling the procedure.

 

Depending on your plan, you may be required to get approval (prior authorization) before you receive hospital services.   Even in a life-threatening situation, your benefit plan may require you to contact them within 24 hours of receiving hospital care.   We will assist you in notifying your insurance; however you will still be responsible for any charges not covered by your benefit plan.  Please also be aware obtaining approval does not guarantee that the cost of the service will be completely covered by your benefit plan.

Your health insurance policy is a contract between you and your insurance company.   As a courtesy to you, Pondera Medical Center will send a claim to your health insurance company.  By working together, we can minimize misunderstandings, payment delays and billing costs.   However, you are responsible for any charges not covered by your benefit plan.

 

If Pondera Medical Center does not participate in your insurance plan, you are still able to receive services at PMC.  However, your insurance company will consider the services as "out of network" and you may be responsible for paying more of the bill.

Self-Pay

For non-emergency medical services, self-pay patients are expected to pay in full prior to receiving services.  When possible, an estimate of the required payment will be provided prior to services being rendered.  Self-pay patients who are unable to pay prior to services being rendered and have not made appropriate payment arrangements may be rescheduled.  A prompt pay discount is available when paid at the time of service. 

 

Workers’ Compensation

If your medical care is covered by workers’ comp insurance, we will submit a claim to your employer’s work comp insurer.  It is your responsibility to provide PMC with accurate information to submit a claim.  If your claim is disputed, you are responsible for paying the medical expenses.

FAQs or Common Inquiries about Claims or Bills

Accident-Related Injuries

If you are involved in an accident-related injury, it is your responsibility to provide PMC with accurate information necessary to submit a claim on your behalf.  Any medical expenses that are not paid by the insurance company are your personal responsibility.
 

Physician Bills

You may receive separate billings from physicians involved in your care.  For example: the Radiologist who reads and interprets an x-ray, the Pathologist who processes and examines tissues, or the Lab who analyzes blood tests.  If you have questions or concerns about these bills, you should contact the service providers directly.

Other Questions about Your Bill

To view our Billing Policy click here:

PMC Billing and Collection Policy  

The Patient Financial Services department is available to assist you with questions concerning your hospital bill.  Please call (866) 256-2771 or (406) 278-1074. 

Payment Options

We offer several methods to pay your bill: 

  • By mail – please send to PO Box 758, Conrad MT 59425

  • By phone – please call (866) 856-2771; Monday – Friday 7:30 am – 7:00 pm

  • In person at hospital information desk

For your convenience you can also setup a recurring credit/debit card payment for each month.

 

Methods of Payment

We accept cash, checks, money orders, Visa, MasterCard, Discover and American Express.


 

Health Care Costs

Health Care costs can be complex.  If you would like an estimate of how much your health care may cost, please contact Patient Financial Services at (406) 271-3211.

In compliance with the CMS Price Transparency guidelines taking effect January 1, 2019, a list of our standard charges is being provided.

​Disclaimer:  The standard charges provided are intended to give an estimate of the charges for services at Pondera Medical Center.  This information is an estimate only and is in no way a quote or a guarantee of the amount that will be charged or due for services. The estimates cannot and should not be relied on as the actual charges.  The actual charges may be lower or higher depending upon many factors – including, but not limited to, physician’s treatment choices, actual services rendered, complications and individual health care needs.  Charges are subject to change without notice.

I have read and understand the above disclaimer and I fully understand the charges are estimates only and that the actual charge may be different. Agree and download.

EMPLOYMENT           CONTACT US

 

 ©2018 Pondera Medical Center • 805 Sunset Blvd • Conrad, MT 59425 • (406) 271-3211  •  caseyr@ponderamedical.org