Guthrie Clinic/Guthrie Medical Group Patient Financial Services

Frequently Asked Questions

How do I know if my Guthrie provider/ doctor is contracted with my health plan?

 

To receive full insurance benefits, some health plans require patients to receive services from “in-network” or “participating” providers. Please call your health plan to verify its requirements and to be sure your doctor is in the network. You can also visit our website by selecting the following link:

 

Participating Insurance Plans

 

 

Can I still see my Guthrie provider/doctor if he/she is out-of-network?

 

In an emergency, go to the closest emergency room facility. Your health plan will generally cover these costs or transfer you to an “in-network” provider. If you elect to go to an “out of network” provider in a non-emergency you may be required to pay a larger deductible or all of your bill. Be sure you understand your “out-of-network” options and covered benefits with your health plan.

 

How can I be sure my health plan will pay my provider/doctor bills?

 

Some health plans require pre-certification for certain services or notification within a certain period of time for an emergency. If your visit is not an emergency, we encourage you to review the insurance benefit documents your health plan and/or employer has provided to you. For elective procedures you should talk to your doctor’s office and your health plan about coverage. Please discuss any insurance eligibility or payment concerns at the time of registration. Patient Representatives are available to assist you with any concerns you may have about payment for non-covered services or balances after insurance for services rendered.

 

Why am I also receiving a bill from the hospital? 

 

Depending on the services provided, you may receive several different bills. Guthrie Clinic will send you a statement of physician services. If you had certain tests or procedures, you may also receive a separate bill for hospital charges, i.e. radiology, laboratory, and emergency room services. 

 

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