BILLING & INSURANCE
Thank you for choosing WVSOM Health for your healthcare needs. We want to make the financial side of your care as simple and clear as possible, so you can focus on your health and wellness.
WVSOM Health accepts Medicare, Medicare Advantage plans, West Virginia and Virginia Medicaid, Medicaid HMOs and most major commercial insurance plans. To confirm whether your insurance plan is accepted, please ask a scheduler when you call to schedule your visit or procedure, contact your insurance company, or call 304-645-3220 and ask to speak with one of our billing specialists.
WHAT WILL I OWE AT THE TIME OF MY VISIT?
Copays are due at the time of service, including for radiology services, according to your insurance plan. If you have an outstanding balance, you may be asked to pay your balance or make payment arrangements.
Please bring a photo ID, current insurance card and form of payment to your appointment. WVSOM Health accepts cash, checks, money orders, all major credit cards and Health Savings Account cards.
If your insurance determines that you are financially responsible for a portion of your services, based on your deductible or coinsurance, you will receive a billing statement from WVSOM Health. Most WVSOM Health charges will appear on a single billing statement. However, you may receive a separate bill from the radiologist who reads your X-ray or ultrasound study, physicians who provide care at our community hospital, or laboratory services provided by MAKO Medical Laboratories. If you were transported by ambulance from WVSOM Health, you may also receive a separate bill from the medical transport company.
If you do not have insurance or are underinsured, you may qualify for financial assistance. Even if you have insurance, financial assistance may be available under certain circumstances. Our staff will be happy to explain our financial assistance programs and how to apply. Assistance with Medicare or Medicaid enrollment is also available through our social services team.
HOW DO I MAKE A PAYMENT?
You can pay your bill electronically via the patient portal, in person at any clinic location, by phone at 304-645-3220, or by mail using the detachable portion of your monthly billing statement.
You have the right to receive a “Good Faith Estimate” explaining how much your medical care will cost.
Under the law, health care providers need to give patients who don’t have insurance or who are not using insurance an estimate of the bill for medical items and services.
• You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency items or services. This includes related costs like medical tests, prescription drugs, equipment, and hospital fees.
• Make sure your health care provider gives you a Good Faith Estimate in writing at least 1 business day before your medical service or item. You can also ask your health care provider, and any other provider you choose, for a Good Faith Estimate before you schedule an item or service.
• If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill.
• Make sure to save a copy or picture of your Good Faith Estimate.