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My Bill

Healthcare billing can be confusing, so at Upland Hills Health we work with patients in a positive and proactive way to help settle accounts in the most timely and convenient manner. And our expertise with insurance plans and payments means our patients find the best solutions. Financial responsibility for all bills is with the patient or the patient’s representative (guarantor). Because of this, if a patient’s insurance company does not make payment in a reasonable time frame and does not respond to attempts to resolve payment matters, the patient will be billed. Upland Hills Health will attempt to provide your insurance company with all the information it needs, but sometimes they require information from the patient to resolve a claim.

If you have questions or concerns regarding your bill or need help establishing a payment arrangement, our Patient Financial Counselor can help. They are available 8 am – 4:30 pm or by appointment. To set up a meeting, call 608.930.8000 ext. 4145.


Paying My Bill

Payment of deductibles, co-pays, and non-covered services is due at the time of service. Upland Hills Health will then automatically file a claim with the patient’s insurance company for all covered services.

Acceptable payment methods include:

  • Cash
  • Personal or insurance check
  • All major credit cards
  • HSA cards

We offer pre-approved payment arrangements.

Pay Your Bill Through MyChart

 

A patient’s account is considered past due if:

  • Full payment has not been received and no approved payment arrangements have been made
  • There is no response to requested information through letters and/or phone calls
  • Required application forms for hospital assistance (uncompensated care) programs have not been completed and returned

If you have questions or concerns regarding your bill that are not answered here or if you need help establishing a payment arrangement, our Patient Financial Counselor can help. They are available Monday through Friday 8 am – 4:30 pm. You can reach a patient benefit specialist by calling 608.930.8000 ext. 4145.


Uncompensated Care Program

Upland Hills Health’s Uncompensated Care program offers free or discounted care to those who have no means, or limited means, to pay for medical services (uninsured or underinsured). Services provided at Upland Hills Health Hospital, Upland Hills Health Clinic in Mt. Horeb, Upland Hills Health Center, and clinic services over 200% FPL may qualify for the Uncompensated Care program.

How to Apply:

Submit a completed application, along with all required supporting documents requested in the form.

Financial Assistance Application (English) Financial Assistance Application (Spanish)

 

Financial Assistance Policy Summary (English) Financial Assistance Policy Summary (Spanish)

 

Financial Assistance Policy (English) Financial Assistance Policy (Spanish)

 

Billing & Collections Policy (English) Billing & Collections Policy (Spanish)

 

Return to:

Upland Hills Health, Inc.
Attn: Patient Financial Counselor
800 Compassion Way
Dodgeville, WI 53533
For additional information, call: (608) 930 – 8000 ext. 4145.

Sliding Fee Scale (SFS)

Upland Hills Health offers programs to ensure that all members of the communities we serve can access medically necessary* care, regardless of their ability to pay. Patients who meet financial requirements (based on family size and income) can receive help with their bills through discounts offered under these programs.

Upland Hills Health’s Sliding Fee Scale (SFS) program offers free or discounted care to those who have no means, or limited means, to pay for their medical services (uninsured or underinsured).

Services provided at Upland Hills Health Clinic in Spring Green, Highland, Montfort, Barneveld, Mineral Point Medical Center of Upland Hills Health, and Dodgeville Medical Center of Upland Hills Health may qualify for the SFS program.

How to Apply:

Submit a completed application and all required supporting documents requested in the form.

Sliding Fee Scale Application (English) Sliding Fee Scale Application (Spanish)

 

Sliding Fee Scale Policy (English) Sliding Fee Scale Policy (Spanish)

 

Return to:

Upland Hills Health, Inc.
Attn: Patient Financial Counselor
800 Compassion Way
Dodgeville, WI 53533
Discounts offered under these programs are made available without consideration of race, color, sex, national origin, disability, age, religion, sexual orientation, or gender identity. For additional information, call: (608) 930-8000 extension 4145.

 

Additional Information:

*A medically necessary service is defined as care that is non-elective and needed to prevent death or adverse effects on the patient’s health.

**Clinics disclaimer: Upland Hills Health Clinic in Spring Green, Highland, Montfort, Barneveld, Mineral Point Medical Center of Upland Hills Health and Dodgeville Medical Center of Upland Hills Health serves all patients regardless of the ability to pay. Services will not be denied due to the inability to pay. A sliding fee scale discount for medically necessary services is offered based on family size and income.