Patient Information - Marshall Medical Center

ReferencesInsurance BillingIs Marshall contracted with myinsurance?Your Marshall representative cannot answerthis question. Insurance companies sell manytypes of policies. Marshall may be contractedwith your insurance for some types of policiesand not others. For example, services at Marshallmay be covered for someone with a PPO policyfrom Acme Insurance, but not for someone withan HMO policy from Acme Insurance. Also, yourinsurance policy may say that some servicesmust be provided at places other than Marshall,even if Marshall is contracted with your insurance.We do not have information about thepolicy between you and your insurance company.Understanding your insurance is yourresponsibility. Please call the customer servicenumber on your card to verify that Marshall is acovered provider for the specific care you needunder your particular insurance policy.In addition, certain insurance companies mayuse the provider networks of other insurancecompanies, and not tell Marshall. Therefore,services at Marshall may be covered through oneof these networks, even though your insurancedoes not have a contract with Marshall.Can I still get my care at Marshall,even if my insurance may not coverthe services?We welcome the opportunity to provide youwith excellent health care, regardless of your insurance.You should be aware that you may haveto pay for the services you receive. However, youcan choose to get your health care where youfeel comfortable.Marshall vs. Doctor’s ServicesThe care you receive at Marshall includes facilityservices, provided by Marshall, and may also includeprofessional services, provided by doctors.These doctors are separate from Marshall andwill bill you directly.Your insurance may or may not contract witheither Marshall or the doctors giving you carewithin Marshall. Even if you find that Marshallis a contracted provider with your insurance, thedoctor may not be. Verify that both Marshall andthe doctor are contracted with your insurance.Doctor’s Services provided within Marshall mayinclude some of the following:• Diagnosing, evaluating and managing yourhealth care needs, including emergencyconditions;• Ordering and reviewing your diagnostictests;• Reading and diagnosing your x-ray, CATscan or MRI;• Reviewing and diagnosing your laboratoryand pathology samples;• Supervising the administration of anesthesia;and• Performing surgical and specialized procedures.Some of the doctor groups which provide careat Marshall are the Marshall Physician ClinicServices, Emergency Physicians Medical Group,Placerville Radiology Medical Group, and ElDorado Pathology Medical Group.www.marshallmedical.org • 21