Fees and Billing

Fees for professional services, laboratory, x-ray and other special services are based on the nature and extent of the services rendered. All co-payments are due and payable at the time of service. If you receive care for a work-related injury, please notify the receptionist when you arrive for your appointment. We will need to obtain employment information for billing purposes. Medicaid recipients are required to show their card at each visit.

Billing statements are sent out at varying times of the month, depending on the first letter of your last name. Statements are sent to the head of household. All charges are due and payable within 30 days of the time of service. If you have any questions about your statement, please call the Clinic Business Office at (605) 997-2471 or the Hospital Business Office at (605)997-2471. We will be happy to answer your questions.

Insurance

It is the patient’s responsibility to provide the business office with accurate insurance policy information. Avera Flandreau Hospital will submit claims to your insurance company. Insurance billing is done as a courtesy, however, the account balance is ultimately the patient’s responsibility. It is also the patient’s responsibility to negotiate with the insurance carrier. For those without insurance, payment plans are available.

All providers at Avera Flandreau Hospital are participating with Medicare. Claims are sent by the clinic, the Medicare sends payment directly to the clinic. The clinic also files claims for supplemental insurance to Medicare. Patients with supplemental insurance need to provide policy information to the business office so those claims can cross over. Our insurance department is available to assist you with any questions you have regarding insurance processing.

Avera Flandreau Hospital acknowledges the patient’s rights and responsibilities. This information is provided upon request.