Hospital: (580) 938-2551

Clinic: (580) 938-5400

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Payment Options

 

Newman Memorial Hospital (NMH) understands the financial responsibilities a health care visit may place on patients who are insured or uninsured.  We are ready and available to help you navigate the options.

 

At the time of pre-registration, registration or discharge, the organization's Patient Financial Counselor will discuss the portion due from the patient. Since total charges may not be known at that time, the Patient Financial Counselor will discuss the estimated amount due. In the event an estimate cannot be provided, a deposit may be requested. The deposit will be applied to the account and a bill for total charges will be mailed to the patient.

 

We must ask that you settle hospital charges at, or before, discharge, either by insurance benefits, cash, personal check, or debit card arrangements. We also accept MasterCard, Visa and Discover credit cards. If you have made adequate financial arrangements upon admission, you will receive a courtesy discharge and will not have to stop by Patient Business Services before leaving the hospital.

 

If you have a question regarding a medical bill you received from Newman Memorial Hospital, you can contact a member of the Patient Business Services (PBS) Department, during normal business hours of 8 A.M. until 5 P.M., Monday through Friday by calling (580) 938-2551 EXT. 196. Please have your account number available. You can also call the PBS Department to request an itemized bill for your account or to request a summary of your open accounts.

 

 

Payment Plan

NMH provides a flexible payment plan with convenient monthly payments for patients who need to make monthly payments. Listed below are the payment plan options:

 

A twelve (12) month, interest-free, payment plan for account balances between five hundred ($500) and twelve hundred ($1,200) dollars.

 

An extended payment plan for those accounts greater than twelve hundred ($1,200) dollars may be established using an agreed upon twelve (12) to thirty-six (36) month payment plan. The use of this plan is subject to approval with the allowable payment period directly dependent on the account balance.

 

This plan offers combined billing so that all bills due can be combined into one convenient monthly statement. The organization's Patient Financial Counselor will review the contract and explain all the features of the program.

 

Contact the organization's Patient Financial Counselor at (580) 938-2551 EXT. 196 for more details.

 

 

Key Point

The NMH payment program will include only those services provided at or by Newman Memorial Hospital. This payment program will not include services provided by outside healthcare providers who may assist in providing your healthcare.  These providers bill for their services separately. Financial arrangements must be discussed with these individual providers.

 

 

Uninsured Patients

Uninsured patients are eligible for a twenty-five percent (25%) prompt pay discount if the balance is paid in full within 30 days of the first statement. The first statement will be sent following the date of service or discharge date from the hospital.

 

 

Financial Assistance Offered - (View Plain Language Summary by clicking here)

Newman Memorial Hospital’s mission is to provide the highest quality patient experience with focused attention to patient safety, value, and an uncompromising commitment to clinical excellence for those we serve. As part of this mission, Newman Memorial Hospital (NMH) offers financial assistance through its Financial Assistance/ Charity Care Policy (FAP) to patients unable to pay for emergency or medically-necessary care.

 

Eligibility Requirements and Assistance Offered

Eligibility for financial assistance is based on multiple factors, including the nature of the condition and care required, insurance coverage or other sources of payment, income (Federal Poverty Level guidelines are used to determine the amount of financial assistance offered), family size, assets, and any special consideration the patient or physician would like to have considered.

 

Financial assistance is available to patients who are uninsured and under-insured. Partial or full financial assistance may be granted based on a patient’s ability to pay the billed charges.

 

Patients must fully comply with the application process, including submitting the required documents (tax returns, bank statements, and others as requested), as well as completing the application process for all available sources of assistance, including Medicaid and/or Medicare.

 

Please note that there are certain service exclusions that are not typically eligible for financial assistance, including, but not limited to, transplants, cosmetic services, and other services.

 

How to Apply

The application process involves filling out the financial assistance form and submitting the form along with the supporting documents to NMH for processing. You may also apply in person by visiting the Business Office at the address listed below. Financial assistance applications should be sent to the following office:

 

Newman Memorial Hospital

Attn: Business Office

905 S. Main Street

Shattuck, OK  73858

 

Where to Find Information

There are many ways to find information about the Financial Assistance/ Charity Care application process, or get copies of the FAP or FAP application form. You may:

• Download the application and information here.  Click here to view our Financial Assistance/ Charity Care policy.

• Request the information in writing by mail or by visiting the Business Office at 905 S. Main Street, Shattuck, OK  73858.

• Request the information or assistance by calling 580-938-2551, and ask to speak with the Business office.

 

No More Than Amount Generally Billed (AGB)

A patient determined to be eligible for financial assistance may not be charged more than amounts generally billed for emergency or other medically necessary care to patients who have insurance for such care.

 

 

905 South Main Street

Shattuck, Oklahoma 73858

Hospital: (580) 938-2551

Clinic: (580) 938-5400

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