The Patient Financial Services Department
mission is to help
patients with their medical expenses in a most timely, efficient,
caring and confidential manner.
We process and submit all hospital-based
charges to your insurance company based on the information
provided at registration.
You are responsible for any deductible,
coinsurance and non-covered amounts your insurance company says is
If you need to update or change your
insurance information, please contact us within 48 hours of coming
to the hospital to update your account information.
Co-pays and Deductibles
Hospital Billing Policies
The Bellevue Hospital charges the same
for all patients, but a patient’s responsibility may vary
depending on payment received from an individual’s health plan.
To see a copy of Bellevue Hospital's Billing Policy,
The Bellevue Hospital will bill most
insurance carriers. Please be sure to have all your correct and
complete insurance information upon registering. Co-payments
should be paid at the time of services.
If you were involved in an auto
accident please complete the accident information questionnaire
during registration. We also ask you to provide us with the auto
insurance information and your medical insurance to assist you
with your claim processing. If we do not receive the information
the account will become a self pay bill.
Balances remaining after insurance
payments and adjustments will be billed to you. You may also be
billed if your insurance company denies payment or fails to
respond. Self Pay accounts will be billed at the time the account
Payment in full is expected and
appreciated. If you cannot pay your entire balance please contact
us at the number on your statement for payment arrangements.
You will receive a separate billing
statement for the following services:
physicians, radiologists, pathologists and anesthesiologists.
Uninsured or underinsured patients
should contact a Financial Counselor at 419-483-4040 ext 4223 or
4288 to apply for financial assistance
The Patient Financial Services
Department is open Monday-Friday, 8am-4:30pm. For general billing
questions you may call: 419-483-4040 ext 4288
• We will contact you before your appointment for a 5-10
minute call to get personal, insurance and contact information.
• Benefits for you:
- No delays on your appointment day
- We contact your insurance, if necessary, to assure
For example, we will obtain a pre-authorization or
pre-certification if required.
• Before your appointment, you can get a Patient
• Our Financial Counselors can offer information on payment
plans, and assistance programs.
• We offer a variety of payment methods including, cash,
check, debit or credit cards, autopay or flexible spending
Click here to download a brochure
Separate billing statements:
If you have certain tests or treatments
while you are in the hospital, you may receive bills from various
are for professional services rendered by these doctors in
diagnosing and interpreting test results while you were a patient.
Pathologists, radiologists, cardiologists, anesthesiologists and
other specialists perform these services and are required to
submit separate bills. If you have any questions about these
bills, please call the number printed on the statement you
Payment in full of the amount owed is expected upon receipt of
Payment can be made through the following
Visa, Mastercard, and Discover credit cards
Online Bill Pay is available via our
required when faxing:
Date of service
Copy of Insurance card (front and back of
Name and Phone number of person providing
If you do not have health insurance or your services are not
covered by your plan, a financial counselor will discuss financial
arrangements with you.
The Bellevue Care Financial Assistance Program may be able
to help you with hospital related expenses.
The Financial Assistance
application must be completed and returned to the Patient
Financial Services Department at the following address:
The Bellevue Hospital
Attn: Financial Counseling
PO Box 8004
Bellevue, OH 44811
Financial Assistance Application Page 1
Financial Assistance Application Page 2
Plain Language Summary
Hospital Care Assurance Program (HCAP) ~
In compliance with the Ohio Hospital Care
Assurance Program (HCAP), The Bellevue Hospital offers basic,
medically necessary hospital-level services free of charge to Ohio
residents whose incomes are at or below the Federal Poverty Income
Guideline, and who are not recipients of Medicaid.
Bellevue Care Assistance Program ~
Patients are eligible for financial
assistance on a sliding scale through an application process.
Our Financial Assistance application and
the income guidelines are listed on our website under Patient
Financial Services and also on the Online Bill Pay link.
Patient Financial Counselor
419-483-4040 ext 4223 or 4888