Bellevue Hospital Logo The Bellevue Hospital
1400 West Main Street
Bellevue, Ohio 44811
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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 your responsibility. 

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, Click Here.

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 is finalized. 

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:

 ER 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

Scheduled Services

• 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 coverage.

For example, we will obtain a pre-authorization or pre-certification if required.
• Before your appointment, you can get a Patient Responsibility Estimate.
• 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 accounts.

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 providers.
  These bills 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 receive.

Payment Arrangements: 
Payment in full of the amount owed is expected upon receipt of your statement.

Payment can be made through the following options:

  • Cash

  • Check

  • Money order

  • Visa, Mastercard, and Discover credit cards

  • Online Bill Pay is available via our website

Information required when faxing:

Patient Name
Date of service
Copy of Insurance card (front and back of card)
Name and Phone number of person providing information.    

Financial Assistance Information
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

Outpatient Observation

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