Patients with Insurance
You will want to know
what services your insurance covers, and if enrolled in a managed
care plan, whether Midland Memorial is an in-network provider
with your health plan. You may still proceed with services
at Midland Memorial if you are accessing services out-of-network
with your managed care company. However, by doing so you may
increase your financial liability. You may access a list of
MMH's contracted managed care plans by clicking on the link
below. Please note:
Midland Memorial's participation in any managed care agreement
is subject to change without notice. To ensure MMH is an in-network
provider, it is the patient's responsibility to verify the
provider is a participating provider in the patient's network. Click
here for Managed Care Companies.
MMH will also file
claims to your insurance carrier a few days after you discharge
or after outpatient services are received. We will work with
you to receive the full benefit from your insurance carrier
and will respond to requests from insurers for additional medical
information. However, you may be asked to provide additional
information as well, such as accident details or other insurance
information. Please provide this information promptly to your
insurance carrier so it will not delay the processing of your
claim(s).
Please report any changes
or corrections to your insurance information as soon as possible.
You will receive a statement a few days after going home from
the hospital from your inpatient or outpatient visit. The
statement will reflect the insurance carriers we have on file
for you along with a partial or full policy number. Please
verify the information is correct and report any changes as
soon as possible through our Customer Service
Center. Delays
in providing changes in insurance information may cause us
to miss your insurance company's filing deadline, so it is
important that you provide the information as soon as possible.
Non-emergent patients
enrolled in a commercial health plan will be requested to pay
their co-pay, co-insurance and/or deductible during the pre-registration
process or prior to services being provided. In some instances
you may also be asked to take care of any outstanding balances
at the same time. Your Patient Access representative can answer
questions about insurance verification and/or deposit requirements.
For patients needing financial assistance in paying their deductible
or cost share you may contact the Financial
Eligibility Office.
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Patients without Insurance
If you are not covered
by insurance, you will be given an estimate of services prior
to any elective or scheduled procedure. The estimate will
include expected or anticipated charges for the hospital only.
The estimate will not include services provided by hospital
based physicians such as radiologist, hospitalist, emergency
room physicians, pathologists, etc. Due to several factors
the estimate provided may vary from the actual treatment cost
provided to you. Any amount above an estimate provided is
still the responsibility of the patient/guarantor to pay.
You
will be asked to pay for your non-emergent and elective procedures
prior to services. Any patient needing financial assistance
should contact the Financial Eligibility office prior to their
scheduled service.
Midland Memorial offers all patients without insurance a discount
on services regardless of their ability to pay. A twenty-five
(25) percent discount will be given to all patients with an additional
discount given to patients who can meet their entire financial
obligation prior to services being rendered.
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Post Service Payment Options
After your services are completed you will receive a bill
for any amounts not covered by your insurance and not paid
for in advance. Unless other arrangements have been made,
you are expected to pay your balance in full.
If you are unable to pay your balance in full, you may be eligible
for a payment plan. The amount due will determine the monthly
payment amount and length of time allowed to pay the balance.
You may call the phone number located on your statement or you
may call our Customer Service Center to assist you in setting
up a payment plan. You will receive monthly statements reflecting
your current balance until the amounts are paid in full.
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Refunds
For patients without insurance,
if your initial deposit exceeded the charges on your account you may be
eligible for a refund. For patients with insurance, if your initial deposit
was more than the patient liability amount assigned by your insurance
carrier you may be eligible for a refund. To request a refund, please
contact our Customer Service Center. All credit balances on accounts
will be reviewed and if there are any other open accounts, the credit
balance will be transferred to any open account prior to a refund being
issued. If no further financial obligations exist with Midland Memorial
your refund request will be processed. Your patience is appreciated while
we review this information. Please allow sufficient time for processing
and mailing of your refund check.
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Frequently Asked Questions
Who
do I report changes in my insurance to?
Please
report any changes or corrections to your insurance information
as soon as possible. You will receive a statement a few days
after going home from the hospital from your inpatient or outpatient
visit. The statement will reflect the insurance carriers we
have on file for you along with a partial or full policy number.
Please verify the information is correct and report any changes
as soon as possible through our Customer Service
Center. Delays
in providing changes in insurance information may cause us
to miss your insurance company's filing deadline so it is important
that you provide the information as soon as possible.
How
can I get an itemized statement, verify my balance, set up
a payment plan or make a payment over the phone?
Please
contact our Customer Service Center. They would be happy to
help assist with any of these questions, items and more.
How
can I make a payment?
Payments may be made
by telephone by contacting our Customer Service
Center, on
the home page of our website at www.midland-memorial.com or
by mailing your payment to Midland Memorial Hospital, 2200
West Illinois, Midland, Texas 79701.
Who do I contact
for financial assistance?
Please
contact our Eligibility Office to find out if you are eligible
for one of many forms of assistance.
How will my payment
be applied?
To ensure accurate
and timely payment posting, please include your remittance
coupon, which is attached to your statement. Any payments
received that do not identify where a payment should be posted
may be posted to any patient account with the payee's name.
Further
questions or concerns?
If you have any
additional questions or concerns about any phase of the billing
process please contact our Customer Service Center and we
will be happy to assist you.
How do I obtain a price quote for a service I want to receive at Midland Memorial Hospital?
By calling our Patient
Access department, we will be able to provide an estimate
for future services to you. All quotes are estimates only
based on historical information. Actual patient balances
will differ due to medical history, lab work needed, pharmacy
dosage amounts, etc. Any differences between estimates
given and actual balance are the patient's responsibility.
Our Patient Access department can be reached at one of
the following numbers:
| (432)
571-4083 |
| (432) 686-5324 |
| (432) 686-5363 |
I received a letter
from my insurance company or Midland Memorial Hospital indicating
other insurance information is needed or accident information
is needed. What should I do?
You
need to contact your insurance company to provide them
with the requested information. Many insurance companies
require a written response and will not take information
verbally. It is your responsibility to follow-up with
your insurance company as Midland Memorial Hospital cannot
act on your behalf in these cases to obtain payment.
Why
am I receiving multiple bills for my hospital visit?
Your
bill from Midland Memorial Hospital is for hospital services
only and does not include any physician billing. For questions
on your physician billing, please contact the number listed
on the statement. The listing below is a short list of frequently
requested numbers:
| Midland
Emergency Management |
(866) 321-8433 |
| Southwest
Medical Imaging |
(432) 620-9998 |
| City of
Midland Ambulance |
(432) 688-7727 |
| Midland
Anesthesia |
(432) 699-0952 |
| Midland
Pathology |
(800) 678-1861 |
| Permian
Emergency Mgmt-Hospitalist |
(800) 749-7026 |
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Financial Assistance
The Financial Eligibility
Office at Midland Memorial provides eligibility screening services
to patients in need of financial assistance. Services include
assistance with Medicaid applications, disability applications,
determining eligibility for Midland County Hospital District
Assistance or our hospital based charity program as well as
other third party resources.
The Financial Eligibility
Office will assist all patients with the screening and application
process if eligible at no cost to the patient. Referrals for
these programs are accepted from all sources. In instances
of elective or scheduled procedures, the patient in need of
financial assistance should contact the Eligibility Office
prior to their scheduled procedure for financial screening.
In
order to determine if you are eligible, the Financial Eligibility
Office will need to visit with you in person. You will need
to provide identification of household members, residency verification
and proof of income. Additional information may be requested,
or if you have already spoken with someone from the eligibility
office your list of documents may differ from those found here.
Financial Eligibility
Office
Midland Memorial Hospital
Main Campus
2200 West Illinois Ave- 1st Floor (enter through Business Office)
Midland, TX 79701
(432) 686-5257
Hours
of Operation: Monday – Friday, 8 a.m-4:30 p.m.
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Managed Care Companies
Midland Memorial's participation in any managed care agreement is subject to change without notice. To ensure MMH is an in-network provider, it is the patient's responsibility to verify the provider is a participating provider in the patient's network. When seeking treatment or accessing services at Midland Memorial, you may also receive care from a hospital based physician. In some cases, a hospital based physician may choose not to participate or contract with the same insurance companies as Midland Memorial. So that you are informed, you may wish to visit the section on our website titled Hospital
Based Physicians for more information.
Aetna |
Blue
Cross Blue Shield |
Blue
Bell Creameries |
Boon
Chapman |
Chips
/ Superior Health |
ChoiceCare
Network (aka Humana) |
CIGNA
(aka Great West Healthcare) |
Corvel |
First
Health |
Firstcare |
Healthsmart |
Independent
Medical Systems |
MDI |
Multiplan-PHCS |
OMNI |
Seven
Corners, Inc. |
Texas
True Choice |
Three
Rivers Network |
UMR (MMH
employees only) |
United
Healthcare |
Unicare |
USAMCO |
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Online Bill Pay
Midland Memorial Hospital is pleased
to offer our patients a convenient and secure way to manage
your hospital account and pay your bills online. This service
is offered to our patients free of charge and is available
24 hours a day, seven days a week. We hope you will find this
a valuable resource for managing your account with us.

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Customer Service Center
The Customer Service
Center at Midland Memorial Hospital is dedicated to providing
the best service and assistance available to help you understand
your billing statement and make payment arrangements.
Customer Service Assistance
Line: (432) 685-1522 or 800-833-2916, extension 1522
Walk-ins: Walk-in
customers welcome on the first floor at the Main Campus from
8 a.m. to 5 p.m.
Email: customerservice@midland-memorial.com
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Financial Eligibility Office
Midland Memorial Hospital
Main Campus
2200 West Illinois Ave- 1st Floor (enter through Business Office)
Midland, TX 79701
(432) 686-5257
Hours of Operation: Monday – Friday, 8 a.m-4:30
p.m.
List of documents
Identification of household members (all that apply
will be required):
-
The head of household and spouse (if applicable)
will need to provide picture identification
-
Birth certificates
for children under 18 (will accept copies from hospital,
courthouse or TDHS)
-
Social Security cards for everyone in household
Residency Verification
Proof of residency may include but is not limited to:
-
Current utility bill (such as water, gas or electricity)
-
Most current property tax receipt
-
Current rent receipt or lease agreement showing applicant's
address
-
Driver's license or other government issued identification
Proof of Income
Proof of income will include all of the below that apply to
you and your household.
-
Prior Year's Income Tax Return (**preferred, if available)
-
Unemployment Benefits
-
Social Security Benefits (from SSA Office)
-
Retirement Income
-
Workers Compensation Benefits
-
Proof of Child Support (from Attorney General's Office,
a Decree, or check stubs)
-
Income Producing Property
-
Royalties
-
Alimony
-
Investment Income
-
Current bank statement(s) may be required.
Reporting No/Zero Income
Required documentation for applicants listing zero (0) income
may include but not be limited to the following:
-
Notarized In-kind letter/letters (see approval process
located in policy)
-
Proof of receiving Food Stamps/TANF
-
Proof that they have applied for SSI benefits
-
Applicants having no income who are eligible to work will
be required to show proof of registration with the Texas
Workforce Commission
-
Proof of eligibility screening. If patient refuses to
cooperate or comply with eligibility screening, they will
automatically be denied coverage.
Self-employed applicants:
Applicants who are self-employed must provide the prior year's
income tax return. If this is not possible the applicant must
complete the self-employment form and supply us with supporting
documents such as business receipts, bank statements (both individual
and business,) audited financial statements, etc.
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