Patient Financial Services
Personalized Out of Pocket Cost Estimate
Madison County Memorial Hospital is committed to providing consumers of healthcare services with pricing information so they may better anticipate and understand their financial responsibilities and be able to make informed healthcare decisions. You as a prospective patient have the right to request a personalized out of pocket pricing estimate for services from our hospital.
Our business office employees are here to help you with your financial arrangements conveniently and effectively. This usually begins with tests or procedure orders from you doctor or healthcare provider. This is usually telephoned in to us, faxed, or hand-carried in by you. When orders contain the essential needed information, it helps the process run smoothly. At a minimum, your order must contain the following information:
- Your Name
- Your Date of Birth
- The Test or Service Requested
- Your Medical Diagnosis
- Your Physician/Practitioner’s Signature
- Your Insurance Pre-Authorization (if Required)
It is critical that you bring in your most current insurance information to ensure that your bill is correct and gets to you in a timely manner. Madison County Memorial Hospital can assist you with making payment arrangements or if you qualify, can help you get enrolled in programs that may help you with your hospital bill. For your convenience, we accept all major credit cards.
Please note the following:
- Once your test or procedure is completed, our billing team will file your insurance claim for you. If you have more than one insurance company, we will automatically send a claim to the second one as well.
- If you had Radiology services, and you have a bill from the Radiology physician who interpreted your images, the hospital will also send a separate claim to your insurance carrier for those services as well. These charges will be included in your overall hospital bill.
- Once all insurance matters have been settled, any outstanding amounts will be billed directly to you.
You may speak to one of our account representatives by calling 850-973-1366. Please have your billing account number ready as the representative will need this number to access your account. (Note About Privacy : Account information is confidential, information can only be provided to the patient or the patient’s authorized representative.)
Services may be provided at Madison County Memorial Hospital by our facility as well as by other health care providers who may separately bill the patient. Those health care providers may or may not participate with the same health insurers or health maintenance organizations as the hospital.
For questions about your hospital bill or what a specific service costs for our hospital’s provided services, please contact us at 850-973-2271, extension 2, to speak with the Billing Department. For questions about specific service costs for other health care providers that provide services within our hospital, please contact each health care provider to determine the cost for their services. For questions about which health insurers and health maintenance organizations that the health care practitioner participates with as a network provider or preferred provider, please contact each health care provider. The following is a list of health care providers that provide services within our hospital along with their contact information:
Southland Emergency Medical Services of FL
PO Box 5218
Niceville, FL 32578-5218
Madison County Memorial Hospital is in contract with the following insurance carriers.
Listed below in alphabetical order for your convenience, click one of the following links to access the insurer’s website:
Big Bend Hospice
Blue Cross Blue Shield of Florida
Clear Health Alliance
Prime Health Services
United Healthcare Medicare