If you are covered by health insurance, we will have taken a copy of your current insurance card, and collected any necessary insurance forms, when you were first admitted.
Provided you have signed a Release of Information and completed an Assignment of Benefits form, the hospital is responsible for submitting bills to your insurance company. We will do everything possible to expedite your claim. If you did not sign a Release or complete the Benefits form, you will be billed directly.
Please be advised that your insurance policy is a contract between you and your insurance company; you have the final responsibility for payment of your hospital bill. If you need assistance in paying your bill, you may speak to one of our Financial Counselors who will explain your options.
The Payers Rutland Regional Medical Center contracts with are the following:
- Aetna (for Bayada)
- Blue Cross Blue Shield of Vermont (and Affiliates: CBA and participating BCBS plans)
- CDPHP (not NY Medicaid Plans)
- Cigna (and Affiliates: Great West, NALC and APWU. Excluded: Cigna Behavioral Health Plans)
- First Health (Access Only)
- Medicare Advantage Plans (please check with your carrier)
- Multi-Plan (see full list of PHCS Plans Only on their website)
- MVP VT Plans (not NY Plans or NY Medicaid Plans)
- United Healthcare (and Affiliates — Golden Rule, Oxford, VA UHC)
- US Family Health (Champus, Tricare, Healthnet)
- VA (Emergent/Urgent or Prior Authorized)
- Vermont Health Connect Plans
- Vermont Medicaid
Rutland Regional will send a standard bill to any verifiable insurance that is deemed out-of-network. You may be responsible for submitting additional information as requested by your insurance company.
Rutland Regional will bill patients for balances where the insurance has deemed that amount as patient responsibility.
If you are a member of an HMO or PPO, your health plan may have special requirements, such as prior approval for certain tests or procedures, or a co-pay that may be due at registration. It is your responsibility to make sure that your plan’s requirements are met; if they are not, you will be held responsible for all or part of the cost of services.
If you are covered by Medicare, your program specifically excludes payment for certain items and services. We will copy your Medicare card to verify eligibility and process your claim.
As a Medicare patient, you also have the right to appeal your discharge and to have hospital services covered during your appeal. If you choose this option, your discharge will be independently reviewed by a Quality Improvement Organization (QIO) to provide a second opinion as to whether you are ready to leave the hospital.
To reach the QIO: Northeast Health Care Quality Foundation, call 800.722.0151 or TTY 877.486.2048.
If You Have No Insurance
If you do not have health insurance, a member of our Patient Accounts staff is available to help you understand and apply for state-sponsored programs.
We also offer a Financial Assistance Program for those who qualify.
If you need help in understanding your insurance, feel free to call a Patient Accounts Representative at 802.747.1751 or 866.460.8277.