Insurance Coverage and Winona Health Billing

Insurance Coverage and Winona Health Billing

Familiarize yourself with the terms of your insurance coverage. This will help you understand the hospital’s billing procedures and charges. Click on the appropriate heading below for more information.

We will need a copy of your identification card. You will be asked to assign benefits from the insurance company directly to the hospital.

Your plan may have special requirements, such as a second surgical option or pre-certification for certain tests and procedures. It is your responsibility to make sure the requirements of your plan have been met. If your plan’s requirements are not followed, you may be financially responsible for all or part of the services rendered in the hospital.

Winona Health may not participate in your particular healthcare plan and some services may be considered out of network with higher deductibles and/or coinsurance, so it is best to notify them before receiving non-emergency admissions.

We will need a copy of your Medicare card to verify eligibility and process your Medicare claim. You should be aware that the Medicare program specifically excludes payment for certain items and services, such as cosmetic surgery, some oral surgery procedures, personal comfort items, hearing evaluations and others. Deductibles and co-payments are your responsibility.

We will need a copy of your Medicaid card. Medicaid also has payment limitations on a number of services and items.

A representative from the Business Office will discuss financial arrangements with you and assist you in applying for Medicaid or other government assistance programs.

Patient Care Fund

The Ben & Adith Miller Patient Care Fund was established in 1989 to help people who need medical treatment at Winona Health but cannot afford it on their own. This program is a living example of neighbors helping neighbors, as it helps people who, through no fault of their own, find themselves unable to pay their medical bills.

All patient-owed balances will be considered for the Ben & Adith Miller Patient Care Fund program once the availability and limits of each patient’s insurance benefits are determined and validated and the patient is ineligible for Medical Assistance. Please call the Business Office for more information call 507.457.4488 or toll free 1.877.201.3731.

Your Bill

Winona Health will submit bills to your insurance company and will do everything possible to expedite your claim. However, you should remember that your policy is a contract between you and your insurance company and you have the final responsibility for payment of your clinic/hospital bill. In the event that Winona Health contracts directly with your insurance plan, your financial responsibility may be limited to deductibles, co-pays and/or non-covered services. We have several payment options available to assist you in paying your bill.

Your bill reflects all of the services you received during your stay. Hospital charges fall into two categories: a basic daily rate, which includes your room, meals, nursing care, housekeeping, telephone and television; and ancillary charges for services that may include items your physician orders for you, such as x-rays or laboratory tests. The hospital bill also will include physician services for the pathologist, anesthesiologist, radiologist and Emergency Department services. Clinic services are for physician services and procedures.

If you have certain tests or treatments in the hospital, you may receive bills from other physicians you did not see in person. These bills are for professional services rendered by these doctors in diagnosing and interpreting test results while you were a patient. Other specialists may perform these services and are required to submit separate bills. Please direct all questions for those bills to the physician’s billing office.

For more information:

Business Office
Winona Health, Clinic 1st floor
855 Mankato Avenue
Winona, MN 55987

Direct mail to:
Business Office
P.O. Box 5600
Winona, MN 55987

877.201.3731 or 507.457.4579
8 a.m.–5 p.m. Monday–Friday
[email protected]

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