Frequently Asked Questions

Click on the appropriate question below.

We will file to any insurance company authorized by you; however patients and/or families should contact your insurance company regarding any concerns you have about coverage and benefits. You are responsible for payment of services not authorized by your insurance company.

In order to exercise your appeal rights, you must personally file a formal appeal within a certain time limit. Most insurers are required to respond to your request for appeal within 30 to 60 days.

Some insurance companies have different patient responsibly for services rendered for providers they are contracted with (in-network) and high patient responsibly for those services rendered for at providers with no contracts (out of network).

Insurance coverage varies among individual insurers and among individual policies. Insurance companies limit payments using their own fee schedule of \”usual, customary and reasonable\” (UCR) allowances. Patients need to check with employers or your insurance about coverage. You are responsible for payment of your account regardless of the amount of benefits provided by insurance including balances due to UCR limitations.

Talk to primary care physician’s office. They need to send information about your treatment/condition to your insurance company on your behalf to authorize services to be paid.

Winona Health Services clinic and hospital participates with the state Medicaid programs of Iowa, Minnesota and Wisconsin.  For Illinois Medicaid we are only able to bill for hospital services.  All these Medicaid programs allows us to provide services to and bill for patients from these states, with some restrictions. However, individual coverage may depend on your obtaining a written pre-authorization from your state Medicaid program.

If you have coverage through a state or Medicaid-sponsored managed care health plan, you may also need a referral from the health plan to receive coverage for services at Winona Health. We recommend checking with your state’s Medicaid office or your managed care health plan to verify if any prior authorizations are required.

Yes, once your primary insurance has paid we will file any remaining balance to any supplemental insurance company you have on file with us.

Account balances upon receipt of your statement. If you are unable to pay, in full, by that date, you should contact the business office to make payment arrangements. If you feel you are unable to pay for all or part of the healthcare you receive from Winona Health, we encourage you to apply for uncompensated care.

You may request an itemized statement for your charges by calling our office at 507.457.4579.

Please contact your insurance company directly. They will instruct you on the procedure that you need to follow regarding benefits and appeals.

Please call our office at  877.201.3731
The mailing address is:
Business Office
P.O. Box 5600
Winona, MN 55987

To learn more about healthcare pricing, click here to download a guide from the Healthcare Financial Management Association.

For more information:

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

877.201.3731 or 507.457.4579
8 a.m.–5 p.m. Monday–Friday

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

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