Paying for your visit

Paying for your visit

Your guide to billing and payments

We know that health care billing and insurance process can be confusing at times. We hope the below will help answer common questions about your financial responsibilities as a Prevea Health patient.

Pay a bill

You can pay your bill online through  MyPrevea. Log in to pay your bill or click on “Pay as Guest.” If you are not a registered MyPrevea user, you can request access at MyPrevea.com.

At Prevea Health, all accounts are payable within 30 days of receiving your first billing statement. Acceptable payments include cash, check or credit/debit/health savings account (HSA)/flexible savings account (FSA) card.

You will receive a charge for all checks returned to us by our bank if you have non-sufficient funds.

Billing statements

Prevea Health billing statements include account information for all family members who have used Prevea services. Once a patient turns 18, we will automatically establish an account in that person’s name. If a young adult is attending school, billing statements can be sent to either the parent’s address or the patient’s address. In cases of divorce, the parent with whom the minor children lives with will be considered the responsible party. He/she will receive all billing statements and communication from Prevea Health.

As a result of costs associated with sending statements, Prevea Health does not send statements to patients for balances under $10. Billing statements are held until the patient’s balance becomes $10 or more in patient responsibility. As a result, you may receive a statement long after your last appointment or may be asked to pay small balances when presenting for an appointment without having received a statement.

You may receive separate bills from Prevea Health, partnered hospitals and other partnered organizations such as radiology, anesthesia or labs depending on the services received. Please contact the health care organization’s office directly if you have any questions regarding their bills.

Refunds

If it is determined you have overpaid on your account, a refund will be issued to you if you do not have any additional visits still being processed by insurance or any past bad debt balances still waiting to be paid.

Billing questions?

If you have any questions about the bills you receive, you can connect with us through whichever way you are most comfortable, either by calling Patient Accounts or sending a message through MyPrevea.

Call Patient Accounts

Payment plan options

Credit is extended as a courtesy, and arrangements will be based on demonstrated needs. Payments keep your account current only when arrangements have been made.

For short-term payment plans, you may make arrangements through one of the following:

Call Patient Accounts at (920) 496-4775 or (888) 477-3832 Monday through Friday 8 a.m. to 4:30 p.m.
Send us a message through MyPrevea.
Set up payment plan directly through MyPrevea.

For long-term extended payment plans, Prevea Health has partnered with Medfinancial to make your out-of-pocket costs more affordable through their patient-centric payment plans.

All Prevea patients who need longer to pay their owed out-of-pocket costs will automatically qualify to benefit from our partnership with Medfinancial to repay their balance over time, in some instances up to three years.

Benefits to our patients include:

Automatic qualification.
No credit checks or credit reporting.
No hidden fees or penalties.
Add-on balances to your account with a quick phone call.
Flexible payment options that best fit your needs.

For more information about Medfinancial, our partnership and your benefits, you may make arrangements through one of the following:

Call Patient Accounts at (920) 496-4775 or (888) 477-3832 Monday through Friday 8 a.m. to 4:30 p.m.
Send us a message through MyPrevea.

Insurance co-payments

If your insurance plan requires a co-payment, you will be asked to pay that amount when you register for your appointment. Please check with your insurance company to determine the amount of your co-payment and be prepared to pay at the time of service. Cash, check, debit or credit card can be used to satisfy the co-payments required by your insurance company. FSA and HSA accounts are also accepted.

Self-pay

If you do not have insurance or choose to not use your insurance, you are required to pay for your services at the time of your appointment. For office visits, you will be required to pay a minimum of $150 at the time of each visit. If your office visit involves any X-ray services (including mammograms), you will be required to pay a minimum of $225 at the time of each visit. In either case, you will be billed for any differences remaining, and all balances are due within 30 days after you receive your first statement.

For physical therapy, cash pay may be an option for you. Learn more.

For elective surgeries, you will be required to pay a minimum of 40% of the total cost before we will schedule the surgery. Any required prepayment must be received at least 15 days prior to the service. Depending on the form of payment used, the prepayment must clear before we will schedule your surgery.

If you need surgery immediately, you may pay in full before the procedure or within 15 days of the surgery. If you cannot pay within 15 days of your surgery, you will need to contact Patient Accounts at  (920) 496-4775  or (888) 477-3832, to arrange for payment.

Good Faith Estimate

Under the law, health care providers need to give patients who don’t have insurance or who are not using insurance an estimate of the bill for medical items and services.

If you do not have insurance or are not using insurance, you have the right to receive a “Good Faith Estimate” explaining how much your medical care will cost.

You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency items or services. This includes related costs like medical tests, prescription drugs, equipment and hospital fees.

Make sure your health care provider gives you a Good Faith Estimate in writing at least one business day before your medical service or item. You can also ask your health care provider, and any other provider you choose, for a Good Faith Estimate before you schedule an item or service.

If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill.

Make sure to save a copy or picture of your Good Faith Estimate.

For questions or more information about your right to a Good Faith Estimate, visit  cms.gov/nosurprises or call (888) 277-3832. To request your estimate,  click here.