Billing and Insurance:
Valir Health accepts most forms of health insurance and will submit claims on behalf of patients. Valir also works with insurance plans that are out of network and is continually adding plans to its network. Because an insurance plan is a contract between the patient and the patient’s insurance company, it is the patient’s responsibility to remit payment for any services not covered by his or her carrier.
Good Faith Estimate:
All uninsured or self-pay patients have the right to request a Good Faith Estimate. The Good Faith Estimate will show the cost of items and services that are reasonably expected for your healthcare needs for an item or service. The Good Faith Estimate will be based on information known at the time the estimate is created. The Good Faith Estimate will not include any unknown or unexpected costs that may arise during treatment. You could be charged more if complications or special circumstances occur. If this happens, federal law allows you to dispute the bill.
If you are billed $400 or more than your Good Faith Estimate, you have the right to dispute the bill. You may contact the health care provider or facility listed to let them know the billed charges are higher than the Good Faith Estimate. You can ask them to update the bill to match the estimate, ask to negotiate the bill, or ask if there is financial assistance available. You may also start the dispute resolution process with the U.S. Department of Health and Human Services (HHS). If you choose to use the dispute resolution process, you must start it within 120 calendar days of the date on the original bill.
To learn more and get a form to start the appeal process, please visit www.cms.gov/nosurprises or call HHS at (800) 368-1019.
Please also note that a Good Faith Estimate is not a contract. You are not obligated to receive services at a Valir facility or by a Valir provider.
Price Transparency:
The costs of hospital care and medical bills can be confusing. A comprehensive list titled the “Chargemaster” lists the baseline rates established by Valir Rehabilitation Hospital (VRH) for services and supplies provided. The chargemaster standard charges for VRH can be accessed using the link below. Please note the fees from physicians, often called professional charges, are not included in the hospital’s standard charges and will be separately billed.
- Standard charges shown do not necessarily reflect the amount a patient will pay for services rendered.
- Medicare and Medicaid health plans do not pay the charge master rate but have their own set of rates that hospitals are required to accept.
- Commercial insurance payments are based on agreed upon rates by the insurance carrier and hospital.
- Patients without Medicare, Medicaid, or commercial insurance should contact the hospital prior to admission to discuss alternative pricing and payment terms.
To request an estimation of services, please contact our Business Office at (405) 553-1173.
Office hours are 8:30 a.m. to 4 p.m. Monday through Friday. The Business Office fax is (405) 553-1119.
Prior to your call, please have the following information:
- Description of services- you will need to provide a description of the medical service you are seeking.
- Name of your insurance, if applicable.
- Type of insurance, for example, PPO, HMO, POS, Medicare, Medicaid, self-pay Benefit details such as your co-pay and deductible.
The pricing information provided is the best estimate based on the information we currently have available at the time of the request and is not a guarantee of what the patient will be charged.
It is important to understand that in many cases it is impossible to predict the final charges that will result from your hospitalization, as there are many variables involved in the actual services, specific equipment used, supplies and medications required, additional tests ordered by the physician or any unusual special equipment or unexpected conditions or complications that may occur during the course of your hospital stay.