Billing and Insurance FAQ

Click on a question to learn more.

What can I expect to pay?

If you have health insurance, you will be responsible for paying the co-payment, deductibles, and co-insurance based on your insurance plan. Below are some terms you should know:

  • Co-payments are a required payment based on your insurance policy. The co-pay is paid at the time of your medical visit.
  • Deductible is the out-of-pocket amount before insurance covers the remaining costs.
  • Co-insurance is a shared expense between you and your insurance. You may be required to pay a certain percentage of the charges for medical services. For example: Insurance pays 80%, and you pay 20%. Depending on your insurance plan, you may need to meet your deductible before the co-insurance is applied.
  • Out-of-pocket maximum is the yearly total amount your health insurance company requires you to pay towards the cost of your health care on an annual basis.

We ask all patients to pay for care before or when they arrive for their test or procedure.

How do I pay my bill?

Peterson Health offers several options for bill payment. Choose the option that is the easiest for you:

  • Mail your payment with the payment coupon to our address for processing.
    • Payments for all Peterson Health and Peterson Medical Associates can be mailed to: 551 Hill Country Drive, Kerrville, TX 78028
    • Please do not send cash through the mail or put cash payments in our drop box locations.
  • In-person at our walk-in Cashier’s office on the first floor of the Hospital.
  • Online using your credit/debit card

Acceptable payment methods are cash, money order, personal check, American Express, MasterCard, Visa, or Discover.

How will my health insurance work?

Peterson Health will bill all health insurance plans as a courtesy to our patients. We highly recommend you verify your plan benefits and check on any excluded services for out-of-pocket expenses for which you may be responsible. Our staff may not always have access to this information about your benefits coverage and may not always be able to provide you with those details at your appointment. Depending on your type of treatment, some health insurance plans may have exclusions or require you to see specific providers.

Please contact your insurance carrier directly to find out whether Peterson Health accepts your insurance or for information on co-payments and deductibles.

What if I don’t have health insurance?

Patients without health insurance are expected to pay in full before or at the time of service. If you cannot pay in full, a deposit equal to half of your estimated patient responsibility may be required before or at the time of service. The remaining balance will be billed following established billing practices.

If you need help paying for your care, you may meet with our eligibility representatives for program screening and to complete an application for financial assistance. Future non-emergent appointments may be postponed until the eligibility screening and application have been completed. Per EMTALA, emergency care is provided regardless of ability to pay.

Click here for our Financial Assistance Application

Can I get an estimate of what my charge will be for a procedure?

A Patient Access Specialist will assist you in determining your estimated out-of-pocket responsibility. Please be sure to have the procedure codes or order form provided by your ordering provider.

Each patient scenario is unique and planned services will sometimes differ from the actual services rendered. Your patient responsibility may vary depending on the services you receive or how your insurance processes a claim under your plan. Therefore, we cannot guarantee the actual service cost in every scenario but will provide a comprehensive estimate based on the requested services when the estimate is generated.

 

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