GRMC wants to help with all of your health care needs! A list of common questions regarding billing, insurance coverage, registration, medications and services are listed below.
Please check our website at http://www.grmedcenter.com and click on “Patient Accounts”. This service will be available to patients in the near future.
Yes, you have the right to obtain an itemized bill for your health care services provided at the hospital. Please call (830) 401-7224.
Most insurance deductibles must be met annually. For Medicare, you will owe your inpatient deductible for benefit period. A benefit period starts the first time you receive inpatient hospital care and ends when you have been out of a hospital, skilled nursing facility, or rehabilitation facility for 60 days in a row.
Guadalupe Regional Medical Center has always accepted most Medicare Supplemental plans as they require no “Provider Network” or contract with a specific Supplemental Company. GRMC is able to take some types of Medicare Advantage Products. GRMC is not currently contracted with any Medicare HMO or PPO plan. These Medicare Advantage Plans require that GRMC and local physicians be contracted in order for in-network services to be paid. Please note that if you have a Medicare PPO or HMO plan and have an emergency, Guadalupe Regional Medical Center will be able to stabilize you and assist in your transfer to another facility that accepts your Medicare HMO or PPO Plan coverage. If your stay is not emergent, you will need authorization from your primary care physician in order to receive covered services at our facility. You may elect to have non-emergency services at GRMC, but with the understanding that services will be paid at the out-of-network benefit. You will be responsible for your bill of no authorization is obtained. Call Guadalupe Healthcare Network at (830) 303-4846, Monday-Friday 8am-4pm, for more information.
No, you may receive other bills for specific doctor’s services; for example, Radiologist (Billing at 1-800-644-0959), Anesthesiologist (Anesthesia Associates at (830) 401-7394), Pathologist (Kevin Grieder, D.O., Seguin Pathology at (830) 372-4830), Emergency Room Physician (ESP at 1-800-677-5112), and physicians who were called by your primary care physician for consultations.
Guadalupe Regional Medical Center is pleased to accept most major insurance carriers. Our facility is constantly evaluating new types of health insurance coverage. To verify that GRMC is a participating facility of your health plan, please contact the insurance company through the number on the back of your insurance card or visit your health plan’s website. You may also call Guadalupe Healthcare Network at (830) 303-4846 to obtain a list of insurance plans for which GRMC is in network.
Guadalupe Regional Medical Center performs its own testing for the vast majority of its lab work. A few select tests are sent to outside reference labs due to the complexity of the service required.
During registration, you will be informed of any deposit, deductible, or co-insurance that is expected as a result of your hospital stay. If you are unable to pay at the time, you may speak to a Financial Counselor to make arrangements.
We have a Financial Counselor available to discuss your financial options. You may qualify for a special program that will cover all or part of your hospital bill, or you may qualify for certain discounts. You may reach the Financial Counselor by calling (830) 401-7217.
Your physician determines whether you will be categorized as “observation” or “inpatient”, and your observation status can change to inpatient during the course of a 24-hour stay. The hospital must abide by the physician order and bill accordingly. Insurance plans pay differently for each category. If you are in the hospital for observation, your outpatient deductible and co-insurance applies.
Bills for service rendered are sent only after all third parties, such as insurance companies, have been billed. Depending on how promptly your insurance company processes the claim, it may take 3-12 weeks for you to receive a statement. If you are uninsured, you will receive a statement from us in approximately 10-14 days.
Patients who have scheduled procedures or tests will be called, prior to the date of service to be pre-registered. Patients are also welcome, at anytime to pre-register at any of our Registration locations at Guadalupe Regional Medical Center. To pre-register or register on date of service, you will be asked to sign paperwork and present your insurance card. Please check out our website at http://www.grmedcenter.com and click on “Patient Accounts.” On-line pre-registration will be available to patients in the near future.
Prior to the date of service, a representative from the Guadalupe Regional Medical Center will contact you regarding your benefits and expected financial responsibility. You can also call our Patient Account Representative at (830) 401-7221.
If you were admitted as an inpatient, Medicare did cover your medications. If you were an outpatient (observation or same day surgery) and/or an emergency room patient, Medicare did not pay for any self-administered drugs, as this is not a benefit of the Medicare program.
1-800-506-6394 | 830-379-2411 Guadalupe Regional Medical Center | 1215 E. Court Street | Seguin, Texas 78155