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The health and safety of our patients and visitors is our top priority. In order to slow the spread of Coronavirus (COVID-19), we are currently limiting visitation at Great Plains Health. For more information on our visitation policy and COVID-19, please visit this page.

Billing policies

We continually strive to contain costs, while maintaining our commitment to excellence in medical care, by ensuring that every appropriate effort is made to collect money owed to the hospital for services provided.

Patients are responsible for the charges for services received. However, to assist patients in meeting their financial obligations, the hospital will bill their health insurance carrier(s) for them, as long as a valid ID card and/or information regarding insurance coverage is presented at the time of registration.

The hospital accepts assignments of benefits and maintains an active follow-up program with all insurance carriers. Insurance is billed as a courtesy to the patient and the patient remains responsible for contacting their insurance carrier to ensure prompt payment of their accounts. Patients should contact their insurance if payment has not been made within 45 days. Accounts with balances due after 60 days will be billed to the patient, regardless of pending insurance benefits. Accounts with delinquent balances or without adequate payment arrangements may be forwarded to a collection agency or attorney.

At the patient's request, a detailed bill may be provided. The hospital will send periodic statements to the patients or responsible party in an effort to keep them informed as to the status of all open accounts.
Please contact our Patient Financial Services at 308.568.8600 for more details.

Billing policies: payment options

Unpaid balances, including all applicable co-payments, co-insurance, deductibles and non-covered services are the responsibility of the patient and must be paid within 30 days of receipt of the statement. Payments may be made via:

  • Online through your MyChart patient portal - login or sign up here
  • In person at 601 W. Leota St. on the third floor of GPEast Tower
  • By mail to PO Box 1167 North Platte, NE 69103

We accept the following forms of payment:

  • Cash, check or money order
  • Visa
  • Discover
  • Mastercard

Recognizing that most patients have a remaining balance after insurance payment, we provide the following payment options

Prompt pay discount – Patients who are willing to pay their balances in full:

  • Prior to or at the time of service will receive a fifteen percent (15%) discount of the estimated patient balance due*;
  • Within fourteen days of discharge will receive a ten percent (10%) discount of the patient balance due*;
  • Within 15-45 days of discharge will receive a five percent (5%) discount off the balance due*.

*Prompt pay discounts for co-payments are precluded by federal regulation. Only applies to deductibles, coinsurance and other such patient defined non-covered services.

Uninsured discounts. Patients who do not have health insurance or a third-party payer coverage to assist in the payment of healthcare services will be eligible for the uninsured discount. The uninsured discount applies only to what is deemed medically necessary services. It is not available for cosmetic services or for patient responsibility that remains after insurance processing.

Structured payment arrangements – below is the table with the minimum payment amounts, and terms for hospital accounts. The proposed arrangements must be accepted by Great Plains Health to be in effect. Failure to maintain an active payment plan+ will result in termination of the payment and continued self-pay collection statement series and collection efforts.

Total Balance

Payment Plan Terms (Months)

$0 - $49.00

1-2

$50.00 - $100.00

2-3

$101.00 - $500.00

6-12

$501.00 - $1000.00

12-18

$1001.00 - $1500.00

18-24

$1501.00 - $3000.00

24-30

$3001.00 - $5000.00

30-36

$5001.00 & >

36


+Payment(s) delinquent more than 30 days will receive a reminder notification; payments(s) delinquent more than 60 days will be terminated from the payment plan.


Financial Assistance is available for patients who are uninsured or underinsured, and who meet guidelines as established by the Department of Health and Human Services. Please contact our patient financial couselor at 308.568.7112 for assistance with the application process.

Billing policies: self-pay
It is the policy of Great Plains Health to only bill for services that are recognized as qualifying charges under Medicare regulations. A list of current billable charges are listed under get an estimate.

  • Non-billable services are charges that are a part of the cost of doing business as a health system and therefore, should be included in the room or procedure charge. Examples would include standard supplies always used on or for every patient, such as gowns, sheets, blood pressure cuffs, and gloves.
  • Non-covered services are charges that are typically billable to the patient. Such examples would be:
    • Statutory exclusions are services in which the beneficiary is notified at the time of enrollment are not covered. Such exclusions are defined by the payer and specified plan limitations. Patients are encouraged to contact their insurance member services departments for further clarification. These may include, but are not limited to:
      • Repeat screening mammograms in less than 12 months
      • Self-administered drugs
      • Routine dental care
      • Cosmetic Services
  • Advance Beneficiary Notification (ABN) is issued each time it is determined that the outpatient service to be rendered to a beneficiary will not be paid by their insurance carrier. The charges can be billed to the patient only if the ABN is signed by the patient prior to the provision of services. If the ABN is not signed prior to the provision of service, the charges must be written off as a non-covered component or provider liability.
  • Hospital Initiated Notice of Non-Coverage (HINN) is issued each time it is determined that the inpatient service to be rendered to a beneficiary will not be paid by their insurance carrier. Examples include:
    • Non Covered Continued Stay
    • Pre-Admission or Admission Issued Notice of Non-Coverage

Insurance information:

You will be asked to provide your insurance information at the time of registration. It is important that Great Plains Health has your current, complete and accurate medical insurance, referral and/or authorization forms to reduce delays and potential out-of-pocket expenses.

Great Plains Health accepts a variety of insurance plans in commercial, government and exchange arenas. We also accept Medicare assignment. To meet the needs in the region, Great Plains Health participates in a variety of insurance plans and is considered an in-network provider for a number of insurance, inclusive of but not limited to

  • Aetna
  • Coventry
  • United Health Care
  • Blue Cross Blue Shield of Nebraska
  • Nebraska Totalcare (MCO)
  • Wellcare (MCO)
  • UHC Community (MCO)
  • Midlands Network

You may also receive additional bills related to the services you received from our facilities such as independent physician bills for services like pathology or radiology. If you have questions about a particular bill, please call the phone number listed on that statement.
If you are uninsured or your insurance company does not pay for your treatment in full, you will receive a patient statement in the mail. Often, insurance plans do not cover the entire cost of your care, resulting in a patient portion. You are responsible for the portion of the bill that your insurance company does not cover and has allocated to patient responsibility. We will send you a statement after your insurance has paid to notify you of any remaining balance. Statements are generated on a rolling 30-day cycle.

Billing Policies: Medicare policies

We bill Medicare for inpatient and outpatient services Supplemental insurance will also be billed, at the patient's request, if the information is provided at the time of service. Patients are responsible for any charges not covered by Medicare and/or supplemental insurance.

Medicare deductible and coinsurance amounts for 2020:

Part A Inpatient Deductible: (pays for inpatient hospital, skilled nursing facility, and some home health care)

For each benefit period Medicare pays all covered costs except the Medicare Part A deductible (2020 = $1,408) during the first 60 days and coinsurance amounts for hospital stays that last beyond 60 days and no more than 150 days. For each benefit period you pay:

  • Days 1 - 60 $1,408.00
  • Days 61 - 90 $352.00 per day
  • Days 91 - 150 $704.00 per day (Lifetime Reserve Days)
  • All costs for each day beyond 150 days

Note: You have 60 Lifetime Reserve Days available at day 91

Part B Outpatient Deductible: (covers Medicare eligible physician services, outpatient hospital services, certain home health services, durable medical equipment)

  • $198.00 per year. (Note: You pay 20% of the Medicare-approved amount for services after you meet the $198.00 deductible.)

Skilled Nursing Facility Co-insurance

  • Days 1 - 20 Medicare Covers
  • Days 21 - 100 $176.00 per day

In addition to your deductible, you may be liable for co-insurance.

Billing policies: Blue Cross policies

We bill all Blue Cross plans for inpatient and outpatient services. Blue Cross plans generally have deductibles and/or coinsurances.

The deductible is an annual expense which you must pay before your insurance benefits can begin.

Coinsurance is the portion of the total bill which is the patient and guarantor's responsibility to pay.

Billing policies: contracted insurance plans

Great Plains Health bills all carriers for inpatient and outpatient admission.

Complete billing information required by the carrier or employer must be provided at the time of registration or admission. Please verify your insurance carriers and policy numbers and contact Patient Financial Services at 308.568.8600 with any corrections or changes.

Patients are encouraged to respond in a timely manner to all requests from their insurance carrier. Failure to provide a proper referral or pre-authorization could result in a denial of payment by insurance. The patient is then responsible for payment of the bill. You may want to check with your physician’s office to determine if they are able to assist with this process.

Great Plains Health is contracted with a number of managed care plans including:

  • Blue Cross Blue Shield – www.bcbsne.com
  • Coventry – www.coventryhealthcare.com
  • GEHA (PPO USA) – www.geha.com
  • Midlands Choice – www.midlandschoice.com
  • Mutual of Omaha – www.mutualofomaha.com
  • UnitedHealthcare – www.uhc.com

Great Plains Health also accepts Medicare and Medicare-approved Alternatives, Nebraska and South Dakota Medicaid, Tricare and VA.

During the course of your treatment at Great Plains Health, physicians from Great Plains Physician Services, North Platte Anesthesia, Pathology Services or Radiology Services may be involved with your care. You will receive a separate bill for their services. The following information is provided for your convenience. Except as noted, these physicians are contracted with the same plans as the hospital.

Great Plans Physician Services (emergency medicine, medical oncology, neurology, pain clinic, psychiatry) – contracted with all plans
North Platte Anesthesia – no contract with GEHA
Pathology Services – contracted with all plans
Radiology Services – no contract with GEHA or UnitedHealthcare


Billing policies: commercial insurance policies
Great Plains Health bills all carriers for inpatient and outpatient admissions.

Complete billing information required by the carrier or employer must be provided at the time of registration or admission. Please verify your insurance carriers and policy numbers. Contact Patient Financial Services at 308.568.8600 with any corrections.

Patients are encouraged to respond in a timely manner to all requests from their insurance carrier. Failure to comply with insurance requirements may result in a partial or complete insurance denial.

Great Plains Health maintains an active follow-up program with all insurances; however, patients are ultimately responsible for making certain their bill is paid in full.

Insurance plans often require a referral or pre-authorization prior to a patient's registration. Failure to provide a proper referral or pre-authorization could result in a denial of payment by insurance. The patient is then responsible for payment of the bill. You may want to check with your physician's office to determine if they are able to assist with this process.

If a patient's bill is a result of an accident or injury caused by somebody else, please remember that disputes between patients and others do not involve the hospital. The hospital will file liability liens against the patient and/or responsible party whenever deemed necessary.

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