Paying for Healthcare Services

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Paying for Health Care Services

Deferred payments: Riverside Health System’s mission of “caring for others as we would care for those we love” extends beyond providing the best possible health care to the communities we serve. If you find yourself financially impacted by COVID-19, know that we are here to partner with you to address any financial concerns regarding medical services provided by us. Please let us know how we can help by calling 1-800-621-7677.

Support for uninsured patients: Riverside partners with HealthFund Solutions to provide support for uninsured patients 

Price Transparency 

What you pay for your health care services is influenced by several factors, including:

  • Whether you have insurance coverage
  • If you have no insurance, you may be eligible for financial assistance
  • Your deductible and co-pay obligations set by your insurance provider
  • Your medical condition
  • Unknown health circumstances or complications
  • Final diagnosis
  • Recommended treatment ordered by the physician(s) overseeing your care

If you have insurance, you need to check with your carrier to verify co-pay and cost obligations. We post a list of all insurance plans we accept and how to contact them.

Riverside Health System is committed to providing quality care and price transparency to provide consumers with the information they need to understand the total price of their healthcare and empower consumers to make informed decisions about their healthcare.

For your individual care estimate please login to your MyChart account and use the Riverside Cost Estimate tool. If you do not have a MyChart account, you may obtain a guest estimate here.

Price Transparency Downloadable Files:

We understand that the costs of care can be confusing are here to answer your questions. Please contact our call center for an estimate or billing question at 757-989-8830, option 4 or email [email protected]

Highly Personal Care

Riverside provides value. With a commitment to continuous improvement, we are working to ensure that the care we give patients is safe and of the highest quality. That means working with our team members, physician partners, and patients and loved ones to ensure that your care plan is highly personal.

If you are a member of a Health Maintenance Organization or Preferred Provider Organization, your HMO or PPO plan may have special requirements, such as precertification or preauthorization for certain tests and procedures. It is your responsibility to make sure that you meet the requirements of your plan. If you don't follow your plan's requirements, you may be financially responsible for all or part of the services rendered in the hospital.

Some Riverside locations function as outpatient departments of one of our hospitals. You will also see these locations sometimes referred to as "provider -based" or "hospital-based" offices, even if they are not located within the hospital building. Depending on your insurance coverage, the amount you pay for services in a provider-based setting may be different from what you would pay for services in an office that is not provider-based.

If you are covered by Medicare, we will need a copy of your Medicare card to verify eligibility and process your Medicare claim. You should be aware that the Medicare program specifically excludes payment for certain items and services such as cosmetic surgery, some oral surgery procedures and personal comfort items. Deductibles and copayments also are the responsibility of the patient.

If you are covered by Medicaid, we will need a copy of your Medicaid card. Medicaid also has payment limitations on a number of services and items. If you have completed a Medicaid application with your local Social Services department and are awaiting an eligibility determination, please provide this information to the patient access or admissions staff.

If you have no insurance or your insurance will not cover the service you request, you can make payment by check, money order, cash or credit card, including VISA, MasterCard, Discover or American Express. We also offer financial assistance for those that qualify. A partner of ours, HealthFund Solutions, is available to assist those with financial needs obtain health insurance through the marketplace.

Our Customer Service team can answer many of your questions regarding your hospital bill and can help you coordinate your billing and insurance needs. Please call 1-800-621-7677 for information or email [email protected].

This information relates to non-emergent health care services you may receive at Riverside Health System. You may receive services at a Riverside facility from provider groups that will bill you separately from Riverside Health System. Some health care services that you receive may be from a provider who does not participate with your managed care plan or insurance company.

The provider groups listed below provide health care services at Riverside Health System. You should contact your managed care plan or insurance company to find out if they are in-network providers. You should also ask if you will have to pay more than your deductible, copayment or coinsurance for health care services you receive from providers groups that are not in-network providers.

  • American Medical Response
  • Genomic Health
  • Irhythm
  • LabCorp
  • Life Evac of Virginia
  • Mayo Clinic
  • MD Associates
  • Medicomp
  • Night Hawk
  • North American Partners in Anesthesia
  • Peninsula Pathology Associates
  • Peninsula Radiological Associates
  • Quest Diagnostics
  • Shore Transport Services
  • SME, Inc. USA

Virginia law (VA. Code §32.1-137.05) requires every hospital to provide, if you ask for it, an estimate of what you will have to pay for a scheduled elective procedure, test or service. Either the patient or their legally authorized representative can ask for this estimate. The law also requires every hospital to tell patients in writing of their ability to request this estimate of the payment amount pursuant to the law.

As required by law, we are providing you with notice that if you have been scheduled to receive elective services at Riverside Health System, you have the ability to request an estimate of the payment amount for which you will be responsible for such elective services.

To obtain an estimate of the payment amount or if you have a question about this notice, please call 757-989-8830 Option 4.

If you are covered by insurance, we recommend you contact your managed care plan or insurance company to find out if the elective service you are scheduled to receive is a covered service and what your actual out-of-pocket cost will be after your benefits are applied, including any applicable cost-sharing requirements.

The machine-readable file (MRF) requirement under the Transparency in Coverage (TiC) rules went into effect July 1, 2022. This part of the rule requires that insurers and self-funded group health plans must begin to publicly post machine-readable files with detailed information on the costs of covered services and prescription drugs.