Kaweah Delta will submit bills to your insurance
carrier to help you receive the full benefit of your health insurance plan.
During registration, Kaweah Delta will obtain information to assist with
accurate and timely billing. A copy of your insurance card is needed to process
Your insurance policy is a contract between you and
your insurance company. You should be familiar with the terms of your
healthcare plan. Most plans do not provide 100% coverage for your hospital
bill. You are responsible for co-payments, coinsurance, deductibles, and other
charges not covered by your insurance plan. Most plans detail exclusions,
services not covered, and plan maximums - please refer to your insurance plan
document for specific details regarding what is covered and not covered under
your insurance plan.
Most insurance companies issue the patient and the
provider of service an explanation of benefits when the provider files an
insurance claim for services rendered. The explanation of benefits details the
services rendered, information on how the claim was processed and paid by the
insurance company, and the patient share due to the provider, if applicable.
Delta receives insurance payment for the claim, Kaweah Delta begins billing the
patient and/or guarantor for any patient share due. You will receive your first
billing statement within 10 days of your insurance carrier paying their portion
of the bill.
If you have questions about the patient share assessed
on your account by your insurance company, or the level of benefits paid, you
may contact your insurance company via telephone or internet. You may also
contact Kaweah Delta's Customer Service department for assistance.
Two of the most common types of managed care plans are
Health Maintenance Organizations (HMOs) and Preferred Provider Organizations
If you are covered by an HMO, a PPO, or another type
of managed care insurance plan, your plan may have special requirements, such
as pre-certification or pre-authorization for certain procedures. Each
healthcare plan has its own set of rules, participating physicians and
hospitals, radiology centers, and laboratories. It is your responsibility to
ensure your plan's requirements are met in order to receive maximum
reimbursement. A listing of the insurance companies that Kaweah Delta is contracted
with can be found here.
If you need to
update your insurance information please call (559) 624-4200 Mon - Thurs 8:30 to 4:30 and Friday 8:30 to
3:00. or fax us your insurance card at (559) 713-2552.