When you seek services at Ocean Beach Hospital and Medical Clinics (OBHMC), we ask that you accept responsibility for payment for those services in a timely manner. We will bill Medicare, Medicaid or your insurance for services provided. You will be required to sign a Consent for Treatment and Responsibility for Payment form regardless of third party insurance coverage. Your account is your personal responsibility. If any portion of your account is not covered by insurance, please contact Patient Financial Services to make other financial arrangements.
Insurance and HMO information
OBHMC participates in many of the managed care plans offered in the area. If you have a question as to whether or not we participate in the plan you have, please check your provider directory or call your insurer.
It is very important for you to know if your insurance or HMO/PPO requires pre-certification for any care provided at the hospital. If pre-certification is required and you or your physician do not take steps to ensure this authorization is obtained, you will be responsible. Failure to obtain prior authorization can result in reduced benefits or the possible denial of your entire claim.
If you have insurance or HMO/PPO coverage, the Patient Financial Services Office will bill your insurance if complete billing information was given at the time of registration/admission. You will be notified by letter if your insurance carrier or HMO/PPO does not pay the bill promptly or if there is a balance remaining after the insurance or HMO/PPO payment. If you have questions regarding payment, we suggest you contact your insurance carrier or HMO/PPO to review the status of your claim. If you have any other questions, please call Patient Financial Services.
OBHMC is a participating provider for Medicare and accepts the assignment of covered benefits. After Medicare pays their portion of the charges, the hospital billing office will bill your supplemental insurance based on the information you provided during the registration process. You will receive a statement from the hospital notifying you of your responsibility if there are any balances after Medicare and your supplemental insurance payments.
Patients who are unable to pay for hospital services are welcome to apply for the hospital’s Financial Assistance program. Applications are available from Patient Financial Services or via download. Eligibility is based on household income, family size, amount of medical debt, and the financial resources of the household.
Federal poverty income guidelines are used as the basis for eligibility.
If your insurance company does not pay in full, you will receive a statement notifying you of your balance. In addition to payment by check or money order, we do accept MasterCard, Visa, or Discover. If you are unable to make payment in full, depending upon the balance due, the hospital may offer a short-term payment plan.
Delinquent accounts will be referred to outside collection agencies when payment in full has not been received or appropriate payment plans have not been established.
We do not routinely send copies of itemized patient bills. The statement you receive is a summary of charges. Should you desire an itemized statement, please contact our Business Office and one will be sent to you within 2 business days.
Your hospital bill will include charges for any physicians who provided services directly to you or on your behalf. Outside providers will be you separately for their services.
Please call 360-642-6332.