Icon Image Of Financial Assistance For Health Care Services - Southwest Health System

Financial Assistance

Financial Services Co Pay

 

We are here to help you with financial assistance so you can focus on your health and healing. Our dedicated financial assistance coordinators can help navigate different programs that may be available to you and your family. We want to work with you to find the best program so bills are your last worry.

Contact us at 970-564-2131 (Fax: 970-564-2159) with questions or to make an appointment with one of our knowledgeable financial assistance coordinators.

Download a full overview of all of the financial assistance programs available:
Financial Assistance Presentation 3-8-2018

Southwest Health System Inc. (SHS) is dedicated to providing medically necessary healthcare services. These services are accessible to all without regard to age, race, color, disability, sex, sexual orientation, national origin, religion, marital status, political affiliation, veteran status, ability to pay, or genetic information. To assist in meeting those needs, we have established a policy to provide financial relief to those patients in need of medically necessary services and who are unable to meet their financial obligation due to being low-income uninsured, underinsured or medically indigent.

The Financial Assistance Program will be updated annually in accordance with the Federal Poverty Guidelines (FAP 2017 Federal Poverty Level Amounts) as established by the Department of Health and Human Services. Under the rules and regulations, SHS is permitted to charge interest to any outstanding balance owed, however, it has been decided not to charge interest at this time.

The basis of these programs is the truthful and accurate provision and submission of financial information from the patient and/or responsible party(s). Patients and/or responsible party(s) that intentionally misrepresent their household financial information will be automatically disqualified from any consideration whatsoever with regard to this program. Intentional misrepresentation determination is the sole right of SHS.

Financial Assistance is not considered to be a substitute for personal responsibility. Patients are expected to cooperate with SHS’ procedures for obtaining other forms of payment or financial assistance, and to contribute to the cost of their care based on their individual ability to pay.

SCOPE

Southwest Health System, Inc. its patients and/or their responsible party(ies).

DEFINITIONS

Allowable Expenses: SHS may take into consideration actual payments made for day care, elderly care, child support payments, alimony payments, and health insurance premiums. Medical expenses due may also be taken into consideration.

Application Period: Timeframe in which SHS may accept Financial Assistance Program applications submitted by an individual. The period ends on the 240th day after SHS provides the individual with the first billing statement.

Covered Services: Medically necessary services provided by an entity of Southwest Health System, Inc.

Discounted Charges: Amount owed by the patient and/or responsible party(ies) for patient accounts that have been reduced due to eligibility for the Financial Assistance Program. Individuals eligible for the Financial Assistance Program may not be charged more than what Medicare pays, which are lower than any private health plan payment made to SHS.

Extraordinary Collection Actions (ECA): Include actions that require legal or judicial process taken by SHS against an individual related to obtaining payment of a bill for care covered under the Financial Assistance Program.

Family: Patient, his/her spouse (including a legal common law spouse) and his/her legal dependents according to the Internal Revenue Service rules.

Household: Family and their income and expenses.

Income: Gross wages, salaries, Social Security benefits, unemployment compensation, workers compensation, regular support from family members not living in the household, government pensions, private pensions, regular gifts and other monies regularly received.

Low-Income: Annual family income not more than 250% of the Federal Poverty Level Guidelines as published by the Department of Health and Human Services.

Medically Indigent: Patient and/or responsible party(ies) having Insufficient income in relation to medical expenses to be able to pay for medically necessary services.

Medically Necessary Service: Medical services considered to be necessary as defined by the Department of Health Care Policy and Financing 10 CCR 2505-10 Section 8.076.1.8. Cosmetic services are excluded.

Notification Period: Timeframe in which SHS notifies an individual of the Financial Assistance Program. This period begins on the date that care is provided to the individual and ends on the 120th day after SHS provides the individual with the first billing statement for care rendered. If an individual fails to submit an application by the end of the notification period and SHS has met notification requirements, SHS may engage in Extraordinary Collection Actions.

Patient Account: Encounter where medical services are rendered to an individual.

Responsible Party(ies): Person or persons legally responsible to pay for charges or services ordered on behalf of a patient.

Underinsured: Patient insurance that is financially inadequate.

Uninsured: Patient not covered by insurance.

POLICY

Southwest Health System, Inc. is dedicated to providing medically necessary healthcare services. These services are accessible to all without regard to age, race, color, disability, sex, sexual orientation, national origin, religion, marital status, political affiliation, veteran status, ability to pay, or genetic information.

To assist in meeting medically necessary healthcare needs, SHS may provide financial relief to those who are unable to meet their financial obligation due to being low-income uninsured, underinsured and/or medically indigent.

Information regarding SHS’s Financial Assistance Program is available on the SHS website and in SHS public areas. It is made available upon request, during registration, and within billing statements for the notification period. Information is conveyed in a clear and understandable manner at no charge.

The Financial Assistance Program is not considered to be a substitute for personal responsibility. The responsible party(ies) is expected to cooperate with SHS for obtaining other forms of payment or financial resources and to contribute to the cost of their care based on their ability to pay.

The basis of the Financial Assistance Program is the truthful and accurate provision and submission of financial information from the patient and/or responsible party (ies). Patient and/or responsible party (ies) who intentionally misrepresent their household information will be automatically disqualified from any consideration whatsoever with regard to the program. Intentional misrepresentation determination is the sole right of SHS.

This policy and its associated materials are updated annually in accordance with the Federal Poverty Guidelines as established by the Department of Health and Human Services.

PROCEDURE

A person may request information or an application for the Financial Assistance Program by mail, telephone or in person by contacting:

Southwest Health System, Inc.
Attention: Patient Financial Counseling
1311 N Mildred Road
Cortez, CO 81321
Phone: (970) 564-2131
Email: insurancequestions@swhealth.org

Individuals should have a patient account that falls within the application period prior to applying for the Financial Assistance Program. SHS will make efforts to assist individuals in finding funding resources (i.e. Medicaid, Commercial Insurance, Colorado Indigent Care Program, etc.) prior to processing applications. Proof of denial for funding resources may be requested prior to FAP approval.

Eligibility Requirements: Eligibility for FAP is determined based upon demographic and financial information. Medically indigent cases are considered on a case by case basis. To be eligible patients and/or patient accounts must be:

  • Uninsured or underinsured
  • For medically necessary services
  • Resident of Colorado at the time of services
  • Provide proof of lawful presence
  • Gross income (before taxes) minus allowable expenses equal no more than 250% of the Federal Poverty Level.
  • Other funding resources, federal resources and state resources have been exhausted.

Considerations outside of the eligibility requirements must be approved by SHS Administration.

Application Requirements: Application completion should be within the Application Period. SHS will make reasonable attempts to inform an individual when an incomplete application is submitted. Incomplete applications may include:

  • FAP application not filled out in its entirety or accurately
  • Supporting documentation not received by SHS.

Completed applications are submitted for approval or denial. Applicants will be notified of application approval or denial status.

Approved FAP applications may be effective up to a year with consideration to income and expense variations. Individuals can complete a new application when more than one year has elapsed from prior applications.

Patient account adjustments under the FAP may be provided for covered services when eligibility requirements and application requirements have been met. Patient account adjustments are processed for approval or denial on a case by case basis. Applicants will be notified of discounted charges and non-discounted charges on a case by case basis.

 

School-Based Medical Care Icon Image - Southwest Health System

School-Based Health Center

Caring for students close to home.

SchoolZone-Southwest School-Based Health Center

*Mark your calendar for sports physicals, August 1st and 2nd, 2018, before school starts!*

Where:
The new Montezuma-Cortez High School has an on-site School-Based Health Center. It is located at 418 South Sligo Street in Cortez, Colorado.

School Based Health Center services

Click to Enlarge

Why:
To provide access to comprehensive primary and behavioral healthcare in a convenient, inviting environment.

Who:
ANY STUDENT enrolled in a Montezuma – Cortez RE-1 school who is between the ages of 3 and 21 is eligible to receive medical care. You do not have to be a student at MCHS to receive treatment.

Cost:
No charge for visits to the nurse. Insurance will be billed for a provider visit. If you do not have insurance an enrollment specialist will help you. Care will be provided regardless of insurance status or ability to pay. Sports physicals are available for $31.

How:
A parent or guardian must provide a signed consent for their student.

Some of the Services Offered:

  • Exams: sports, school, camp, head-start & preschool physicals • primary care • acute injury and illness • common concerns like acne, weight, menstruation • reproductive health • testing and treatment of STD/STIs • well-child checks • ImPACT Concussion Management • chronic care management for conditions like asthma and diabetes
  • Education: parent and student health • reproductive health • drug, tobacco and alcohol prevention and treatment
  • Counseling: drug and alcohol use • individual, group & families • nutritional • family planning
  • Mental & Behavioral Health: individual • group • families
  • Other: lab tests (limited) • medications and prescriptions (limited) • preventive dental care • immunizations • Colorado state insurance enrollment assistance

SBHC-trifold-iconRE-1 LogoContact:
Office Coordinator: (970) 564-4855. Nancy Hoffheins, Administrative Assistant, RE-1 school health services: (970) 565-3722, x2145. After hours please contact the Walk-In Clinic at (970) 564-1037. In case of emergency, dial 911.

Download a flyer for the Southwest School-Based Health Center
Download a trifold brochure for the SBHC.
Download a consent form

Descargar un volante español para el Southwest School-Based Health Center (pdf)
Descargar un formulario de consentimiento

School-Based Health Center Team 2018

School-Based Health Center Team 2018


Teresa Brown-Sanchez, FNP

Teresa Brown-Sanchez, FNP

Southwest Medical Group,
School-Based Health Center

418 South Sligo Street, Cortez, CO
970-564-4855

Meet Teresa Brown-Sanchez, Nurse Practitioner

Teresa Brown-Sanchez is a nurse practitioner at the Southwest School-Based Health Clinic at Montezuma-Cortez High School. Teresa completed her undergraduate at Washburn University and her advanced training at University of Nebraska Medical Center. Teresa provides care for students at the School-Based Health Center and one of her specialties is diabetic care. She hopes that she can be a great resource for those living with diabetes or parents of children with diabetes.

Teresa’s interests include cheering on my children at sporting events, hiking, biking, boating, camping, and running half marathons. She said you can often spot her around town with her dog, Moose.

“My care philosophy is to provide the patient with the most comprehensive detailed map, with recommended routes, to get the patient to their health goals and then (accept/redirect/support) the patient if they choose a different route. As a nurse practitioner I strive to listen to the patient and hear what they expect from a visit rather than focusing on my health care provider agenda. I feel that with this listening approach I have uncovered many underlying problems for the patient.”

Mike Gostlin, LP-CMike Gostlin, Behavioral Health Professional

Southwest Medical Group,
School-Based Health Center

418 South Sligo Street, Cortez, CO
970-564-4855

Mindi Clark, RNMindi Clark, RN

Southwest Medical Group,
School-Based Health Center

418 South Sligo Street, Cortez, CO
970-564-4855


 

Exemplary Provider Accredited by The Compliance Team logo

2018 9Health Fair

Every spring people from around Colorado come together to deliver free and low cost screenings through the 2018 Montezuma & Dolores County 9Health Fair. We are working in collaboration with 9Health Fair, the Montelores Early Childhood Coalition and the Cortez Lion’s Club to organize and identify volunteers interested in participating in this event. Our 2018 theme is our “Super 9Health Fair” because we’ve teamed up to provide health screenings and education for adults and children for the first time! Our fairs cover Montezuma and Dolores County in Cortez, Mancos and Dove Creek. We offer comprehensive blood chemistry screenings. Talk to your doctor to learn about what screening is best for you.

9 health fair logo

Locations:

  • April 14th, 2018 at the Montezuma-Cortez High School *all ages*
  • April 28th, 2018 Mancos High School *adults only*
  • April 7th, 2018 Dove Creek High School *adults only*

Volunteer or have a booth: Click here https://www.surveymonkey.com/r/SuperFair2018

9Health Fair Save the Date

9Health Fair Save the Date

Attend the fair:

We would love to have you participate, and there is no cost to you to have a booth in these events. Our ultimate goal is to promote health awareness and encourage individuals to assume greater responsibility for their own health. To do this, we collaborate with health care providers and volunteers to provide health screenings and interactive educational opportunities.

Registration for fair goers is online at https://www.9healthfair.org/attend/ or day-of the fair. We now accept credit cards online before the fair. You can select the blood chemistry screenings that you or your doctor would like to see.

We want to offer as many screenings as possible. If you are willing to provide one of these screenings, let us know! https://www.9healthfair.org/attend/available-screenings/

We provide ALL of the following screenings at our 9Health Fairs:

  • Blood chemistry- $35 “This screening provides baseline information on cholesterol, blood glucose, liver, kidneys, thyroid, and more. These screenings can help you and your doctor monitor your health and prevent health issues from becoming emergencies. Information from this screening can also be used to complete your employers’ Health Risk Assessments (HRA). Based on the most current research, fasting is optional for the blood chemistry screening. DRINK PLENTY OF WATER and continue to take your regular medications. Persons with diabetes, should not fast.”
  • Prostate Specific Antigen (PSA)- $35: “The US Preventive Services Task Force (USPSTF) has recently recommended against routine screening of persons with a prostate with the PSA test.  Please speak to your healthcare provider if you have questions. PSA is a blood screening that measures a protein that is only produced by the prostate gland. Elevations of PSA may occur in persons with non-cancerous prostate diseases or prostate cancer. A normal PSA level does not entirely exclude the possibility of prostate cancer. A traditional manual screening, performed by a health care provider is strongly encouraged in conjunction with PSA screening.”
  • Hemoglobin A1C Diabetes Screening- $35: “A1C is a blood screening that measures your average blood sugar control for the past 2 to 3 months. The results give you a good idea of whether or not you are at risk for diabetes. For people with diabetes it indicates how well your diabetes treatment plan is working.”
  • Vitamin B12 Screening- $20: “This blood screening provides baseline Vitamin B12 levels, which play a key role in the normal functioning of the brain and nervous system, and the formation of red blood cells. ($20 value)”
  • Blood Count Screening- $25: “This screening gives you a general picture of your overall health by checking your white blood cells, hematocrit, hemoglobin levels, and blood-clotting abilities. Your body’s ability to fight infection, anemia, liver disease and certain cancers can be discovered with this screening.”
  • Vitamin D Screening- $50: “This screening is used to provide you with a baseline level of Vitamin D. Vitamin D deficiency is now recognized as a worldwide problem. Your body requires Vitamin D to absorb calcium and plays an important role in protecting your bone health. Many studies also suggest an association between low Vitamin D levels and an increased risk of certain types of cancers, nerve disease, immune disease and heart disease.”
  • Colon Cancer Screening Kit- $30: “This take-home/mail-in kit checks for human blood in the stool. Also, learn about preventing colorectal cancer, one of the most preventable cancers, and current recommendations for further screening, including who/when should get a colonoscopy.”
  • Testosterone Screening- $40: “Tests the level of testosterone in your body. This screening is for both men and women.”

Contact us

If you are interested in volunteering or  having an educational booth, please contact Meghan Higman, RN, BSN, director of education, for more details. Email mhigman@swhealth.org 

Learn about our new partners, the Montelores Early Childhood Council at http://monteloresecc.org/