Payment Information
Billing statements are mailed approximately every four weeks. In addition to cash or personal check, FRHS accepts VISA, MasterCard, Discover, American Express and automatic bank withdrawal for those who qualify.
Effective March 13, 2008: If you do not have insurance and you are solely responsible for paying for your hospital bill, you may take a five (5) percent discount when sending payment. Your payment must be received within thirty (30) days of when you received your first billing statement. This does not apply to remaining self-pay balances after your insurance pays.
30-60-90 Day Option: You may pay 1/3 of your outstanding balance each month. Your first payment is due within 30 days of your first self-pay statement. If you have any questions, please contact Customer Service.
Monthly Payment Option: If you need more than 90 days to pay your account balance, select this payment option. This is an open-end credit agreement. You will be able to add future self-pay balances once you have established your account. Monthly payments are determined based upon your current balance.
If your balance is between: |
Your monthly payment is: |
$ 0.00 - $750.00 |
$ 50.00 |
$ 751.00 - $1,500.00 |
$ 100.00 |
$1,501.00 - $2,500.00 |
$ 150.00 |
$2,501.00 - $3,500.00 |
$ 200.00 |
For amounts greater than $3,500.00 |
Monthly payment increases by $50.00 for each additional $1,000.00 |
Patient Financial Assistance Option: FRHS offers a financial assistance program to those patients with limited financial resources. Contact Customer Service.
It is important that you select one of the payment options listed above. If your account balance is not paid in full within 90 days or if you have not followed the payment policy guidelines, your account may be referred for further collection action.
Payments should be sent to the following address:
Faith Regional Health Services
Attention Patient Accounts
PO Box 869
Norfolk, NE 68702-0869
For assistance with payment of your account or if you have any questions regarding your insurance, please call Customer Services at (402) 644-7145. Please listen for the options to guide you.
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