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We're proud of our service to our community and continue to look for new ways to fulfill our mission of improving our community's overall health.

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Insurance

Billing

 

Billing Customer Service Self-pay Questions
303-498-1510 or 303-498-1509

Insurance Questions
303-498-3600

Financial Counseling
303-498-1510 or 303-498-1509

Department Phone Number
303-498-3600

Hours
8:00 a.m. to 4:30 p.m., Monday – Friday

Department Contact
Laurie Johnson – Director

 


Platte Valley Medical Center participates in most insurance plans currently available in the Brighton area, including commercial plans from Anthem Blue Cross Blue Shield, Aetna, Cigna, United Healthcare, Great West, First Health, Rocky Mountain, Cofinity, PHCS (Private Health Care Systems), Unicare, Beech Street, Pacificare, Government Employees Health Association and Tricare. PVMC accepts original Medicare, and the Medicare plans from Aetna, Anthem Blue Cross Blue Shield, Colorado Access, Humana (but not any other Humana products), Rocky Mountain, Unicare, and Wellcare.

We are working on getting agreements with more Medicare plans on an ongoing basis. PVMC does not anticipate any agreement with Kaiser as long as Kaiser continues to exclude independent community physicians from its plans.

MOST COMMONLY ASKED INSURANCE QUESTIONS

 

Why do I get one bill from the doctor and one bill from the hospital? Why aren’t they together?

To preserve the independence of the doctor-patient relationship, PVMC does not employ physicians. As a result, each physician practice manages its own business including its own billing. In addition, several federal laws govern the way hospitals and physicians can bill Medicare and private insurance companies. The requirements for hospital bills and physician bills are different enough to prevent the production of a joint bill.

 

What happens to people without insurance?

PVMC offers many options for the uninsured, including prompt payment discounts that are comparable to the discounts applicable to insurance companies, payment plans, assistance in finding alternative sources of payment through our financial counselors and a need-based charity care program. .

 

When you have insurance:

Patients with hospitalization insurance need to present identification cards, a copy of the contract or certification to the patient admitting office upon admission. We welcome and encourage you to ask admitting or business office personnel about your coverage.
Your hospitalization coverage is a contract between you and your insurance company. As a courtesy to you, we will bill your insurance company. Payment of the hospital bill, however, is ultimately your responsibility. If your insurance plan does not provide full coverage, final payment arrangements are expected at the time of discharge. .

 

When you don’t have insurance:

If you do not have hospitalization insurance, a deposit is required at the time of admission. A payment schedule should be arranged with the patient business office prior to your discharge.

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