Hospital Discounted Care

Hospital Discounted Care was created by ​​House Bill (HB) 21-1198​. Patients who are at or below 250% of the Federal Poverty Guidelines (FPG) are eligible for Hospital Discounted Care. It limits the amounts that low-income patients can be billed for health care services at hospitals and emergency rooms, and it limits amounts billed from providers who work at hospitals and emergency rooms. Hospitals must give patients the chance to apply for discounted care when they receive services at the hospital.

To learn more about Hospital Discounted Care, read/download the Patient Rights form:

Out-of-Network Surprise Billing Disclosure

You are responsible for the cost-sharing amounts required by your health plan, including co-payments, deductibles, and/or coinsurance. If you are seen by a provider or use services in a facility or agency that are not in your health plan’s network, you may have to pay additional costs associated with that care. These providers or services at facilities or agencies are sometimes referred to as “out-of-network.” Out-of-network facilities or agencies often bill you the difference between what your insurer decides is the eligible charge and what the out-of-network provider bills as the total charge. This is called “surprise” or “balance” billing.

Estes Park Health does not enroll with Medicaid related Insurance Plans from states outside of Colorado. Accordingly, any patient with an Out of State Medicaid plan may be billed for their service, however it is unlikely that the out of state plan will cover the cost. We will send the bill to the patient’s plan, but ultimately, the patient is responsible for the cost of the service. Financial Counselors are available to provide financial assistance in accordance with Colorado regulations.

There is Help to Better Understand Your Medical Billing Questions

Estes Park Health knows that trying to understand your medical bills can be difficult at times. The Estes Park Health Patient Financial Services team has taken the steps to become a Certified Application Assistance Site to help you apply for appropriate financial assistance and better assist you with your billing questions. Estes Park Health provides quality health care services to all patients without discrimination, regardless of their ability to pay.



To help you navigate these on-going changes, Estes Park Health now provides you with access to a Patient Financial Customer Service representative (970-577-4530), two Financial Counselors (970-577-4327 and 970-577-4528) dedicated to resolving patient balances and two Pre-Access Services Specialists (970-577-4524 and 970-577-4525)who will meet with patients for pre-op appointments to help you understand your financial responsibility to the hospital and/or your health care provider based on your insurance benefits. They will assist you in understanding terms like:

  • 共同支払 – 登録時に支払う必要がある請求書の部分。共同支払い額は保険契約によって異なります。
  • 控除額 – 保険会社が、レンダリングされたサービスの給付金の支払いを開始する前に支払う必要があると判断した金額。
  • Co-Insurance - Coverage in an insurance plan where the insured pays a share of the payment made on an account.  For example, a patient with 70% co-insurance would mean their insurance plan pays 70% and the patient is responsible for 30%
  • 保険金請求 – 病院が保険会社または会社に提出するサービスの請求書。
  • 明細化された請求書 – 入院中に受け取ったサービスと手続きに対する個々の料金のリスト。また、アカウント番号も一覧表示されます。
  • 患者残高 – 支払う必要がある請求書の金額。
  • 勘定明細書 – 明細化された請求書の送信後に発生した活動 (保険支払いや否認など) を表示します。

Since every insurance plan is different, please be sure to check your coverage and ask questions prior to receiving treatment. Not following your insurance company's rules could result in a larger financial responsibility for you. Estes Park Health Financial Counselors can help you understand your financial rights and responsibilities associated with your services and procedures.

Questions you might have about your bill





Are my physician's charges incorporated in my hospital bill?
No, your physician's bill is separate from the hospital bill. You may get multiple bills for medical services performed by professional medical personnel such as physicians, radiologists, pathologists and anesthesiologists. Please contact their private offices with questions about their bills.



活動 訪問から ノート
患者訪問 0 日数 共同支払いまたは共同保険および/または控除可能な頭金支払期日
充電 0-4 日 料金が口座に追加されます。
コーディング 0-4 日 診断と手順コードがアカウントに追加されます。
保険請求 5-10 日 請求は一次保険に送付されます。
保険金の支払い 30-60 日 保険金の支払いは、請求日の45日の予定です。 支払い時間は大きく異なる場合があります。
二次保険請求または患者請求 31-61 日 あなたのプライマリ保険が正しく支払われたら、残高がある場合は、2番目の保険を請求します。 他の保険に加入していない場合は、残高の請求書をお送りします。
請求の全額支払いが要求されました 60 日間



What if I do not have insurance? Am I eligible for other health benefits?
Patient Financial Counselors can discuss available options, work with you to determine the payment arrangements that will work best for your situation and help you apply for financial assistance. You can visit to review a copy of the Estes Park Health Financial Assistance Program.