Insurance, Billing & Payment
Billing Resources
We strive to provide the best overall experience for our patients, but that doesn’t stop when you are done with your medical care. Part of our commitment is assisting you with financial concerns pertaining to your medical care.
Your bill represents charges for services you received at Good Samaritan, Good Samaritan Physician Network, and/or the Samaritan Center. If you have any questions or would like to have your bill explained, please contact the Central Billing Office at 812-885-3325.
Any Consulting Specialist, Radiologist, Pathologist, or Emergency Room Providers may be individual contractors who are not employees or agents of Good Samaritan and you may receive a separate bill for their services.
For your convenience, you may pay your bill by Visa, MasterCard, Discover, American Express, check, money order, or cash. Payments may also be made on your bill through MyChart or click here to pay on your bill as a guest through MyChart. You will need your patient account number from your statement.
An example of where that is located on your billing statement can be found HERE.
PAY MY BILL ZERO INTEREST PAYMENT OPTION
We Also Accept Medicare, Medicaid, and All Private Insurance. We Are a Provider of the Following Managed Care Plans:
- Aetna
- Anthem-HMO, PPO, Traditional
- Children’s Health Insurance Program (CHIP)
- Cigna
- Deaconess Health Plans
- Encore Network
- First Care of Illinois
- First Health/Coventry Health
- Health Alliance
- Healthlink-HMO, PPO
- Humana Choice Care
- National Preferred Provider Network
- Perdue Farms
- Preferred Plan, Inc.
- Sagamore
- SelectHealth
- SIHO
- United Healthcare
You have a right to receive a "Good Faith Estimate" explaining how much your medical care will cost. In the event of receiving emergency care or treatment from an out-of-network provider, you are also protected from surprise or balance billing. More information about these patient rights can be found by clicking the links below:
Good Faith Estimate
Rights and Protections Against Surprise Medical Bills
Financial Assistance
Financial assistance is available to individuals who qualify, whether treatment was provided at the hospital or at one of our Good Samaritan outpatient clinics. Good Samaritan makes it easy to apply for such financial assistance. If you feel you meet the requirements for financial assistance, please contact the Central Billing Office at 812-885-3325 and a representative will be happy to work with you. See the guidelines for financial assistance below.
Financial Assistance Guidelines (English)
Financial Assistance Guidelines (Spanish)
Downloadable Financial Assistance Application (English)
Downloadable Financial Assistance Application (Spanish)
Downloadable Financial Assistance Application (Haitian/Creole)
Contact Us
Patient Accounts:
- Phone: 812-885-3325
- Fax Number: 812-885-8987
Notice to Patients:
This practice serves all patients regardless of inability to pay. Discounts for essential services are offered based on family size and income. For more information, contact the Central Billing Office. Thank you.
Aviso Para Pacientes:
Esta práctica sirve a todos los pacientes, independientemente de la incapacidad de pago. Descuentos para los servicios esenciales son ofrecidos dependiendo de tamaño de la familia y de los ingresos. Usted puede solicitar un descuento en la recepción o visita nuestro sitio web. Gracias.
