If you are insured by a government program such as Medicare or Medicaid, your self-pay responsibility is determined by that government program. If you are insured by a commercial carrier, your self-pay responsibility will be determined by your carrier, based on the benefits of your plan.
Please refer to your health plan’s “Explanation of Benefits” summary to view how benefits are paid and how self-pay responsibility is determined. If you have questions about coverage or how your plan calculates your benefits, check your health plan book or call the customer service phone number found on your insurance card.
Additionally, VMH has a unique arrangement in that a majority of surgical procedures are performed by Gundersen Lutheran surgeons. Vernon Memorial Healthcare bills for the surgery and facility charge, while Gundersen Lutheran bills for the professional component of the surgery. VMH and Gundersen Health System are separate entities and, in some cases, do not have the same contractual arrangements with insurance companies.