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For questions or more information please contact our Health Information Management Department (HIM) at 618-443-2177, ext. 3336.

Understanding hospital bills and health insurance claims can be confusing. Therefore, our Patient Financial Services professionals are prepared to answer your questions Monday – Friday from 8:30 AM to 5:00 PM in our billing office located in the Broadway Plaza Complex, Suite #5 Broadway Plaza, Sparta, IL 62286.  Or, you may call 618-443-1338 during those times. For clinic information or questions please call 618-443-6821.

Important notice for QHP patients:

Sparta Community Hospital, Quality Health Care Clinics and At Home Health Care participate in most major insurance plans. We recommend that you or a family member confirm that both your physician and the hospital are listed as participating providers with your insurance plan. Contact your insurance company directly to confirm coverage. The phone number is usually listed on the insurance card.

Below are listed the plans accepted by Sparta Community Hospital, Quality Health Care Clinics and At Home Health Care. If your insurance provider is not listed, please call to verify, as we assess new plans on a continual basis. For information on how to access services under your insurance plan, please call the hospital at 618-443-1338 or our clinics at 618-443-6821.

Aetna
BC/BS of Illinois PPO
BC/BS of Illinois Blue Choice
Blue Cross – Blue Shield Community Plan
Cigna
Coventry Healthcare
Coventry Medicare Advantra HMO
Coventry Medicare Advantra PPO
Coventry Medicare Gold Advantage
Health Alliance
Health Alliance Medicare Advantage
HealthLink HMO/PPO

Humana
Humana Medicare Advantage
Medicaid Managed Health Plans
Medicare
Meridian (Medicaid Only)
Molina
Multiplan
One Health/Great West Healthcare
Private Health Care Systems
Railroad Medicare
Tricare (Standard)
United Healthcare

Sparta Community Hospital District does provide Financial Assistance, (in full or in part) for some services depending on income and asset levels and patient residence. To apply for Financial Assistance, please follow this link to our Application for Financial Assistance including a description of the Financial Assistance application process and a copy of the Financial Assistance application.

Note – False or incomplete applications for Financial Assistance (Charity Care) may be denied.

Hospital Charge Transparency

Sparta Community Hospital (SCH) believes you should have access to the information you need to make informed healthcare decisions.  Therefore, SCH has adopted a policy that allows the public to view its standard charges for healthcare services. The policy is intended to promote transparency for patients to understand their potential financial liability for service obtained at SCH and to allow comparison for similar services across hospitals.

Typically, hospital charge masters are lengthy and complex documents and do not provide information at a level conducive for this purpose.  Therefore, we encourage patients to contact our Patient Financial Services staff at 618-443-1338 (hospital) or 618-443-6821 (clinics) to request a specific charge estimate and discuss their financial obligations based on their specific circumstance.

Charge estimates are calculated based on care without complications. Actual charges may be different for specific patients due to medical condition, length of time spent in surgery or recovery, necessary specific equipment, supplies or medication, complications requiring unanticipated procedures, or other treatment ordered by the physician. Charge information does not include the professional services provided by a physician, surgeon, radiologist, anesthesiologist, pathologist, or any other independent practitioners.

Hospital charges are the amounts set before any discounts, and hospitals are required by the federal government to utilize uniform charges as the starting point for all bills.

If a patient has health insurance, significant discounts have already been obtained by the insurance company and the patient only needs to pay the deductible, copay and/or coinsurance. Patients should contact their health plan directly for their specific financial obligations that aren’t reimbursed by insurance.

If a patient does not have health insurance, significant discounts are available that could result in either the care being free or at a greatly reduced price. Contact our Patient Financial Services staff at 618-443-1338 (hospital) or 618-443-6821 (clinics) for more information.