Billing, payment & insurance information
The following information is provided to help you understand the Children's Hospital billing and reimbursement policy. Please read this information before your scheduled appointment. It is important you come to your appointment prepared and aware of your personal responsibilities.
We will ask you to verify your insurance coverage at each visit. Please have your insurance card available and let us know about changes including:
- Phone number
At your appointment, you may be asked to pay:
- Co-payments required by your insurance company
- Non-covered services; clinics may require special payment arrangements
- Patients without insurance should plan to pay a deposit
You may pay using cash, check, Mastercard, Visa and Discover credit cards.
You will get more than one bill after your clinic appointment. Children's bills for expenses such as clinic staff and supplies. Specialty clinic visits also often include separate charges for procedures and tests done during those appointments. The Medical College of Wisconsin sends out a bill for the doctor or other care provider services. A third bill may come from Pediatric Radiologic Services if your child has X-rays or another radiology service.
For questions about your bill from Children's, call (414) 266-6262 or toll-free (888) 449-4998.
For questions about your bill from the Medical College, call (414) 456-4511 or toll-free (800) 242-1649.
Children’s Hospital has decreased specialty clinic facility fees by up to 50 percent depending on the level of care provided. The reduced fees apply to appointments as of July 1, 2014.
Most area health care organizations charge a facility fee, which covers expenses such as clinic staff and supplies.
Our commitment to providing the best care for kids includes offering your family the best value for your health care dollars.
We will submit your claim and allow your insurance company 30 days to pay us. Your claim may become your responsibility if it has not been paid within 30 days. You will receive monthly statement updates. Read the frequently asked questions.
Please remember, the ultimate financial responsibility for payment lies with the patient, not the insurance company.
Health insurance benefits vary. We encourage you to check with your insurance company or employer before receiving service:
- Some plans require referrals or authorization
- Benefits for office visits might depend on the place of service (physicians provide services in an outpatient hospital clinic. Your insurance may consider the Children’s Hospital clinic charge as a hospital visit and process it according to your hospital benefits)
Medicaid recipients should come to appointments with a current Medicaid card and be prepared to pay a copay portion.
If you are worried about paying your medical bills, ask about our
financial assistance programs
For more information, call (414) 266-6262 or toll-free (888) 449-4998, 7:30 a.m. to 4 p.m. Central Time Monday through Friday.