Financial Services
Our Patient Account Representatives are here to help
Patient Relations
(802)-334-4152
Billing
(802)-334-3580
Financial Navigator
334-3210 ext 4204
Medical Records/HIM
(802)-334-3266
FAX (802)-334-4105
Please enter any deductible, co-insurance, co-pay, and maximum
out-of-pocket amounts remaining on your insurance plan. If you do not include these amounts, your estimate may not be accurate.
NO SURPRISES ACT
HELPING YOU UNDERSTAND YOUR RIGHTS AGAINST SURPRISE MEDICAL BILLS
Starting in 2022, there are new protections that prevent surprise medical bills. If you’re uninsured or you decide not to use your health insurance for a service, under these protections, you can often get a good faith estimate of the cost of your care upfront, before your visit.
The No Surprises Act also protects you from unexpected out-of-network bills for most emergency services. You can only be billed what your balance would be for emergency services at an in-network facility.
For more information, go to the “Learn More” button below.
Select a link below to read more:
NCH – Financial Assistance Form 2023
Understanding Your Hospital Bill
Download Hospital Fee Schedule
>Permission for Disclosure of Medical Information Form – As long as you do not object, your healthcare provider is allowed to share or discuss your health information with your family, friends, or others involved in your care. This consent provides the necessary permission to do so.
>Protected Health Information Release Authorization Form
>Protected Health Information Release Authorization Form (12-17 year olds)
Vermont Department of Financial Regulation
Consumer Services
800-964-1784