VVMC financial counselors (970) 477-3116 
 
Medical and cancer treatment can sometimes be accompanied by financial concerns. Vail Valley Medical Center (VVMC) is committed to providing care to individuals in Eagle County as well as the surrounding areas that have medical conditions requiring our services after illness, injury, or disease.
 
Financial assistance is available to all individuals for emergent or urgent care regardless of where they live, and to individuals with a primary residence (live in for over 6 months out of the year) in Eagle County for all services provided by VVMC, except elective services such as teeth extractions, voluntary sterilizations, cosmetic surgery and routine eye exams. Financial assistance is also available for individuals obtaining services from VVMC that are offered at VVMC locations outside of Eagle County for individuals with a primary residence in the county in which VVMC services are provided.
 
VVMC tries to make sure that the financial situation of individuals who need health care services does not prevent them from seeking or receiving care. Should individuals in the community need help in getting short term, acute hospital services because of an inability to pay, they should contact VVMC to discuss options related to financial assistance, charity care and VVMC’s payment options.
 
Individuals who come to VVMC are screened to identify potential sources of payment for services. In addition, an estimate of the actual cost to the patient, often called the patient’s responsibility, will be provided (excluding emergency room and urgent care visits).
 
These payment sources may include, but are limited to:
  • Personal insurance 
  • Government sponsored insurance such as Medicare or Medicaid 
  • Individual’s personal resources and ability to pay  
  • Third Party Liability payors (Auto, Worker’s Compensation)
 
Assistance with applications for Medicaid or other sources as well as completion of VVMC’s financial paperwork will be provided upon request.
 
Individuals that are eligible for financial assistance include, but are not limited to
  • Those that are uninsured 
  • Those with an annual family income that is not more than 350 percent of the Federal poverty guidelines 
  • Those who do not qualify for any other source of payment, such as COBRA  
  • Guidelines for determining eligibility for financial assistance shall be applied consistently. VVMC shall not discriminate against patients applying for financial assistance based on race, color, national origin, sex, age, or disability. In determining a patient's eligibility for financial assistance, Patient Financial Services ("PFS") and VVMC's financial counselors will assist the patient (including referral to outside resources) in determining if he/she is eligible for government-sponsored programs, and to educate and assist them in understanding insurance coverages offered through the Colorado health insurance exchange. 
Based on your financial need, VVMC may also be able to assist you with balances owed after your hospitalization. A zero percent interest payment plan may be set up at no charge with small monthly payments. For more information please call (888) 209-7711.
 
Thank you for choosing Vail Valley Medical center for your health care needs. We are committed to improving the health and well being of everyone in our community. To that end, we are pleased to offer our financial assistance to help individuals and families who need assistance.
 
There are several non-profit organizations that can assist patients in covering expenses such as co-pays, deductibles, or other medical costs. These organizations are not a part of Vail Valley Medical Center and each has its own set of criteria for eligibility. To learn more and determine if you qualify, it is best to contact the organization directly.
 
Colorado Peak is an online service for Coloradoans to screen themselves and apply for medical, food and cash assistance programs. Mountain Family Health Centers in the Edwards Pavilion is a certified application assistance site. To apply, visit Colorado Peak online, or visit MountainFamily.org for assistance.
 
Needy Meds is a 501(c)(3) non-profit information resource devoted to helping people in need find assistance programs to help them afford their medications and costs related to health care. They aim to be a source of accurate, comprehensive and up-to-date information on programs that help people facing financial stress in paying for medications and health care. For more information, visit www.needymeds.org.
 
Partnership for Prescription Assistance helps uninsured and financially struggling patients who lack prescription coverage get access to prescription assistance programs that offer medicines for free or nearly free. They offer a single point of access to more than 475 public and private programs, including more than 180 offered by pharmaceutical companies. Visit www.pparx.org for more information. 
 
There are several nonprofit organizations that can assist cancer patients in covering expenses such as co-pays, deductibles, or other medical costs.  These organizations are not a part of Vail Valley Medical Center and each organization has its own set of criteria for eligibility. To learn more and determine if you qualify, it is best to contact the organization directly.
 
  • The Cancer Financial Assistance Coalition helps cancer patients experience better health and well-being by limiting financial challenges through:
    • Facilitating communication and collaboration among member organizations.
    • Educating patients and providers about existing resources and linking to other organizations that can disseminate information about the collective resources of the member organizations.
    • Advocating on behalf of cancer patients who continue to bear financial burdens associated with the costs of cancer treatment and care.
Most insurance companies cover a portion or the whole cost of a screening mammogram; however, not all diagnostic mammograms are covered by insurance. Because each insurance plan varies, patients are encouraged to call their insurance company to verify their benefits. Additionally, a range of costs may be supplied by our Insurance Support Team by calling (970) 777-2902 or emailing insurancesupport@vvmc.com.
 
Breast Tomosynthesis 3D mammography is the most superior mammogram available. Medicare covers the 3D Tomosynthesis procedure however; some select insurance companies list this procedure as experimental, and are not covering the procedure. We recognize the issue and expect insurance companies to follow Medicare guidelines in the near future. Some of the private payers may cover the 3D mammogram.
 
Please call your insurance company or our Insurance Support Team at (970) 777-2902  to check your mammography benefits. 
  • Needy Meds is a 501(c)(3) nonprofit information resource devoted to helping people in need find assistance programs to help them afford their medications and costs related to health care. They aim to be a source of accurate, comprehensive and up-to-date information on programs that help people facing financial stress in paying for medications and health care.  For more information, visit www.needymeds.org.
 
  • Partnership for Prescription Assistance helps uninsured and financially struggling patients who lack prescription coverage get access to prescription assistance programs that offer medicines for free or nearly free. They offer a single point of access to more than 475 public and private programs, including more than 180 offered by pharmaceutical companies. Visit www.pparx.org for more information.
 
Many patients find it helpful to estimate their cost of services prior to receiving care. Vail Valley Medical Center's Insurance Support Team is available to provide estimates of anticipated charges for hospital services and procedures, including:
 
  • Diagnostic testing
  • Rehabilitative therapies
  • Obstetrics and childbirth
  • Oncology services
  • Surgery
 
Call our Insurance Support Team at (970) 777-2902 or email insurancesupport@vvmc.com with the following information (available from your physician's office):
 
  • Are outpatient or inpatient services scheduled?
  • What is your chief complaint? If you have the primary ICD-9 (International Classification of Diseases) diagnosis code for the scheduled services, please provide this information.
  • What is the name of the procedure to be performed? If you have the CPT (Current Procedural Terminology) five-digit code for the scheduled services, please provide this information.
 
Please be aware that the estimates provided through this service are a range of costs. A person’s medical needs may require more or less care than estimated, and a patient will be billed for the specific services and care delivered. For a more specific estimate, we recommend patients contact their insurance provider directly. All estimates are confidential.
El Centro Médico de Vail Valley (“VVMC”) tiene el compromiso de proveer atención a individuos en el Condado de Eagle, Summit y sus alrededores quienes tienen condiciones médicas que requieren de nuestros servicios por enfermedad o lesión. El VVMC trata de asegurar que la situación financiera de los individuos que necesitan servicios de salud no impida que busquen o reciban cuidados médicos. En el caso de que un individuo de la comunidad necesite ayuda para obtener servicios de corto plazo o agudos en el hospital por incapacidad de pago, debe comunicarse con el VVMC para hablar de las opciones de asistencia financiera, atención caritativa, y opciones de pago del VVMC.
 
Aquellos individuos que se acercan al VVMC son sometidos a una revisión para identificar fuentes reales y potenciales de pago por los servicios. Además, se brindará al paciente una estimación del costo final, a menudo denominado responsabilidad del paciente (excluyendo visitas al Cuarto de Emergencias y Urgencias).
 
Estas fuentes de pago pueden incluir pero no se limitan a:
  • Seguro personal.
  • Seguro patrocinado por el gobierno como Medicare o Medicaid.
  • Los recursos personales y la capacidad de pago del individuo. 
 
Se brindará asistencia a pedido para las solicitudes de Medicaid u otros recursos y también para completar el papeleo financiero de VVMC a todos los individuos que cumplen con los requisitos de admisión hospitalaria federales y estatales.
 
Entre los individuos que califican para asistencia financiera se incluyen, entre otros:
  • Aquellos no asegurados.
  • Aquellos cuyo ingreso anual familiar no supera el 250% de las líneas de pobreza federales.
  • Aquellos que no califican para ninguna otra fuente de pago. 
 
En base a su necesidad financiera, el VVMC podrá también asistirle con el saldo adeudado después de su hospitalización. Podrá desarrollarse un plan de pago que funcione dentro de su presupuesto familiar.
Si tiene preguntas o necesita asistencia, por favor comuníquese con los concejeros financieros del VVMC:
 
Existen varias organizaciones sin fines de lucro que pueden ayudar a los pacientes a cubrir gastos como el co-pago, franquicia, y otros costos médicos. Estas organizaciones no forman parte del Centro Médico de Vail Valley, y cada una tiene su propio conjunto de criterios para la calificación. Para saber más y determinar si usted califica, lo mejor es comunicarse directamente con la organización.
 
  • Colorado Peak es un servicio online para residentes de Colorado para pasar por una revisión y aplicar para programas de asistencia médica, alimentaria y financiera. La sede de los Centros de Salud Mountain Family en el Edwards Pavilion es un local certificado para la asistencia en esta aplicación. Para aplicar, visite Colorado Peak online, o visite MountainFamily.org para recibir ayuda.
 
  • Needy Meds es un recurso de información sin fines de lucro 501(c)(3) dedicado a ayudar a personas necesitadas a encontrar programas de asistencia que les ayuden a pagar sus medicamentos y otros costos relacionados con su atención médica. Ellos apuntan a ser una fuente de información correcta, detallada y actualizada sobre programas que ayudan a personas bajo presión financiera a pagar por sus medicamentos y atención médica. Para mayor información, visite www.needymeds.org.
 
  • Partnership for Prescription Assistance ayuda a pacientes no asegurados y bajo presión financiera que carecen de cobertura para medicamentos a acceder a programas de asistencia medicinal que ofrecen medicamentos gratis o casi gratis. Ellos ofrecen un único punto de acceso a más de 475 programas públicos y privados, incluyendo más de 180 programas ofrecidos por empresas farmacéuticas. Visite www.pparx.org para obtener más información.
 
Muchos pacientes consideran útil obtener una estimación del costo de los servicios antes de recibir tales servicios. El Equipo de Asistencia para Seguros del Centro Médico de Vail Valley está a su disposición para brindar aproximaciones de los costos por los servicios y procedimientos clínicos previstos, incluyendo:
 
  • Estudios de diagnóstico
  • Terapias de rehabilitación
  • Obstetricia y nacimiento
  • Servicios oncológicos
  • Cirugía
 
Comuníquese con nuestro Equipo de Asistencia para Seguros al (970) 777-2902 o por correo electrónico a insurancesupport@vvmc.com con la siguiente información (la cual puede obtener en la oficina de su doctor):
 
  • ¿Tiene arregladas fecha y hora para los servicios ambulatorios o de internación?
  • ¿Cuál es su problema principal? Si tiene el código de diagnóstico de la Clasificación Internacional de Enfermedades (ICD-9) para los servicios arreglados, por favor dé esta información.
  • ¿Cuál es el nombre del procedimiento a realizarse? Si tiene el código de 5 dígitos de la Terminología Vigente de Procedimientos (CPT) para los servicios arreglados, por favor dé esta información.
 
Por favor tenga en cuenta que las aproximaciones obtenidas a través de este servicio son una serie de costos. Las necesidades médicas de una persona pueden requerir más o menos servicios que los estimados, y el paciente recibirá la facturación de los servicios y la atención específicos que han sido llevados a cabo. Para una aproximación más específica, recomendamos a los pacientes que se comuniquen con su empresa de seguros directamente. Todas las aproximaciones son confidenciales.
 
Gracias por elegir al Vail Valley Medical Center para sus necesidades de cuidado de atención médica.  Estamos comprometidos a mejorar la salud y el bienestar de todos los miembros de nuestra comunidad.  Con ese fin, tenemos el placer de ofrecerles nuestra ayuda financiera para ayudar a individuos y familias que necesitan asistencia.