COLORADO ADVANCED ORTHOPEDICS / PIONEERS MEDICAL CENTER

The Patient Financial Services Department (Business Office) provides a wide range of services to customers who have received care at our hospital, clinic, or long term care facility. In addition to billing insurance carriers (Medicare, Medicaid, and Commercial Insurances) or the person responsible for the bill, the Patient Financial Services staff at Pioneers Medical Center will also assist patients with their questions and help them to solve general and specific payment and billing related issues.

At Pioneers Medical Center we recognize that receiving and settling your bill can be a complex process. Our Patient Financial Services team is here to help you navigate through the process to help you understand your bill(s), insurance coverage, and payment options.

• Price Transparency Disclaimer
• 2023 Price Transparency
• 2023 Pioneers Medical Center Chargemaster
• 2023 Meeker Family Health Center Fee Schedule
• 2023 Colorado Advanced Orthopedics Fee Schedule
• Self Service Patient Estimator
• The Hospital Discounted Care Program / Patients Rights – English
• The Hospital Discounted Care Program / Patients Rights – Español
• The Hospital Discounted Care Program Application

Patient Accounting and Billing Services

As a courtesy to our customers, Pioneers Medical Center will bill your insurance directly if you provide complete and accurate information in a timely manner.

Co-pays, co-insurance or deductibles are due at the time of your service.

Depending on the type of care rendered, you may receive more than one bill: one for the professional services of the physician and one for the facility charge. Pioneers Medical Center contracts with several outside agencies to provide the most comprehensive care to our patients. Therefore, you may receive bills directly from those agencies, which may include: Mountain Radiology PC, Valley View Hospital, and Meeker Fire & Rescue District and DJO Global, LLC. Please contact them directly with questions.

We encourage you to stay involved with your insurance company to ensure your claim is paid.

We accept most insurances, including the following:

• Aetna/Cofinity
• Aetna Medicare Advantage
•  Anthem Blue Cross Blue Shield (Pioneers Medical Center is not contracted with the Mountain Enhanced product. Elective services provided at Pioneers may process as out of network. In-network with Medicare Advantage.)
•  CHP+
•  Cigna (Cigna EPO Connect and ISP plans are considered out of network; elective services are not covered.)
•  GEHA
•  Humana (Including Medicare Advantage)
•  Medicaid (Colorado)
•  Medicare
•  MultiPlan/PHCS
• Provider Networks of America (PNOA)
• Rocky Mountain Health Plans (Pioneers Medical Center is not contracted with the Rocky Mountain Valley product. Elective services provided at Pioneers may process as out of network.)
• TriCare
• Triwest (VA Community Care Network)
• UMR**
•  United Healthcare
•  Veteran’s Administration

*Please note, at this time, we do not accept Care Credit.

**Through UnitedHealth care, UMR and Health SCOPE Benefits creates and publish the Machine-Readable Files on behalf of Pioneers Medical Center. To link to the Machine-Readable Files, please click HERE.

This is not an all-inclusive list and is subject to change. Due to the different plans offered by these insurance companies, there is not a guarantee of coverage. Please verify coverage before receiving services. If you are seeing one of our specialists at Colorado Advanced Orthopedics, Sports Medicine & Spine, you may require a referral. You will need to contact your insurance company to determine if a referral is needed. If a referral is not on file prior to your visit, you may be financially responsible at the time of service.

For emergent care you may be asked to pay the estimated amount due upon discharge.

Following insurance settlement, you will be responsible for any remaining balance.

Are you Uninsured or Self-Pay?

Pioneers Medical Center offers a Prompt Pay Discount. You may receive a 20% discount off your total charges if paid at the time of your service or within 30 days of your first billing statement. This discount is available if you do NOT have insurance and are NOT eligible for Medicaid or our Financial Assistance Program.

What if I don’t have insurance or I have a balance after insurance has paid?

The team at Pioneers will do their best to work with you. You can pay Pioneers Medical Center by cash, check, or credit card.

All self-pay balances will be transferred to our Extended Business Office, AR Services, approximately 35 days from the date of the first statement generated by Pioneers Medical Center. You may pay them directly, or establish a payment plan if desired. You can set up or access your account through the following link: https://www.arservices.org/

A Pioneers Medical Center financial counselor can assist you in applying for financial assistance if you are eligible for either Hospital Discounted Care or our internal financial assistance program. Please visit: https://hcpf.colorado.gov/hospital-discounted-care.

Pioneers Medical Center has policies in place to provide financial assistance (charity care) to patients who are uninsured, under-insured, ineligible for Medicaid or meet specific criteria. We invite you to review our Patient Financial Assistance policy in English or in Spanish (Programa de Asistencia Financiera en Espanol).

Pioneers Payment Programs

• “MYLOANS” Payment Plan—If you would like to take more than 12 months to pay your bill, you may establish a plan with MyLoans. This plan allows you to set your own monthly payment (minimum of $20/per month) with a repayment of up to 60 months (5 years). You may consolidate and /or refinance your medical balance if necessary. Minimum balance that can be financed is $250. There are no applications to complete and all patients qualify and you must have a Social Security number. Simple interest applies. If you have any questions or are interested in enrolling in the MYLOANS program, please contact a Pioneers Medical Center Account Representative by calling (970) 878-9792.
• Medicaid—We encourage our self-pay patients to stop in and visit with our financial counselor to determine if they might qualify for Colorado Medicaid. As a Certified Application Assistant Site, we can help you online in the office or help you complete the paper application and verify the appropriate documents. The applications are available in both English and Spanish. You can also apply for Medicaid online in the convenience of your own home. If you are applying online for Medicaid and do not qualify, the PEAK (Program Eligibility and Application Kit) system will transfer you to the Connect for Health Colorado website where you can apply for insurance and take advantage of the tax credits.
• Payment plans are also available through our Extended Business Office, AR Services.
  • AR Services:
    • https://www.arservices.org/
    • 1-888-828-0007
    • (970) 242-2740

Pioneers appreciates prompt pay. However, A-1 Collection Agency may contact you if your bill is not paid in full within 120 days of your first billing statement (after insurance has settled) or if a payment plan has not been established and complied with. A-1 Collection Agency does report to the credit bureaus. We encourage you to work with us to avoid having your accounts sent to the collection agency.

If you get a bill you do not understand or may believe to be incorrect, please contact our PFS Department.

Contact Details

Pioneers Medical Center strives to make this process as pleasant as possible. Please call and give us the opportunity to work with you to resolve any issues you may have with your account.

Additional Phone Numbers

• • Financial Assistance Requirement & Application
  • Financial Assistance Requirement & Application – Español
  • Financial Assistance Policy – English
  • Financial Assistance Policy – Español
  • Good Faith Estimate – English
  • Good Faith Estimate – Español
  • Sliding Fee Scale
  • Surprise Billing – English
  • Surprise Billing – Español
  • Colorado Advance Directives–Medical Orders for Scope of Treatment (MOST) Form