With the exception of co-payment amounts, the medical center expects full payment within 30 days of the billing date shown on your statement.

Kapiʻolani accepts payments made by cash, check, money order, or credit card. We accept Visa, MasterCard, American Express, Discover and JCB. Payments can be made in the following ways:

• By Mail: Use the return envelope that came with your billing statement to make a payment by check, money order or credit card
• In Person Stop by our Cashiers Office to make a payment in person. The Cashiers Office is located on the ground floor of the hospital in the main lobby.
• By Phone: Credit card payments can be made by calling Customer Service at (808) 522-4013.

Patients who find it difficult to pay their bill in full within 30 days should contact a customer service representative at (808) 522-4013. Kapiʻolani has several payment options available, including Financial Assistance.

Financial assistance is available for those individuals who are uninsured or underinsured or who are experiencing financial hardship. Eligible patients would be those who have limited financial resources to pay for an individual insurance policy and who do not qualify for Hawaiʻi Medicaid. Your inability to pay for care should not prevent you from receiving medically necessary services.

To learn more about our Patient Financial Assistance Program, please contact our Customer Service Department at (808) 522-4013 on Oʻahu, (866) 266-3935 Neighbor Islands or stop by and meet with our Financial Counselors in the Financial Services Dept., located on the 1st floor of the Main Lobby. Business hours: Monday-Friday 8:00 a.m.-4:00 p.m.

Your visit to Kapiʻolani may result in billing from various service providers. In addition to the hospital bill you may receive separate billings from professional providers who assisted with your care. These professionals may include, but are not limited to your:

• Attending physician
• Radiologist
• Cardiologist
• Anesthesiologist
• Ambulance company
• Emergency medical technician 

Many insurance companies have amounts which the patient must pay. The amount may be for a co-insurance payment, deductible or an out of pocket expense (an expense not covered by your insurance provider).

If you have questions about why your insurance did not pay a portion of your claim, you should contact your insurance company directly. You may also receive a bill if your insurance company does not process our claims by their due date or if they deny coverage of your service.

If you receive a statement that does not show insurance processing, you should contact your insurance company to determine the reason for delay / denial.

Co-payments are due at the time of service. If you are unsure of your co-payment responsibility please contact your insurance plan. If you are an inpatient, our financial counselors will obtain the deductible information at the time they check your eligibility. Kapiʻolani expects co-payment amounts to be paid at the time of service. Please be prepared to pay your co-payment when you check in.

The specific requirements and responsibility for completing pre-certification or notification depend on several things:

1. Contract agreements between Kapiʻolani and your insurance company, or
2. The requirements as defined by your insurance or employer group plan

In many cases, Kapiʻolani can assist with these requirements if we have a contract with your company.

However, if you have questions about your responsibility for completing these requirements, you should contact your insurance company directly. You may have to pay a higher deductible or coinsurance amount if these steps are not completed.

The charge for services included on your bill is based on many factors that vary from hospital to hospital, including the costs of buying medications, surgical equipment and other supplies; powering and maintaining hospital buildings; paying highly-trained healthcare workers; and purchasing up-to-date medical technology.

Charges are usually revised on an annual basis. These changes are made at the beginning of our fiscal year, which is July 1st. However, as technology and resource needs change, we may have to update our charges at other times during the fiscal year.

-------------------------------------

The machine readable file linked below was mandated by the Centers for Medicare and Medicaid Services (CMS) Hospital Pricing Transparency Ruling.  For a more user friendly way to get an estimate of our services, you can find our convenient Patient Estimator Tool at https://mychart.hawaiipacifichealth.org/GuestEstimates.

» Hospital Standard Charges

--------------------------------------

Regardless of a hospital's charges, the government determines how much the hospital is paid for a service for those enrolled in a federal and/or state program like Medicare or Medicaid, and local negotiations determine how much a hospital is paid by those enrolled in commercial health plans, such as HMSA, HMAA, and UHA. Your insurance company determines your share of the amount paid for services based on your health plan benefits. The HPH Patient Estimator tool can provide you estimated patient share amounts for 300 of the most common services provided. You may also contact your insurance company, whether that is a commercial health insurance company, Medicare or a state Medicaid program.

For uninsured patients who do not qualify for financial assistance, Kapiʻolani offers a discount off of its charges so uninsured patient can take advantage of similar discounts those the hospital offers to health plans. The charge for services provided is based on many factors that vary from hospital to hospital, including the costs of buying medications, surgical equipment and other supplies; powering and maintaining hospital buildings; paying highly-trained healthcare workers; and purchasing up-to-date medical technology.

See Kapiʻolani's uninsured discount policy

The best way for patients to determine their out-of-pocket costs in advance of obtaining services is to contact their insurer, whether that is a commercial health insurance company, Medicare or a state Medicaid program.

These are documents showing a detailed listing of how your insurance company processed your claim or bill. An EOB or EOP is mailed by your insurance company directly to you.

Patients admitted to the hospital (inpatients) will receive separate bills for some services. Your hospital bill will include charges for your room, food, medical supplies and services, and any tests or procedures that you undergo, including X-rays.

Patients seen in a clinic or outpatient setting may receive separate bills for some services. Your clinic or outpatient bill may include charges for the use of the facility and any tests or procedures done at the time of your appointment, Many of the outpatient clinics or departments are considered hospital outpatient departments (also called provider-based) by Medicare.

“Provider-based” refers to billing for services rendered in a hospital outpatient clinic or location. This is a national model of practice for large integrated delivery systems (like Pali Momi) where the hospital owns space and employs support personnel involved in patient care.

• Pali Momi Heart Center
• Pali Momi Oncology Clinic in the HPH Cancer Center at Pali Momi Medical Center

Depending on the clinical services being provided, additional out-of-pocket expenses for Medicare patients may be incurred in the “provider-based” clinic.

With the exception of co-payment amounts, the medical center expects full payment within 30 days of the billing date shown on your statement.

Pali Momi accepts payments made by cash, check, money order, or credit card. We accept Visa, MasterCard, American Express, Discover and JCB. Payments can be made in the following ways:

• By Mail: Use the return envelope that came with your billing statement to make a payment by check, money order or credit card
• In Person Stop by our Cashiers Office to make a payment in person. The Cashiers Office is located on the second level of Pali Momi near the Admissions / Registration office.
• By Phone: Credit card payments can be made by calling Customer Service at (808) 485-4546.

Patients who find it difficult to pay their bill in full within 30 days should contact a customer service representative at (808) 522-4013. Pali Momi has several payment options available, including Financial Assistance.

inancial assistance is available for those individuals who are uninsured or underinsured or who are experiencing financial hardship. Eligible patients would be those who have limited financial resources to pay for an individual insurance policy and who do not qualify for Hawaiʻi Medicaid. Your inability to pay for care should not prevent you from receiving medically necessary services.

To learn more about our Patient Financial Assistance Program, please contact our Customer Service Department at (808) 522-4013 on Oʻahu, (866) 266-3935 Neighbor Islands or stop by and meet with our Financial Counselors in the Financial Services Dept., located on the 2nd floor of the hospital.
Business hours: Monday-Friday 8:00 a.m. - 4:00 p.m.

`

Your visit to Pali Momi may result in billing from various service providers. In addition to the hospital bill you may receive separate billings from professional providers who assisted with your care. These professionals may include, but are not limited to your:

• Attending physician
• Radiologist
• Cardiologist
• Anesthesiologist
• Ambulance company
• Emergency medical technician

Many insurance companies have amounts which the patient must pay. The amount may be for a co-insurance payment, deductible or an out of pocket expense (an expense not covered by your insurance provider).

If you have questions about why your insurance did not pay a portion of your claim, you should contact your insurance company directly. You may also receive a bill if your insurance company does not process our claims by their due date or if they deny coverage of your service.

If you receive a statement that does not show insurance processing, you should contact your insurance company to determine the reason for delay / denial.

Co-payments are due at the time of service. If you are unsure of your co-payment responsibility please contact your insurance plan. If you are an inpatient, our financial counselors will obtain the deductible information at the time they check your eligibility. Pali Momi expects co-payment amounts to be paid at the time of service. Please be prepared to pay your co-payment when you check in.

The specific requirements and responsibility for completing pre-certification or notification depend on several things:

1. Contract agreements between Pali Momi and your insurance company, or
2. The requirements as defined by your insurance or employer group plan

In many cases, Pali Momi can assist with these requirements if we have a contract with your company.

However, if you have questions about your responsibility for completing these requirements, you should contact your insurance company directly. You may have to pay a higher deductible or coinsurance amount if these steps are not completed.

The charge for services included on your bill is based on many factors that vary from hospital to hospital, including the costs of buying medications, surgical equipment and other supplies; powering and maintaining hospital buildings; paying highly-trained healthcare workers; and purchasing up-to-date medical technology.

Charges are usually revised on an annual basis. These changes are made at the beginning of our fiscal year, which is July 1st. However, as technology and resource needs change, we may have to update our charges at other times during the fiscal year.

-------------------------------------

The machine readable file linked below was mandated by the Centers for Medicare and Medicaid Services (CMS) Hospital Pricing Transparency Ruling.  For a more user friendly way to get an estimate of our services, you can find our convenient Patient Estimator Tool at https://mychart.hawaiipacifichealth.org/GuestEstimates.

» Hospital Standard Charges

-------------------------------------

Regardless of a hospital's charges, the government determines how much the hospital is paid for a service for those enrolled in a federal and/or state program like Medicare or Medicaid, and local negotiations determine how much a hospital is paid by those enrolled in commercial health plans, such as HMSA, HMAA, and UHA. Your insurance company determines your share of the amount paid for services based on your health plan benefits. The HPH Patient Estimator tool can provide you estimated patient share amounts for 300 of the most common services provided. You may also contact your insurance company, whether that is a commercial health insurance company, Medicare or a state Medicaid program.

For uninsured patients who do not qualify for financial assistance, Pali Momi offers a discount off of its charges so uninsured patient can take advantage of similar discounts those the hospital offers to health plans. The charge for services provided is based on many factors that vary from hospital to hospital, including the costs of buying medications, surgical equipment and other supplies; powering and maintaining hospital buildings; paying highly-trained healthcare workers; and purchasing up-to-date medical technology.

See Pali Momi's uninsured discount policy »

The best way for patients to determine their out-of-pocket costs in advance of obtaining services is to contact their insurer, whether that is a commercial health insurance company, Medicare or a state Medicaid program.

These are documents showing a detailed listing of how your insurance company processed your claim or bill. An EOB or EOP is mailed by your insurance company directly to you.

Patients admitted to the hospital (inpatients) will receive separate bills for some services. Your hospital bill will include charges for your room, food, medical supplies and services, and any tests or procedures that you undergo, including X-rays.

Patients seen in a clinic or outpatient setting may receive separate bills for some services. Your clinic or outpatient bill may include charges for the use of the facility and any tests or procedures done at the time of your appointment, Many of the outpatient clinics or departments are considered hospital outpatient departments (also called provider-based) by Medicare.

“Provider-based” refers to billing for services rendered in a hospital outpatient clinic or location. This is a national model of practice for large integrated delivery systems (like Straub) where the hospital owns space and employs support personnel involved in patient care.

• Straub Benioff Medical Center – First Insurance Center Clinic
• Straub Benioff Medical Center – King Street Clinic
• Straub Benioff Medical Center – Kailua Clinic
• Straub Benioff Medical Center – Kaneohe Clinic
• Straub Benioff Medical Center – Hawaiʻi Kai Clinic
• Straub Benioff Medical Center – Mililani Town Center Clinic
• Straub Benioff Medical Center – Pearlridge Clinic

Depending on the clinical services being provided, additional out-of-pocket expenses for Medicare patients may be incurred in the “provider-based” clinic.

With the exception of co-payment amounts, the medical center expects full payment within 30 days of the billing date shown on your statement.

Straub accepts payments made by cash, check, money order, or credit card. We accept Visa, MasterCard, American Express, Discover and JCB. Payments can be made in the following ways:

• By Mail: Use the return envelope that came with your billing statement to make a payment by check, money order or credit card
• In Person Stop by our cashiers office or the Admitting/Registration office which is located on the ground floor of Straub. Also, payments can be made at any of our front desk areas through the clinics or hospitals.
• By Phone: Credit card payments can be made by calling Customer Service at (808) 522-4013.

Patients who find it difficult to pay their bill in full within 30 days should contact a customer service representative at (808) 522-4013. Straub has several payment options available, including Financial Assistance.

Financial assistance is available for those individuals who are uninsured or underinsured or who are experiencing financial hardship. Eligible patients would be those who have limited financial resources to pay for an individual insurance policy and who do not qualify for Hawaiʻi Medicaid. Your inability to pay for care should not prevent you from receiving medically necessary services.

To learn more about our Patient Financial Assistance Program, please contact our Customer Service Department at (808) 522-4013 on Oʻahu, (866) 266-3935 Neighbor Islands or stop by and meet with our Financial Counselors in the Financial Services Dept., located on the 1st floor of the Main Lobby.

Business hours: Monday-Friday 8:00 a.m. - 4:00 p.m.

Many insurance companies have amounts which the patient must pay. The amount may be for a co-insurance payment, deductible or an out of pocket expense (an expense not covered by your insurance provider).

If you have questions about why your insurance did not pay a portion of your claim, you should contact your insurance company directly. You may also receive a bill if your insurance company does not process our claims by their due date or if they deny coverage of your service.

If you receive a statement that does not show insurance processing, you should contact your insurance company to determine the reason for delay / denial.

Co-payments are due at the time of service. If you are unsure of your co-payment responsibility please contact your insurance plan. If you are an inpatient, our financial counselors will obtain the deductible information at the time they check your eligibility. Straub expects co-payment amounts to be paid at the time of service. Please be prepared to pay your co-payment when you check in.

The specific requirements and responsibility for completing pre-certification or notification depend on several things:

1. Contract agreements between Straub and your insurance company, or
2. The requirements as defined by your insurance or employer group plan

In many cases, Straub can assist with these requirements if we have a contract with your company.

However, if you have questions about your responsibility for completing these requirements, you should contact your insurance company directly. You may have to pay a higher deductible or coinsurance amount if these steps are not completed.

The charge for services included on your bill is based on many factors that vary from hospital to hospital, including the costs of buying medications, surgical equipment and other supplies; powering and maintaining hospital buildings; paying highly-trained healthcare workers; and purchasing up-to-date medical technology.

Charges are usually revised on an annual basis. These changes are made at the beginning of our fiscal year, which is July 1st. However, as technology and resource needs change, we may have to update our charges at other times during the fiscal year.

-------------------------------------

The machine readable file linked below was mandated by the Centers for Medicare and Medicaid Services (CMS) Hospital Pricing Transparency Ruling.  For a more user friendly way to get an estimate of our services, you can find our convenient Patient Estimator Tool at https://mychart.hawaiipacifichealth.org/GuestEstimates.

» Hospital Standard Charges

-------------------------------------

Regardless of a hospital's charges, the government determines how much the hospital is paid for a service for those enrolled in a federal and/or state program like Medicare or Medicaid, and local negotiations determine how much a hospital is paid by those enrolled in commercial health plans, such as HMSA, HMAA, and UHA. Your insurance company determines your share of the amount paid for services based on your health plan benefits. The HPH Patient Estimator tool can provide you estimated patient share amounts for 300 of the most common services provided. You may also contact your insurance company, whether that is a commercial health insurance company, Medicare or a state Medicaid program.

For uninsured patients who do not qualify for financial assistance, Straub offers a discount off of its charges so uninsured patient can take advantage of similar discounts those the hospital offers to health plans. The charge for services provided is based on many factors that vary from hospital to hospital, including the costs of buying medications, surgical equipment and other supplies; powering and maintaining hospital buildings; paying highly-trained healthcare workers; and purchasing up-to-date medical technology.

See Straub's uninsured discount policy »

The best way for patients to determine their out-of-pocket costs in advance of obtaining services is to contact their insurer, whether that is a commercial health insurance company, Medicare or a state Medicaid program. For a rough estimation of your out-of-pocket costs, click here to use our patient cost estimator tool.

These are documents showing a detailed listing of how your insurance company processed your claim or bill. An EOB or EOP is mailed by your insurance company directly to you.

When you receive a hospital bill for services from hospital departments, the bill includes many costs: facility charges, equipment, supplies, nursing services and other support personnel, etc. You may expect to receive bills for medical services from the hospital as well as from the physician and/or other providers who supplied medical services.

Because of government regulations, most hospital-based physicians and specialists bill their services separately from the hospital. The separate bill will be from your personal physician, surgeon or other independent supplier of medical services.

The chart below gives examples of medical services that require the attention of a physician who will send a separate bill for payment:

The Wilcox laboratory routinely performs tests on specimens for physicians statewide. Therefore, you may receive a hospital bill for laboratory services that your physician ordered, although you have not been to the hospital yourself.

The best way is to present your insurance card and all insurance information at the time of registration. A new account is usually set up for each visit to the hospital. This allows your insurance company to track any deductibles and your co-payments. If your card is not presented and the insurance does not cover these costs as a result, you will be responsible for full payment.

The charge for services included on your bill is based on many factors that vary from hospital to hospital, including the costs of buying medications, surgical equipment and other supplies; powering and maintaining hospital buildings; paying highly-trained healthcare workers; and purchasing up-to-date medical technology.

Charges are usually revised on an annual basis. These changes are made at the beginning of our fiscal year, which is July 1st. However, as technology and resource needs change, we may have to update our charges at other times during the fiscal year.

-------------------------------------

The machine readable file linked below was mandated by the Centers for Medicare and Medicaid Services (CMS) Hospital Pricing Transparency Ruling.  For a more user friendly way to get an estimate of our services, you can find our convenient Patient Estimator Tool at https://mychart.hawaiipacifichealth.org/GuestEstimates.

» Hospital Standard Charges

-------------------------------------

Regardless of a hospital's charges, the government determines how much the hospital is paid for a service for those enrolled in a federal and/or state program like Medicare or Medicaid, and local negotiations determine how much a hospital is paid by those enrolled in commercial health plans, such as HMSA, HMAA, and UHA. Your insurance company determines your share of the amount paid for services based on your health plan benefits. The HPH Patient Estimator tool can provide you estimated patient share amounts for 300 of the most common services provided. You may also contact your insurance company, whether that is a commercial health insurance company, Medicare or a state Medicaid program.

Most insurance companies, including Medicare, will not pay for routine physical check-ups. If you have screening tests, such as a chest X-ray, blood sugar test, a Pap smear or other similar screening test, your insurance may not pay. Contact your insurance carrier if you have questions about your coverage.

Wilcox will bill your insurance company for you. Due to the numerous differences in insurance benefits available, the hospital does not guarantee your insurance will pay. If your insurance does not pay within 30 days, you may be asked to pay the account balance. If you furnish complete information at registration, we will file your secondary insurance also.

You may apply for healthcare coverage. Both the admissions office and the business office will have Med Quest applications available for you. Applications need to be completed and submitted to the Med Quest office in Lihue within five days of the service date. To learn more about these programs online, visit our patient navigator area in patient services.

Financial assistance is available for those individuals who are uninsured or underinsured or who are experiencing financial hardship. Eligible patients would be those who have limited financial resources to pay for an individual insurance policy and who do not qualify for Hawaiʻi Medicaid. Your inability to pay for care should not prevent you from receiving medically necessary services. To learn more about our Patient Financial Assistance Program, please contact our Customer Service Department at (866) 266-3935 or stop by and meet with our Financial Counselors in the Financial Services Dept., located on the 1st floor of the Main Lobby. Business hours: Monday-Friday 8:00 a.m.-4:00 p.m.

Wilcox honors MasterCard, Visa, Discovery, JCB and American Express. Convenient payment plans can also be arranged.

Wilcox Health accepts payments made by cash, check, money order, or credit card. We accept Visa, MasterCard, American Express, Discover and JCB. Payments can be made in the following ways:

• By Mail: Use the return envelope that came with your billing statement to make a payment by check, money order or credit card
• In Person at the Wilcox Medical Center Same Day Surgery registration window Monday to Friday, 8 a.m. to 2 p.m. Or at Kauaʻi Medical Clinic Lihue Central Registration, located on the first floor Monday to Friday, 7:30 a.m. to 5 p.m.
• By Phone: Credit card payments can be made by calling Customer Service at (808) 245-1399.
• Online: Payments can be made online at mychart.hawaiipacifichealth.org with a MyChart account.

Wilcox is a nonprofit tax-exempt hospital. No excise taxes are added to our bills. Therefore, no excise tax credit may be claimed on your Hawaiʻi state tax return for our services.