Patients with Private Insurance

Sierra Kings Health Care District will submit bills to your insurance carrier to help you receive the full benefit of your healthinsurance plan. During registration, Sierra Kings will obtain information to assist with accurate and timely billing. A copy ofyour insurance card is needed to process your claim.

Your insurance policy is a contract between you and your insurance company. You should be familiar with the termsof your healthcare plan. Most plans do not provide 100% coverage for your hospital bill. You are responsible forcopayments, coinsurance, deductibles, and other charges not covered by your insurance plan. Most plans detailexclusions, services not covered, and plan maximums – please refer to your insurance plan document for specific detailsregarding what is covered and not covered under your insurance plan.

Most insurance companies issue the patient and the provider of service an explanation of benefits when the provider filesan insurance claim for services rendered. The explanation of benefits details the services rendered, information on howthe claim was processed and paid by the insurance company, and the patient share due to the provider, if applicable.
After Sierra Kings receives insurance payment for the claim, Sierra Kings begins billing the patient and/or guarantor forany patient share due. You will receive your first billing statement within 15 days of your insurance carrier paying theirportion of the bill.

If you have questions about the patient share assessed on your account by your insurance company, or the level ofbenefits paid, you may contact your insurance company via telephone or internet. You may also contact Sierra Kings’Billing department for assistance.

Two of the most common types of managed care plans are Health Maintenance Organizations (HMOs) and PreferredProvider Organizations (PPOs).

If you are covered by an HMO, a PPO, or another type of managed care insurance plan, your plan may have specialrequirements, such as pre-certification or pre-authorization for certain procedures. Each healthcare plan has its own setof rules, participating physicians and hospitals, radiology centers, and laboratories. It is your responsibility to ensure yourplan’s requirements are met in order to receive maximum reimbursement.

If you need to update your insurance information please call (559) 638-8155 from 8:00 a.m. to 5 p.m. or fax us your