Paying for your care
Axis Health System billing accepts a variety of payments.
We are dedicated to making sure everyone has access to our care.
If money is tight, you may qualify for our sliding-fee scale
Our sliding-fee application is for a discount of services based on your available resources. Please complete the application and return it to Axis Health System billing. Applications can be returned at any of our locations, mailed to P.O. Box 1328, Durango, CO 81302-1328 or faxed to 970.335.2439.
Frequently Asked Questions
Q: I don’t have insurance. Can I still become a patient?
A: Yes. Axis Health System Billing accepts self-pay patients at all of our clinic locations. We offer a sliding-fee scale discount program for uninsured and underinsured patients who qualify based on current Federal Poverty Guidelines. If you have questions on the sliding-fee scale, please call to learn more about your options, call 970.335.2342.
Q. Do you take my insurance?
We accept a wide variety of private insurance, Medicare, Medicaid and Children’s Health Plan (CHP+) plans. We make every effort to bill insurances; but there are insurances that we do not contract with, which can result in you being responsible for full payment at the time of service. In these instances, we will collect the charge from you and then we will give you what you need to file for reimbursement from your insurance company.
Knowing your benefits is an important part of being a consumer of healthcare. Calling your insurance company before your appointment will help you know what to expect financially. The number to call can be found on your insurance card. Asking your insurance a few key questions goes a long way to making sure you know your financial obligations:
- Is AHS “in network” with your insurance plan?
- Is a prior authorization needed before your appointment?
- What services are covered, and are there any exclusions you need to be aware of?
- Does your deductible apply?
Q. How does a sliding-fee scale work?
If you qualify, the sliding-fee scale discount program reduces your charges for services provided. Eligibility for the program requires patients to fill out an application, and provide proof of income and family size to determine eligibility for reduced fees. If you want to know if you qualify for the sliding-fee discount, it is important to complete and bring the Sliding-Fee Discount Applicationand two consecutive pay stubs (for all earners in the household) or the most recent year’s tax return to your first appointment. The sliding-fee discount program does not apply to DUI services or Detox stays.
Q. Can I use my dental insurance at your clinics that provide this service?
We accept all patients at our clinics that provide dental care, but we do not accept dental insurance. If you would like to receive care, and you do have dental insurance, we can provide you information to submit your own claims.
Q. How do I know if I qualify for Medicaid?
We offer Medicaid application assistance and coordination. Ask the front desk staff to direct you to an AHS staff member who can help you. It is important to know that there are different qualifications for Medicaid if you live in Colorado or New Mexico, which may impact your coverage and payment amount.
Q. I have Medicaid. How does that work?
Medicaid is treated like any other insurance coverage. Depending on the services you receive, you may or may not have a small co-pay. When a co-pay is required, it will be due at the time of service.
Q. What payments do you accept?
We accept credit/debit cards, personal checks or cash. Payment is expected at the time of service. Give us a call if you need to make payment arrangements.
Q. Will my financial information remain cofidential?
We receive funding from local, state, federal and grant-funding sources that require AHS to collect financial information (income and insurance information) from our patients in order demonstrate compliance with federal and state requirements and for AHS to continue to receive this funding. This information is not shared outside of the normal course of healthcare operations. Under HIPAA, AHS is permitted to use and/or disclose health and demographic information to support billing and collection from appropriate payers as part of the healthcare operations.
Q. What if I can’t pay my entire bill at the time of service?
We will accept partial payment at the time of service and send a bill for the balance due. Payment for outstanding balances is expected within 30 days of the service. To speak to one of our billing specialists and learn more about your options, call 970.335.2342.
Q. What are the Axis Health System billing services most frequently used, and what are the charges associated with them?
Providers are required by law to post their most frequently used services and the costs associated with them. Click here to see Axis Health System Billing top 15 most frequently used services and costs. For additional clarification, please call our billing department.
Explanation of Benefits (EOB)
An EOB is the notice you receive from your insurance company after receiving services from healthcare provider. The EOB tells you what the service was, what was billed, the payment amount approved by your insurance, the amount that was paid to the provider and what you are required to pay under this contractual arrangement
A co-payment is the amount you pay when you go to a healthcare provider. Providers collect co-payments at the visit. Co-payment amounts are listed on your health insurance card. In some instances, amounts above the co-pay may be required, depending on your plan, the services and your deductible and/or co-insurance requirements.
A deductible is the annual expense you are required pay before your health insurance pays anything. Deductibles do not apply to all services, so it is important to understand your plan and its coverage. For example, your plan may require that you pay the first $1,000 of your healthcare bills before your health insurance pays anything. Your out-of-pocket cost is based on the total amount that your insurance has allowed for the visit – not on the clinic charges. In instances where the services you are receiving are subject to your deductible, you will be financially responsible for the charges until you have met your deductible. Once the deductible is met, the insurance company will then begin to pick up some of the financial responsibility for the services.
Co-insurance is a percentage of the healthcare bill that you pay. Some plans have a co-insurance requirements for which you are financially responsible. For example, under plans with 80/20 arrangements, you are responsible for paying 20% of the allowable charge, and your insurance company pays the other 80%. Your out-of-pocket cost, in this example the 20%, is based on the total amount that your insurance has allowed for the visit – not on the clinic charges.
Axis Health System is a provider of Colorado Crisis System Services. Funded in part by the Colorado Department of Human Services.
Axis Health System complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. Axis Health System does not exclude people or treat them differently because of race, color, national origin, age, disability or sex. For more information, click here.