Co-payments may be due at the time of services. Account balances are to be paid 21 days from the statement date. If you are unable to pay in full by that date, you should contact Customer Financial Services at (608) 775-8660 or (800) 362-9567 ext. 58660 to discuss other resources that may be available to you. We reserve the right to place any account on a cash basis or require a pre-payment before medical and/or dental services are rendered.
Payment on your account may be made by the following methods:
- Prompt pay discount on qualified charges for patients who do not have insurance
- Payment in full by personal check, MasterCard, Visa, Discover, or by securing your own bank loan
- Interest free financing that allows you to pay your bill in ten equal monthly payments for balances $500 and greater and a minimum of $50 per month for balance less than $500
- Financial Assistance may be available to patients who feel that they are unable to pay for all or part of their healthcare that they received from any Gundersen Health System facility or service. All patients who feel that they may be eligible are encouraged to apply. Financial assistance application forms are available upon request and without charge.
Please call (608) 775-8660, (800) 362-9567 ext. 58660 or e-mail firstname.lastname@example.org for additional information.
Financial Assistance Policy