Understanding Your Statement

Your insurance company or any responsible third parties are billed prior to sending you a final bill. All parties have processed these charges. The balance due on this statement is your portion of the bill and your responsibility to pay at this time.

You may have received one of two bill formats, depending on the date(s) of your medical services.

If your care took place prior to June 2, 2018, your bill may look like this:

Visit our previous billing statements page for futher instructions on how to pay your bill.

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If your bill looks like the image below, use the other dropdown accordion options on this page to choose your payment method.

Hospital and/or Doctor Bills

You may receive a separate bill from physicians for their services. In some cases, you may receive a bill from a physician you did not see, for such services as radiology imaging review, pathology specimen analysis, consultations, and anesthesia during surgery. In addition, you may receive a bill from the hospital even if you did not visit the hospital. Your physician may have sent a specimen to our hospital lab for analysis.

Definition of Terms

GUARANTOR ACCOUNT NUMBER: The number assigned to the party responsible for paying this bill.

GUARANTOR NAME: The person who was identified at the time of service as responsible for paying this bill. The responsible party may or may not be the person who received the services.

PATIENT NAME: This is the person who received the medical care/tests.

STATEMENT DATE: The date the statement was printed.

DUE DATE: Payment is due upon receipt.

ACCOUNT NUMBER: The number for the patient who received medical care/tests to match specific charges to specific dates of service. A patient may have more than one account number assigned to them.

DATE(S) OF SERVICE: The date or range of dates within which service was provided.

ADJUSTMENT: Changes to an account balance based on contractual agreements with insurance companies or regulatory requirements.

DISCOUNT: Reduction of charges based on various criteria.

Electronic Check Disclosure

When you provide a check as payment, you authorize us either to use information from your check to make a one time electronic fund transfer from your account or to process the payment as a check transaction. For inquiries please call 540.741.1041 or 800.395.2455.

When we use information from your check to make an electronic fund transfer, funds may be withdrawn from your account as soon as the same day to make your payment, and you will not receive your check back from your financial institution.

Financial Assistance

Financial Assistance is available through a special program offered by Mary Washington Healthcare. If you have concerns regarding your ability to pay your balance, please contact us at 540.741.1041 or 800.395.2455. Please see sections below to learn more about financial assistance.

Price transparency

Log into your MyChart account at mychart.mwhc.com or use the My MWHC MyChart app on your mobile device. Click on Billing to access any outstanding bills on your account. If you haven't yet enrolled in MyChart, use the 15-digit activation code provided in the green box on your statement to enroll in MyChart to pay bills, view test results and more.

If you have a single bill from Mary Washington Healthcare and do not wish to create a MyChart account, you are still able pay your bill online using MyChart as a guest. Head to mychart.mwhc.com and click the green Pay as Guest button in the right column.

In Person:

Visit the following locations to make a payment in person:

• Mary Washington Hospital

  Patient Access Cashier's Office
  1001 Sam Perry Blvd
  Fredericksburg, VA 22401

• Fall Hill Avenue

  Single Billing Office
  2300 Fall Hill Ave., Suite 101
  Fredericksburg, VA 22401

Over the Phone:

To pay with a credit or debit card contact us by telephone at 540.741.1041 or toll free 800.395.2455. We accept Visa, MasterCard, American Express and Discover.

Promotional Financing with the CareCredit credit card*

You can also pay your MWHC bill using CareCredit. CareCredit is a health, wellness and personal care credit card that gives you the ability to pay over time. Use CareCredit to pay deductibles, copays and out-of-pocket expenses not covered by insurance. Simply apply online at carecredit.com/HEALTH, call (855) 878-5952† or text HEALTH to 24553.

Get a credit decision within seconds. Once approved, you can use your card immediately.

Click here to pay your bill in the CareCredit portal.

*Subject to credit approval. Minimum monthly payments required. See carecredit.com for details.
^†Must be 18 or older to apply, must be 21 or older to apply by phone.

By Mail:

Cashier’s check, personal check, or credit card information can be mailed to the following address. Indicate Bill Number on the memo line of the check:

Mary Washington Healthcare
2300 Fall Hill Ave., Suite 313
Fredericksburg, VA 22401

If you believe you qualify for financial assistance, we are here to help.

A financial counseling specialist is available to review your account to determine the level of assistance we can offer. We first determine if you are eligible for financial assistance (free care). If you are ineligible, we will review your account to see if you are eligible for a discount. If you cannot pay the entire amount of the bill, we may set up a plan so you can pay your bill over time.

If you own your own home, you may still be eligible for either financial assistance (free care) or a discount on your bill. Mary Washington Healthcare does not count what your home is worth against you when we review what you are able to pay. We also do not count the first $10,000 you have in cash or in bank accounts.

All of your information is kept confidential and only used to determine whether you are eligible for financial assistance from Mary Washington Healthcare. We never share your information with any other organization.

Self-pay balances that have been billed for 240 days or greater may not qualify for a financial assistance discount.

Who qualifies for financial help?

Your care is medically necessary, and one of the following applies to you:

• You do not have health insurance, or
• You have health insurance but you have received a non-covered service, or
• You are not eligible for any government health benefits (for example Medicaid), or
• You cannot pay for care based on a determination of financial need according to MWHC policy.

Free care is provided to patients who do not have health insurance and do not have the money to pay their bills. Free care helps families with combined incomes that are at or less than 200 percent of the federal government’s poverty guidelines.

Read our brochure to find out who qualifies for financial help, how to apply for it, and other details.

Click here to review our Patient Financial Assistance Program policy.

To discuss your eligibility, we encourage you to call one of our financial counselors at 540.741.1041.

We recognize our role in providing access to medically necessary healthcare services for all persons regardless of their ability to pay or insurance status. Patient Financial Assistance Discounts at Mary Washington Healthcare are available and you may be eligible for help with the self-pay portion of your hospital bill. To see if you qualify, please follow the steps below:

STEP 1

If you are uninsured, please contact your local Social Services Department to apply for Medicaid or FAMIS. Contact one of the offices below to find the closest location:

• Fredericksburg: 540.372.1032
  Stafford: 540.658.8720
  Spotsylvania: 540.507.7898
  King George: 540.775.7181
  Caroline: 804.633.5071
• Fauquier: 540.422.8400
  Westmoreland: 804.493.9305
  Culpeper: 540.727.0372
  Louisa: 540.967.1320
  Orange: 540.672.1155

OPTION A: You can complete the Patient Financial Assistance application in MyChart, Mary Washington Healthcare's Electronic Medical Record. If you do not have a MyChart account, it takes minutes to create. Head to mychart.mwhc.com to get started.

OPTION B: Complete then print the Patient Financial Assistance application (carta de presentación y Solicitud de Ayuda Financiera) for all household members within 15 days. In addition to the application, you need to provide copies of the following:

• Proof of Income from all sources, for all household members*, which may include copies of the following:
  • 2 most recent pay stubs
  • 2 most recent bank statements
  • most recent federal tax return
  • official statement of disability or unemployment income
  • pension/annuity verification
  • child or spousal support documentation
  • educational assistance (grants, scholarships & employer tuition reimbursement)
  • interest, dividends, rents, royalties, income from estates or trusts
• Copies of state or federal assistance program verification (SNAP/food stamps, WIC, Medicaid, TANF, housing assistance, homeless clinic, free/reduced school lunch)
• Copies of medical insurance cards (front and back) if you have coverage
• If you applied and were denied Medicaid, a copy of the denial letter

*If you do not have any of the requested types of Proof of Income, please provide a notarized letter of support demonstrating how you are paying for your living expenses. This letter should be from a family member, friend or organization that is supporting your living needs.

Return application and all requested documents to:

Mary Washington Healthcare
Patient Access Department
Attn: Financial Counseling
1001 Sam Perry Blvd
Fredericksburg, VA 22401

Once we receive your application we will determine what programs you are eligible for and send you a letter regarding our decision. If you need help completing the application or if you have questions, call 855.330.4857 or 540.741.1041 Monday through Friday from 8:00 a.m. to 4:30 p.m. Mary Washington Healthcare Patient Financial Assistance Discounts are applied to all hospital-based or employed physician charges. Therefore, you may receive separate charges billed from your physicians separately.

MWHC maintains a list of physicians (“Provider List”) of all providers at MWHC delivering Emergency Care or Medically Necessary Services.

The following physician groups and their providers have agreed to provide the same level of financial assistance to patients when the patient meets the MWHC financial assistance criteria for their hospital bill.

• American Anesthesiology Associates of Virginia 1.888.280.9533
• Fredericksburg Emergency Medical Services 1.866.898.7138
• Sound Physicians 1.844.222.5808
• Pathology Associates of Fredericksburg 1.800.849.8085
• Radiology Associates of Fredericksburg 1.866.953.5869

However, patients will need to contact their respective physician/ physician group and provide a copy of the MWHC Financial Assistance approval letter.

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