Overview
TidalHealth bills all of the insurance companies you provide at registration for any hospital and physician services you receive. Please have your insurance cards or other insurance information available at the time of your arrival.
Once payment is received from the insurance company, the TidalHealth facility at which you received hospital services will bill you for any remaining balance.
On July 1, 2021, TidalHealth united all facilities with a new electronic medical record. If you received services at TidalHealth Nanticoke or a Sussex-based TidalHealth physician office prior to July 1, 2021, please pay your bill here. If you received service July 1, 2021 or after, please visit the “Pay Your TidalHealth Bill” link.
No Surprises Act
If you do not have insurance or are not using insurance for a non-emergency service, you have the right to a "Good Faith Estimate" explaining how much your medical care will cost in conjunction with scheduling.
For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises, or call the No Surprises Help Desk at 1-800-985-3059 or TidalHealth at 410-543-7700.
Balance Billing
When you get emergency care or are treated by an out-of-network provider at an in-network hospital or ambulatory surgical center, you are protected from balance billing. In these cases, you shouldn’t be charged more than your health plan’s copayments, coinsurance and/or deductible.
For questions or more information about your rights, visit, https://health.maryland.gov/Pages/Home.aspx, https://deha.org/, www.cms.gov/nosurprises, or call the No Surprises Help Desk at 1-800-985-3059 or TidalHealth at 410-912-6938.
Learn more about balance billing.
Transparency in Coverage Rule
Through UnitedHealthcare, UMR and HealthSCOPE Benefits creates and publishes the Machine-Readable Files on behalf of TidalHealth. To view these files, visit, transparency-in-coverage.uhc.com.
Understanding Your Insurance Coverage
It is important for you to understand the terms of your insurance coverage. Health insurance providers may have special requirements, such as using in-network providers or precertification needed prior to your admission. If your plan requirements are not followed, you could be held financially responsible for all or part of the services received during your hospitalization.
If you do not have insurance, payment is due at the time of service. Our financial counselors will discuss financial arrangements with you or will help you apply for Medical Assistance or investigate other programs that may help with your healthcare bill.
If you are unable to pay your bill, our financial assistance program provides free or reduced cost care for non-elective services to those in the community who are financially eligible. In order for us to determine eligibility, a patient must complete a financial assistance application.
Professional Physician Billing
Your hospital bill does not include charges for professional services provided by physicians involved with your care. They will bill you separately.
These physicians Include: Anesthesiologists, Radiologists, Surgeons, Pathologists, Emergency Physicians, and other specialty physicians.
Financial Assistance
Collection Policy
TidalHealth Patient Collection Practice
TidalHealth Nanticoke Collection Policy (prior to July 1st )
TidalHealth Nanticoke Collection Policy Plain Language Summary
TidalHealth Nanticoke will attempt to collect the patient liability portion of all bills in concert with federal and state laws and regulations. The patient liability may include deductibles and co-pays after insurance or the balance if they have no insurance.
After billing insurance and receiving payment or policy information, the Patient Financial Services Office will send a minimum of two statements to all patients with a balance great than $10.00 and attempt telephonic contact. If payment is not received, or payment arrangements are not made, a final notice will be mailed. If there is no attempt to pay the bill after the final notice, the account may be referred to an outside collection agency for continued collection effort.
Financial assistance information is made available to all patients via the website, tidalhealth.org, through the Patient Financial Services Office, notices on billing statements and available at registration upon request. Efforts are made to offer financial assistance and or payment plans to avoid the collection process.
Other Resources
TidalHealth Peninsula Regional Emergency Medical Treatment and Active Labor Act
Hospital Based Price Billing Per Unit Information
Need Help?
Contact us for assistance with your billing questions.
