INSURANCE & BILLING

INSURANCE & BILLING

Insurance & Billing Questions

The Telluride Regional Medical Center is dedicated to providing the highest quality, cost-effective medical care. We accept all major credit cards and offer payment installments. Regardless of your insurance situation, you’ll always receive the care you need here.

Balances & Payment Options

Questions about an outstanding patient balance, payment options (including making a payment over the phone), available discounts or need to report insurance for a past visit?

Insurance Claims

Questions about your claim, how your insurance processed your claim or questions about the line items on your claim, contact us at 970-369-2390.

In Network

Telluride Regional Medical Center is in-network with the following insurance companies:

  • Aetna
    (PPO only, Open Access & Choice POS II)

  • Blue Cross Blue Shield
    (Primary Care only)

  • CHP+
    (RMHP and CO Access only)

  • CIGNA

  • Colorado Medicaid

  • Medicare

  • Multiplan/PHCS

  • Rocky Mountain Health Plans

  • UMR

  • United Healthcare & Affiliates

  • Tricare & All Military Plans

Not in Network

If your insurance is not in network with the Telluride Regional Medical Center we will submit your claim(s) as a courtesy to you and will ask for payment at time of service.

  • Since Telluride Regional Medical Center is out of network with your insurance company they often times will pay the patient directly.

  • If your insurance company pays Telluride Regional Medical Center instead of you, a refund will be issued within 2 weeks of receiving the payment.

No Coverage

If you do not have health care insurance we offer the following options to assist you in paying charges for services :

  • You are eligible for a discount if all charges are paid within a month by cash, check or credit card.

  • A payment plan can be set up.

  • If you have limited income, you may be eligible for a sliding fee scale. Please ask our staff for more information.

If you are not covered by health insurance, you are strongly encouraged to contact our Billing department, (970) 728-3848 x190, to discuss payment options prior to receiving services from our healthcare facilities, as posted prices may not reflect the actual amount of your financial responsibility.

Price Transparency

A list of pricing for common procedures and services provided at the Telluride Regional Medical Center.

There are a range of charges for uninsured self-pay patients depending on the level of service for those who are treated in our clinics. For details regarding services and rates, click the button below.

The Telluride Regional Medical Center does offer payment assistance programs. Learn more about them below under Care Support Applications.

VIEW 2022 SERVICES AND RATES
SURPRISE BILLING – KNOW YOUR RIGHTS (ENGLISH)
SURPRISE BILLING – KNOW YOUR RIGHTS (SPANISH)

Office Visits, Physical Exams & Procedures

Understanding your bill.

The price of health services for any given service is an estimate. The actual charges are dependent on a number of factors from the specific service received, the level of service, the overall health of the patient, and the contract that your insurance company might have with our facility. The the American Medical Association CPT Professional Codebook with rules and guidelines is used for determining the level of service for provided when receiving care at Telluride Regional Medical Center.

If you have health insurance, we encourage you to consult with your health insurance to determine accurate information about your financial responsibility. If you are not covered by health insurance or have a high deductible health plan, you are encouraged to contact our billing office at (970) 728-3848 x4.

Financial Assistance Applications

Financial Assistance Forms offer an opportunity for uninsured and under-insured patients to apply for financial assistance.

To apply, please fill out and return to Telluride Regional Medical Center:

Payment at the time of service is an estimate. From time to time, adjustments are made based on the services provided. If an adjustment is made, you will either receive a bill or a refund for the difference.

Insurance Resources

Resources to help you make smart health insurance decisions for you and your family.

The Colorado Division of Insurance is a state agency available to help you with questions regarding:

  • Benefits

  • Cost

  • Options

  • Prescriptions

  • Doctors

Let them point you in the right direction to help you make smart health insurance decisions for you and your family.

Download one of their helpful brochures below or visit them at dora.colorado.gov/healthinsurance.

If you are in the Denver metro area, call them direct at: 303-894-7490. Outside the metro area call toll-free at: 800-930-3745

Helpful links

Helpful Links

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