ECRMC Awarded Hospital Accreditation from The Joint Commission

ECRMC has earned The Joint Commission’s Gold Seal of Approval® for Hospital Accreditation by demonstrating continuous compliance with its performance standards. The Gold Seal of Approval® is a symbol of quality that reflects an organization’s commitment to providing safe and effective patient care.

At El Centro Regional Medical Center it’s about you and your baby

ECRMC's Maternal Child provides family-centered care known as couplet care, in which mother, baby and a support person stay together from childbirth to discharge.

My IVhealth is an online health care information management tool for patients provided by ECRMC. All ECRMC inpatients over the age of 18 are eligible to sign-up.

It's Here...the da Vinci

With the help of the da Vinci® Si™ HD surgery system, patients can now experience shorter hospital stays, quicker return to normal activity, elimination of potential complications and minimal scarring.

Billing and Insurance

Patient Accounting at El Centro Regional Medical Center may perform the following as a courtesy to our patients:
 
Verify your insurance coverage.
Provide you with an estimated patient portion of charges as determined by your insurance plan.
Bill your primary and secondary insurance carriers as provided by you at the time of registration.
Answer questions from you or your insurance carrier regarding charges incurred.
Upon request, send you a statement showing insurance payment(s). Automatically generate statements for the patient responsibility as indicated by your insurance.
 
El Centro Regional Medical Center wishes to remain a valued community resource. For El Centro Regional Medical Center to remain financially strong, we must manage our business in a way that will attract the best health care professionals. It is important to acquire state-of-the-art equipment, maintain a safe and clean facility and provide 24-hour access for emergency services. State and federal regulations are very specific in regards to patient charges and bills.
 
Please know that all of our patients are charged and billed equally, without preference. If you have reason to believe otherwise, please call the Patient Accounting Office at 760-339-7300.
 
Your Hospital Bill & Insurance
Getting answers regarding health-care costs and insurance coverage can be complicated and frustrating. El Centro Regional Medical Center wishes to assist you by answering some of the most commonly asked questions and clarifying some of the misconceptions about patient financial responsibility. If you need further information, please call a Patient Accounting Representative at 760-339-7300.
 
I don't have insurance- do you have options to make my health care more affordable?
Yes! If you don't have insurance, we offer our cash pay patients a prompt pay discount of 30% from the quoted price. We look forward to walking you through a prompt pay process. If you cannot pay with the prompt pay discount, we also have extended payment arrangement options. We offer up to a two-year, interest-free financing on your balance. This long-term payment plan doesn't cost you anything, and it will not affect your credit. For more information, call us at 760-339-7300
 
Why can't I know how much my emergency room service will cost?
The practice of identifying estimated costs for the level of care in the emergency room and its treatment could discourage the individual from remaining at the hospital to receive care to which he or she is entitled and which the hospital is obligated to provide regardless of the patient's ability to pay.
 
Why did I get a bill when I left the emergency room before the physician saw me?
The hospital has an obligation as an emergency department licensed provider, to treat and evaluate each patient with an initial screening exam. The initial screening exam is performed by a nurse and may consist of taking vital signs and asking pertinent questions regarding your health and symptoms. Should you elect to leave prior to receiving full emergency department services - you will be billed for the initial assessment.
 
How do I get an itemized bill for my medical services?
Please contact Patient Accounting at 760-339-7300 for an itemized bill.
 
What does the hospital bill for?
Support staff to facilitate your care (i.e., nursing, technician, room and board). Physicians and other professional services are billed separately.
 
What is a "contract provider"?
A contract provider is a provider of service (such as the hospital and/or physician/professional services) who "contracts" with an insurance company to provide care. Please refer to your insurance handbook.  We strongly encourage you to call your insurance company directly to verify their participation as in-network providers for your specific insurance plan.
 
Do you bill my primary and secondary insurance carrier?
Yes, as a courtesy to our patients. You are responsible for providing a current copy of your insurance information at each individual visit to the hospital (or associated facilities).
 
Why do I receive a separate fee/bill for "professional services"?
The hospital does not employ physicians. Professionals that perform their services are specialists in their fields and provide the highest level of care to our patients. These professionals are located at the hospital in order to facilitate care, but they handle their own billing from their business office.
 
What happens if my insurance company does not pay for all services?
As determined by your insurance company, Patient Accounting will bill the patient for "non-covered" or denied services.
 
Why is my bill so expensive?
We provide comprehensive services 24 hours a day, 7 days a week
 
How do I know how much my co-pay will be for my procedure?
Prior to your arrival, please refer to your insurance handbook and/or call your insurance company. The hospital admitting staff will also be happy to assist you in verifying your benefits at the point of registration.
 
Why do I have to pay my co-pay or deductible up front for services I receive?
All co-pays and deductibles as indicated by your insurance, are your responsibility and are due at the time of registration and/or discharge.
 
What happens if I do not pay my bill to El Centro Regional Medical Center?
If you have a balance due to the hospital and do not pay that balance, it may be sent to an outside collection agency.
 
Why did I get a call from a collection agency regarding my outstanding balance while I am in dispute with my insurance company?
Our records reflect you have an outstanding balance. The patient has a right to appeal with their insurance company. During this appeal process, the patient is still responsible for the balance due.
 
Additional professionals who may participate in your care and will charge and bill separately: 
Radiologist
Anesthesiologist
Pathologist
All physicians involved with your care
Emergency room physicians
 
Physicians and other professional consultants may not be contract providers with your health-care insurer. Health insurance providers choose to contract with certain professionals and facilities, as do the physicians and physician groups. Be sure to ask your insurance company or the treating professional if you have concerns regarding contracted coverage and fees. El Centro Regional Medical Center does not bill for professional fees. El Centro Regional Medical Center charges or bills do not include fees for the above professionals. They bill separately.
 
Financial Counseling and Assistance
El Centro Regional Medical Center is committed to providing quality healthcare that is affordable for our community.  It is important that you inform us immediately if you have any type of health insurance coverage that may help cover the cost of your bill.
 
If you do not have health insurance, you may be eligible for coverage offered through the California Health Benefit Exchange or through certain government-sponsored healthcare payment programs, such as Medicare, Medi-Cal, or the California Children's Services Program. 
 
If you are a self-pay patient or have high medical costs and worry that you may not be able to pay in full for your care, we may be able to help.  Through our Financial Counseling Services we may be able to help financially qualified patients obtain a reduction in patient's liability and work together to arrange a manageable extended payment plan.  It is important that you let us know as soon as possible if you will have trouble paying your bill.  Eligibility is based on your family income. The El Centro Regional Medical Center Financial Assistance Program provides full coverage or discounted payment amounts for your hospital bill only. Actual coverage is based on your individual level of qualification. You will need to apply and provide financial information so that we can make a determination of your financial need. 
 
Click here for El Centro Regional Medical Center’s Financial Assistance, Discount Payment, and Billing and Collection policy.
Click here for El Centro Regional Medical Center’s Financial Assistance Application
 
Financial Assistance and discounted payment policies shall also be made available by the Emergency Room physician who treated you.  Please contact EA Health/UCSD Emergency Room Physicians at (888) 432-2455 for more information.   
 
Application information for the California Health Benefit Exchange, Medicare, Medi-Cal, California Children’s Services, and any other governmental healthcare program, is made available through El Centro Regional Medical Center.  If you would like more information on applying for health coverage or Financial Assistance, please contact our Financial Counselor at (760) 339-7277.  El Centro Regional Medical Center will provide information and assistance, without cost, to any patient or patient’s family representative who makes a request.  All requests will be treated with confidentiality and courtesy.
 
If you would like to explore coverage options on your own, the information below will help guide you:
For information on how to apply for Medi-Cal or the California Health Benefit Exchange, please visit www.coveredca.com or call (888) 975-1142.
For information on how to apply for Medicare, please visit www.medicare.gov, or call (800) 633-4227.
 
For information on how to apply for California Children’s Services (CCS), please visit your local CCS office at 935 Broadway Street, El Centro, CA 92243, or call 442-265-1455.  You may also apply online at http://www.icphd.com/medical-provider-resources/child-health/california-childrens-services/how-to-refer-a-client-to-ccs/
 
The Health Consumer Alliance's local Health Consumer Centers help all Californians get essential health care.  For help with health access problems or for information about trainings and other services, call HCA's toll-free number 888-804-3536 to be directed to the Center nearest you, or visit http://healthconsumer.org/index.php?id=partners