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Financial Services

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As a nonprofit healthcare organization, Bozeman Health is committed to providing compassionate, high quality, medically necessary healthcare to all patients regardless of their ability to pay. We understand that health issues are stressful and the associated financial burden can add to that stress.

Your insurance policy is a contract between you and your insurance company. But health insurance plans can be confusing. If you are unsure of your coverage for a particular medical procedure or test, call the customer service telephone number on your insurance card before scheduling it. Bozeman Health will submit a claim to your insurance company for services we provide. By working together, we can minimize misunderstandings, payment delays and billing costs. Please note, you are responsible for any charges not covered by your benefit plan.

Depending on your insurance plan, you may be required to get approval before receiving hospital services (pre-certification). Obtaining this approval does not guarantee your plan will pay the entire cost for that covered service. You may be responsible for paying deductibles, copays and coinsurance.

Additionally, if Bozeman Health does not contract with your insurance provider, you may still receive services here. However, because your insurance company will consider our services out-of-network, you most likely will be responsible for paying more out-of-pocket costs.


Bozeman Health typically requests patients to pay their anticipated expenses including deductibles, copays and coinsurance, prior to delivery of services. Because treatment plans can change during the course of your care, determining exact costs at any given time may be difficult. As a result, your account may accrue more charges after treatment is complete.

If you have health insurance, Bozeman Health will bill your insurance carrier (followed by your secondary insurer, if applicable) shortly after healthcare services have been rendered. You will receive monthly statements showing how much we expect you and your insurance to pay.

After your insurance has paid its share of the bill, you may receive a letter from Bozeman Health offering a 5% discount if the balance is paid in full within 15 days. This benefit does not apply to all services offered by Bozeman Health.

If you do not have insurance, a bill will be sent to you shortly after services are rendered or you are discharged from the hospital. If wish to make payment arrangements, please contact our Customer Service Department at the phone number on your bill. If you are unable to pay your bill, you may be eligible for financial assistance.


Bozeman Health is committed to providing emergency and medically necessary care to patients who are uninsured or have limited insurance. You may qualify for financial assistance if you are unable to pay your bill or if paying it would result in financial hardship.

Bozeman Health’s Medical Advocacy Services in Healthcare (MASH) program employs a patient-care advocate to assist uninsured patients whose medical bills exceed a certain amount. The MASH advocate may contact you if your hospital visit qualifies for assistance. Our goal is to match qualified patients with funding sources such as Medicaid, Social Security or other programs.

Our financial assistance program can help patients who:
• Have incomes at or below the Federal Poverty Level
• Are uninsured with incomes under 250% of Federal Poverty Guidelines
• Are insured and have family incomes above 250% of Federal Poverty Guidelines AND who meet other criteria.

2018 Federal Poverty Guidelines

To apply for financial assistance, patients must complete a Financial Assistance Application. Application forms and printed versions of our financial assistance policies (in English, Spanish or a plain-language summary) can be accessed from the links below. They are also available at Bozeman Health’s Emergency Department, Patient Registration areas or at Patient Financial Services Customer Service Department, 1600 Ellis St. (in the Legacy Building across Highland Boulevard from the hospital). Or call (406) 414-1720 to have these documents mailed to you.

Completed Financial Assistance Applications can be mailed or delivered to:

Bozeman Health
Attn: Patient Financial Services Customer Service
1600 Ellis Street
Bozeman, MT 59715

For more information or assistance completing the Financial Assistance Application, contact the Bozeman Health credit supervisor at (406) 414-1015 (Not to pay a bill).


We offer convenient online access to view and pay your bill.

The online billing system allows you to:
• Combine multiple accounts and guarantor numbers under a single username
• Easily track payments and statements any time of day
• Pay multiple accounts in one transaction
• Email a patient account representative through

Bozeman Health's Financial Assistance Policy is available here.

Bozeman Health's Financial Assistance Application is available here. Or in Spanish.


Amount Generally Billed Info

If a patient is determined to qualify for Financial Assistance under this policy, the patient’s billed charges will be no more than the same Amounts Generally Billed (AGB) for emergency or other Medically Necessary Health Care Services as patients who have insurance coverage.

AGB Percentage

Bozeman Health Deaconess Hospital’s & Big Sky Medical Center’s AGB percentage is 64.5% of gross charges for inpatient and outpatient services.

This percentage is based on all claims allowed for Bozeman Health’s emergency and other Medically necessary inpatient and outpatient services by Medicare, Medicaid, and private payers over a 12-month period divided by the associated gross charges for those claims.


The 12 month look-back measurement period currently in effect is:

  • July 1, 2015 - June 30, 2016

This AGB will be applied starting as of October 1, 2016, and continuing September 30, 2017.

Amounts Generally Billed - Spanish Version

Si se determina que un paciente califica para recibir ayuda financiera bajo esta política, los cargos facturados del paciente no serán más que los mismos Montos generalmente facturados (Amounts Generally Billed, AGB) por servicios de emergencia y otros servicios de atención médica necesarios por razones médicas como pacientes que tienen cobertura de un seguro médico.

Porcentaje de AGB

El porcentaje de AGB de Bozeman Health Deaconess Hospital es el 64.5% de los cargos brutos por servicios para pacientes hospitalizados y ambulatorios.

Este porcentaje se basa en todos los reclamos que se permiten para los servicios de emergencia y otros servicios necesarios por razones médicas para pacientes hospitalizados y pacientes ambulatorios de Bozeman Health, ofrecidos por Medicare, Medicaid y pagadores privados en un período de 12 meses, dividido entre los cargos brutos asociados por esos reclamos.


El período de medición de retroactividad de 12 meses que está vigente actualmente es:

  • del 1.° de julio de 2015 al 30 de junio de 2016

Estos AGB se aplicarán a partir del 1.° de octubre de 2016 y continuarán hasta el 30 de septiembre de 2017.

Bozeman Health Providers Covered by Financial Assistance Policy

The following providers are all supported under Bozeman Health's Financial Assistance Policy.

Bozeman Health Cancer Center
Bozeman Health ER Physicians
Bozeman Health Hospitalist Physicians
Bozeman Health Medical Group

Bozeman Health Deaconess Hospital

  • Audiology Clinic
  • Belgrade Clinic
  • Cardiology Clinic
  • Diabetes & Nutrition Center
  • Ear, Nose, & Throat Clinic
  • Endocrinology Clinic
  • Family Medicine Clinic
  • GI Clinic
  • Infectious Disease & Travel Medicine Clinic
  • Internal Medicine Clinic
  • Nephrology Clinic
  • Neuroscience Center
  • Pediatric Clinic
  • Pulmonary and Sleep Medicine Clinic
  • Rheumatology Clinic
  • Surgery Clinic
  • Urology Clinic
  • Women’s Specialists Clinic
  • Wound Clinic and Hyperbaric Center

Bozeman Health Urgent Care
Bozeman Health Big Sky Medical Center
Bozeman Health Same Day Surgery Center
Bozeman Health Clinical Research

Any other physician or provider of care at Bozeman Health not listed above is not subject to the Financial Assistance Policy.

Financial Assistance Policy

Financial Assistance Application

Financial Assistance Application - Spanish Version

Financial Assistance Plain Language Summary

You may download the plain language summary here.

Financial Assistance Plain Language Summary- Spanish Version

You may download the plain language summary here.