Insurance & Costs
For more information, you can view or download the Financial Assistance Policy in English or in Spanish, the Plain Language Summary of the policy, and the Financial Assistance Application. Income Guidelines and a Provider List are also available to view or download.
No Surprises Act
Dardanelle Regional Medical Center complies in the No Surprises Act, a federal law that protects consumers who get coverage through their employer (including a federal, state, or local government), through the Health Insurance Marketplace® or directly through an individual health plan Beginning January 2022, these rules will:
- Ban surprise billing for emergency services. Emergency services, even if they’re provided out-of-network, must be covered at an in-network rate without requiring prior authorization.
- Ban balance billing and out-of-network cost-sharing (like out-of-network co-insurance or copayments) for emergency and certain non-emergency services. In these situations, the consumer’s cost for the service cannot be higher than if these services were provided by an in-network provider, and any coinsurance or deductible must be based on in-network provider rates.
- Ban out-of-network charges and balance billing for ancillary care (like an anesthesiologist or assistant surgeon) by out-of-network providers at an in-network facility.
- Ban certain other out-of-network charges and balance billing without advance notice. Health care providers and facilities must provide consumers with a plain-language consumer notice explaining that patient consent is required to get care on an out-of-network basis before that provider can bill the consumer.
For consumers who don’t have insurance, these rules make sure they’ll know how much their health care will cost before they get it, and might help them if they get a bill that’s larger than expected.
The rules do not apply to people who are covered by programs like Medicare, Medicaid, Indian Health Services, Veterans Affairs Health Care, or TRICARE because these programs have other protections against high medical bills.
No Surprises Act Disclosure Notice
No Surprises Act Uninsured/Self-pay Good Faith Estimate Notice
As required by the Centers for Medicare & Medicaid Services (CMS), our hospital has provided a list of chargers for services provided by our facility with estimated pay amounts based on contracts with specific payers. Click the link below:
The amount listed is not necessarily reflective of your actual financial responsibility. The amount collected by our hospital can be less than the amount on this list based on patient-specific discounts based upon financial need and other considerations as listed on the Financial Assistance Policy.
This discussion with your insurer or the hospital is an important step because many factors affect an individual’s financial responsibility for the cost of hospital care, including:
- If an individual has insurance, and under which insurer and plan he or she is covered;
- Individual qualifications for additional financial assistance from the facility;
Factors specific to each patient’s care and needs, such as:
- Length of stay in the hospital
- Specific items needed for care
- Additional testing required or recommended by your provider, and
- Unexpected complications.
You may reach a financial counselor by calling 479-229-6180. Ask your financial counselor about payment options and financial assistance.
All Hospitals operating within the United States are required to make public a list of the Hospital’s list of charges.
Payors do NOT reimburse Dardanelle Regional Medical Center 100% of the charge. Dardanelle Regional is paid according to the terms of the contract with the payors and the Hospital is paid less than charge.