Tag Archives: health insurance

Kelli Clark: Patient Care is Her Bottom Line

Kelli Clark knows that long after patients’ health problems are resolved, financial challenges can persist. As manager of patient financial services, she and her team support patients’ financial well-being, alleviating stress so patients can focus on their health and healing. “Just as our excellent clinicians care for people’s bodies, minds and spirits, we are here to care for their financial health.”

“We’re so much more than just the billing department,” she says. Clark’s team of financial counselors, claims specialists and customer service representatives help people understand their bills and insurance coverage, as well as setting up payment plans to help those who can’t pay all at once. But the team also helps patients be proactive about their own financial well-being, offering community workshops and one-on-one sessions to enroll in the Health Care Marketplace or BadgerCare.

“10 years ago, health coverage was so much simpler. You paid your deductible, and that was that,” she says. Now, a constantly changing health insurance landscape and the prevalence of high-deductible plans make paying for health care more complex.

Clark sees many local families who are caught in the middle. “These are working people who are doing everything they can, but then a health issue sets them back financially in a big way.” That’s where Community Care, DCMC’s charitable program, makes a difference. Patients in need who provide their financial information are eligible to have a percentage of their health care costs covered by DCMC. “This is a service we perform as an organization because we believe so strongly in caring for all people,” says Clark. “It feels really good to be part of an organization that values people and believes in providing health care for all. That’s our bottom line.”

Hospital finance is a second career for Clark, who also worked in the juvenile criminal system. “That experience gave me a unique perspective on the many struggles people have that often go unnoticed,” she says. Clark’s compassion is shared by her team, from financial counselors who go the extra mile to accommodate patients to customer service representatives who reassure callers who are worried or confused about their medical bills.

She shares the story of an unnamed patient who needed a joint replacement. “It wasn’t a life and death situation,” she says, “but his quality of life just wasn’t there. He was really suffering.” The man lacked insurance, so DCMC’s financial counselors worked with him to find an affordable insurance plan through the Marketplace. Once he was insured, he went forward with the surgery at DCMC’s Bone and Joint Center, and the Community Care program helped with his deductibles. “Now he’s healed and doing very well,” says Clark. “Helping people like him is why I love this job.”

Certified Application Counselors Help Local Residents Access Health Insurance

With deadlines approaching to enroll in health insurance for 2017 through the Affordable Care Act, Door County Medical Center’s Certified Application Counselors (CACs) are busy serving the community by helping people access the system, obtain information on health plans and get signed up. For coverage starting January 1, 2017, people must select a health plan by December 15, 2016. Enrollment remains open through January 31, 2016.

Couple opening account in bank

There are many options for health insurance in the marketplace, and one plan that includes Door County Medical Center (DCMC) in network: Molina Healthcare of Wisconsin, which also happens to be the most affordable plan available to Door County residents. “We work with individuals as well as providing enrollment workshops for the community,” says Kelli Clark, manager of patient financial services at DCMC. “We see people through the process of enrollment from start to finish, helping them understand the differences between plans and making sure they apply for the tax credits they are eligible for.”

Individuals can enroll on their own through Healthcare.gov, but according to Clark, many people appreciate the individualized counseling the team at DCMC provides. “As leaders of our community’s health and wellness, we want to help community members get enrolled in health insurance, no matter which provider they choose,” she says.

Upcoming enrollment workshops are scheduled for November 11, December 12 and January 9, 2016 from 1 – 6 p.m. at DCMC’s Sturgeon Bay location. To schedule an individual appointment or to obtain more information, call (920) 746-3775.

Health Insurance Exchange Enrollment in Full Swing in Door County

The deadline for open enrollment in the Federal Insurance Exchange is February 15. With the many insurance plans available to consumers, Ministry Door County Medical Center is a resource for those who need enrollment assistance. Many Door County residents have already received help in signing up for coverage for the 2015 tax year.  According to the U.S. Department of Health and Human Services, as of January 9th more than 169,000 Wisconsinites have enrolled with 90% of those enrollees receiving premium subsidies.   Ministry has five Certified Application Counselors available to assist community members with their insurance options. iStock_000025297344_Medium Ministry also strives to be in-network for all commercial insurance plans available in our community.  The hospital and clinic physicians are in-network for many individual plans regularly sold in our community and on the exchange including Molina, Arise, Prevea 360, and United Healthcare. They are also a tier one, in-network provider for nearly all of the major employers in Door County, including private, non-profit, and government organizations.

With the many choices available to health care consumers, it can be confusing to determine which insurance best serves your needs, and to make sure your insurance will cover your trusted, local health care providers. For questions regarding insurance coverage, please call 920-743-5566 and ask to speak to a Financial Counselor.