Payment Options

Hours: 8:00 a.m. – 4:30 p.m.

Unpaid balances, including all applicable co-payments, co-insurance, deductibles and any non-covered services are the responsibility of the patient and must be paid within 30 days of receipt of the statement. Our collection policy.

Payments may be made via:

  • Cash, check or money order
  • Visa, MasterCard or Discover
  • Automatic check withdrawal

Please note, home-based service bills cannot be paid online. Please contact Home Health billing at 920-320-4229 for payment options.

To make a payment online please use the portal below.
Pay My Bill

If you have any questions, need assistance with the online payment process, or need to make payment arrangements to resolve your account, please call Patient Business Services at 920-320-2591.

Patient Billing Information

Patients are responsible for the charges of services received. However, to assist patients in meeting their financial obligations, Holy Family Memorial will bill their health insurance carrier(s), as long as a valid ID card or information regarding insurance coverage is presented at the time of registration.

We accept assignments of benefits and maintain an active follow-up program with all insurance carriers. Insurance is billed as a courtesy to the patient and patients remain responsible for contacting their insurance carrier to ensure prompt payment of their accounts. Patients should contact their insurance if payment has not been made within 45 days.

If any amount is due after insurance coverage, Holy Family Memorial will send monthly statements to the patient or responsible party to keep them informed of the status of all open accounts.

Patients who are uninsured or fail to provide us with adequate billing information, including proper managed care authorization referrals, are responsible for the total payment of their bill. Any payment arrangements, other than payment in full, must be approved in order to keep your account from being considered past due.

Financial Advice

Please contact a Financial Advisor at 920-320-2591 if you are unable to pay your bill in full at the time it is due. A Financial Advisor will work with you to identify the best options for you, including payment plans, healthcare loans or HFM’s Community Care program. If you fail to assume financial responsibility for your charges and/or work with a Financial Advisor, HFM may place your account with a collection agency. Continued nonpayment may result in dismissal from the HFM network and you needing to seek further care elsewhere.


Flexible Payment Options Through the Community Care Program

We are committed to providing quality healthcare to every person who is in need, regardless of the ability to pay. Patients without insurance will receive an uninsured discount, which is reflected on the patient statement. Uninsured patients may also qualify for an additional discount based on household income. This discount is provided through the Community Care program.

Price Estimate

To receive an estimate of charges for services you may need, please call 920-320-2595.

Other Bills You May Receive

In addition to your Holy Family Memorial bills, you may receive bills from other physicians who may have provided services—for instance, radiologists or other specialists. Please contact their office directly if you have any questions concerning their bills or to apply for their Financial Assistance Program. Contact information can be found on the statement you receive from their office.