Patient Financial Services
You can now pay any of your bills in one place. Log in to MyChart to view all your bills or Quick Pay using your preferred payment method – get started with your statement.
Paying Your Bill
Forks Community Hospital and Clinics are pleased to offer the following information to address your insurance & financial questions:
Pay your Medical Bills Online Easily and Securely
We offer the following payment options:
- Prompt pay discount for uninsured
- 1 year interest free payments (12 equal payments)
- Pre-approved loan options with a low interest rate
- Financial assistance for qualifying patients
You may pay in person at the Patient Financial Services Building. Click here for locations.
Pay Your Meditech Bill
Pay by Phone
360-915-5733
Pay Your MyChart Bill
Pay by Phone
360-374-4391
Toll Free
866-286-4955
We are a Member of National Health Services Corps
Insurance Plan Providers
Clallam County Public Hospital District No. 1 will bill your insurance company if all information, and a copy of your insurance card, is presented at the time of registration. You are expected to pay for charges that are not covered by insurance such as co-payment, coinsurance, non-covered and deductible amounts. Payment of services by your insurance is not guaranteed. Please contact your insurance company directly to learn more about specific plan coverage, benefits, and in-network providers. Health plans may include affiliated products not identified in the contract.
Clallam County Public Hospital District No. 1 is currently fully contracted and in-network with the following payors/insurers:
- Aetna (Commercial Health, Medicare, Medicaid, CHIP)
Ambetter (Commercial Exchange) - Centene – Coordinated Care (Apple Health, Medicaid) / Cascade Care Select (HCA and Health Plan) / Centene – Coordinated Care / Wellcare (MA Plan | MA-PD PLAN | DSNP PLAN | MMP PLAN)
- Cigna
- Community Health Network -Affiliate CHPW (Healthy Options, BHP-Plus, CHIP, GA-U, Medicare)
- Community Health Plan of Washington (Cascade Care, Cascade Select)
- Community Health Plan of WA Dual Complete (HMO D-SNP)
- Community Health Plan of WA Dual Select (HMO D-SNP)
- Coventry
- Department of Labor & Industries
- First Choice Health Network (FCHN, FCHN Oregon)
- Labor & Industries
- Medicaid
- Medicare
- Molina Healthcare (Healthy Options, CHIP, Basic Health, Medicare Advantage & MA Special Needs)
- Premera (Lifewise Health Plan of WA, Lifewise Assurance Co., Life Wise Alpine, Life Wise Primary, Lifewise Connect, Lifewise Preferred, Lifewise BCBS of Alaska)
- Regence (UMP, Medicare Advantage, FEHBP, Cambia Health Solutions)
- Tricare
- TriWest (CCN)
- United Healthcare (Commercial Network Participation, Medicaid, CHIP, Healthy Options, PacifiCare Life Assurance, PacifiCare Life & Health Insurance)
- Wellpoint (Medicaid, CHIP, Medicare Advantage)
Financial Assistance
Forks Community Hospital & Clinics are committed to serving all patients, including those who lack health insurance coverage and who cannot pay for all or part of the essential care they receive. We are committed to treating all patients with compassion. Forks Community Hospital & Clinics Financial Assistance Program provides financial assistance for qualifying patients who need help paying for emergency or medically necessary care they receive in Forks Community Hospital & Clinics. Patients must fill out an application to apply and must meet the eligibility requirements listed below to qualify.
Who is eligible for Financial Assistance and what are the requirements?
The program helps uninsured or underinsured patients who need help paying for all or part of their medical care. Patients are eligible for Financial Assistance when their Family Income is at or below 300% of the Federal Poverty Guidelines (FPG). Evaluation of other criteria may be required. Patients should consult with a Patient Financial Service Representative at (360) 374-4391 to determine eligibility and for assistance applying. Patients who have experienced a catastrophic event may be eligible under special circumstances, regardless of household income.
What does the program cover?
The Financial Assistance Program covers medically necessary care provided at Forks Community Hospital & Clinics.
Interpreters are available to you at no cost. The financial assistance application, policy, and this policy summary may be available in your language. For more information please call (360) 374-4391.
How do I apply?
- Click the Downloads Tab above
- Visit the Patient Financial Services Department
- Send a request by mail to: 530 Bogachiel Way, Forks, WA 98331
- Call Patient Financial Services at 360-374-4391 or Toll Free at 866-286-4955
Please mail the completed applications, including all required documentation and information specified in the application instructions to:
Forks Community Hospital
C/O Patient Financial Services
530 Bogachiel Way
Forks, WA 98331
We are able to process submitted applications only once they are complete, and will determine whether you are eligible according to the Forks Community Hospital Financial Assistance Policy.
We will not consider incomplete applications, but will notify applicants and provide an opportunity to send the missing documentation or information by the required deadline.
No Surprises Act
You have the right to receive a “Good Faith Estimate” explaining how much your medical care will cost.
