Frequently Asked Questions

What's the process for changing providers?

I want to have my lab and radiology/imaging work done at the medical center - how do I do that?

Can I get my colonoscopy done at the medical center?

How do I know what other services are available at Greene County Medical Center?

If I need to see a specialist, can I at the medical center?

I'm confused on when I need a referral or when I can make my own appointment for services.

Who decides where I receive care?

Explain how my deductible and co-pay work at the medical center.

What does being an affiliate of UnityPoint Health mean for the medical center and the communities in Greene County?

More questions?

What's the process for changing providers?

This is much easier than you might think or have been led to believe. As always, you have every right to choose what provider you want to see. To switch providers, all you need to do is make your initial appointment with the provider of your choice. At that first appointment, you will be asked to sign a "release of information" form, which will allow your new provider access to your medical records.

The majority of medical records are now kept electronically, and the EPIC system is the largest electronic medical records system in the country. Greene County Medical Center, UnityPoint Clinic and UnityPoint Health all use the EPIC system. Other area health facilities using EPIC include McFarland Clinic - Jefferson, Mary Greeley Medical Center, University of Iowa Hospitals and Clinics, Mayo Clinic and Cleveland Clinic.

I want to have my lab and radiology/imaging work done at the medical center - how do I do that?

Greene County Medical Center is not only convenient, but fully equipped to take care of many of your health care needs.  Where you receive care is ALWAYS your choice.  And Greene County Medical Center wants to care for you.  When you are scheduled to visit your primary care provider - regardless of where he or she is located - you can request that any necessary radiology/imaging (x-rays, CT scans, ultrasound, MRI, etc.) or lab work be done here and sent to the provider's office prior to your appointment.  Some lab work can be done without a referral (such as the monthly wellness screenings) and you can call the lab directly to schedule these appointments.  Most lab results can be sent to the appropriate provider the same day.

Can I get my colonoscopy done at the medical center?

Absolutely. And much more! Our general surgeon, Dr. Marc Miller, does scheduled surgeries every Wednesday. Other surgeons on staff include Dr. Ronald Cheney and Dr. Josh Smith. All three physicians are from Western Iowa Surgery. These surgeons can do many general and diagnostic surgeries. Surgeries performed here can be found on the surgery page on this website. We also encourage you to call our surgery department to find out what you can have done here. 515-386-2114.

How do I know what other services are available at Greene County Medical Center?

Thanks to the community's support, we have built the facilities and recruited the staff needed to meet your family's health needs.  All of our services are featured and explained on our website under on the services page.  The most common outpatient services include:

  • Surgery including many general, orthopedic, specialty (cataracts) and diagnostic (colonoscopies) procedures
  • Rehabilitation services including physical, occupational and speech therapies
  • Imaging services including x-ray, ultrasound, CT scanning, MRI, digital mammography and Dexa bone densitometry
  • Lab work
  • Care Management programs include cardiac services, diabetes management and respiratory therapy
  • Wound care and infusion (other than chemotherapy) services

If I need to see a specialist, can I at the medical center?

Greene County Medical Center has recruited a top level staff to ensure the highest level of care here at home.  There are numerous specialists who have arranged to have office hours at the medical center.  Currently the medical center has specialists available for:

  • Cardiology
  • Dermatology
  • ENT (Ear, nose, throat)
  • Hepatology
  • Oncology/Hematology
  • Orthodontia
  • Plastic Surgery
  • Pulmonology/Sleep Medicine
  • Urology
  • Vascular Surgery

I'm confused on when I need a referral or when I can make my own appointment for services.

It can be confusing, and everyone at Greene County Medical Center is here to help.  In general, specialists can be seen without a referral, as can most rehabilitation services.  Often the real key is what is required from your insurance provider.  Services that need to be reviewed by a primary care provider most often require a referral - which includes some lab work and most radiology/imaging work (except mammograms).  If you are unsure, feel free to call the medical center (515-386-2114) and ask to speak to either a specific service area or the business office.  Staff will be able to clarify the process needed for various services.

Who decides where I receive care?

YOU DO!  The choice always belongs to the patient, but Greene County Medical Center is on your team.  We are here to help you make the best health care decisions and to see you through the procedures you may require.  Providers in rural communities often have to refer a patient to other facilities.  But you, the patient, can always request where that referral is made.  Whether you are in Jefferson, Des Moines or elsewhere, your provider can coordinate your care using the services we offer - lab work, radiology/imaging, rehabilitation services, general surgery needs are all things you can tell your provider you want done at Greene County Medical Center.

Explain how my deductible and co-pay work at the medical center.

All insurance packages are different.  The most common example is:

  • Medical center services normally require an 80/20 responsibility mix, with the patient having a 20% responsibility for the service bill.  Deductibles are required before an 80/20 mix takes effect.  Deductibles are the full responsibility of the patient.

Any specialty clinic visit, including Women's Health and West Central Orthopedics, requires the co-pay which is then applied to one's deductible.

Many factors should be considered when figuring the cost of services above and beyond deductibles and co-pays.

  • First the convenience of care in the community where you live eliminates taking time away from work, unnecessary travel time, gas expense and unnecessary wear and tear on vehicles.
  • Using services provided by your medical center allows for other services to be offered that would not be available without a hospital.  The best example is having 24/7 emergency care within minutes.  This can be life saving for many.  Needing emergency care can happen in an instant.
  • Finally, sustaining the medical center takes the whole community.  And when the whole community utilizes the services provided by the medical center, the entire community benefits.  Having a hospital in one's community is in the top five things new businesses or new residents look for when considering a move to a new location.

Greene County Medical Center is committed to being Always Here, Always Caring for decades to come.

What does being an affiliate of UnityPoint Health mean for the medical center and the communities in Greene County?

It means many things.  Most importantly it means the best network of care for patients is available here and will remain here in Greene County.  UnityPoint Health has a proven track record of partnering with rural hospitals in a way that ensures care is available in those communities.  This helps eliminate the need for patients to travel elsewhere for care.

Being affiliated with UnityPoint Health connects us with the nation's 13th largest nonprofit health system and the fourth largest nondenominational health system.  That's beneficial in many ways.

As a critical access hospital, there are some services we can't provide (open heart surgery and chemotherapy services are two examples).  Being affiliated with a larger full-service system such as UnityPoint Health gives our patients a direct step to that next level of care.

This relationship enables the medical center to retain its governance structure while utilizing greater system-wide resources, clinical platforms, best practices and many other advantages which will benefit the people in the communities we serve.  Greene County Medical Center remains locally governed by an elected board of trustees.  The medical center's top personnel - our Chief Executive Officer, Chief Financial Officer and Chief Nurse Executive - are employees of UnityPoint Health.  These leaders work with the full leadership team of directors and supervisors for over 25 departments.

Our affiliation also affords Greene County Medical Center the management expertise and educational offerings of a larger organization that would not otherwise be readily available to a county hospital.  The management agreement and critical access hospital network agreement with UnityPoint Health makes the medical center a vital member of Iowa's largest health care provider network.

Part of why the partnership with UnityPoint Health makes even more sense today is that the quickly changing health care landscape, partly due to the Affordable Care Act, has required providers, clinics and hospitals to determine the best way to provide the care that is expected by patients while at the same time meeting federal regulations and requirements.  Forming partnerships and being affiliated with organizations that can help rural hospitals, like ours, do this in the most cost-effective ways will ensure that Greene County Medical Center will be here for generations to come.

More questions?

Do you have a question that's not answered here?  Please contact us - we'd love to hear from you!