Billing Policies > Covenant Employee Payroll Deductions

Employees are responsible for copays and deductibles at the time services are rendered. As a valued employee at Covenant Health System or an employee family member, payroll deduction may be an option to meet your financial obligation on account balance(s) due. A payroll deduction form may be printed and provided to the registrar during the admission process.

The account balance must be paid in full in less than 24 months with a minimum payroll deduction amount of $25.00 for each pay period.  If your balance is more than $1200, the monthly payroll deduction should be increased.

If a balance is owed today and not on a payroll deduction, please complete the Payroll Deduction Form and fax to the ministry where charges incurred or Interoffice to the Patient Accounting Department to take advantage of this option.

Covenant Medical Center  Fax 806-723-6180
Covenant Women's & Children's Fax 806-723-6180
Covenant Specialty Hospital Fax 806-723-6180
Covenant Plainview  Fax 806-296-0218
Covenant Levelland Fax 806-897-2723

Contact Information

You may deliver the completed Payroll Deduction Form in person at any of the addresses listed below Monday through Friday, 8:00 a.m. to 5:00 p.m.

Covenant Medical Center3615 19th Street
Covenant Women's & Children's Hospital 4000 24th Street
Covenant Hospital Levelland1900 College Ave
Covenant Hospital Plainview2601 Dimmitt Road

For questions or assistance in completing, a Customer Service Representative is available 8am to 5pm, Monday through Friday at the phone numbers listed below. 

Covenant Hospital Lubbock806-725-5773
Covenant Hospital Levelland 806-897-2354
Covenant Hospital Plainview806-296-5531

Billing questions may be submitted via email to

Employee Payroll Deduction Authorization Form