All patients should familiarize
themselves with the terms of their insurance coverage. This will
help you understand the hospital's billing procedures and charges.
If there is a question about your insurance
coverage, a member of the Business Services Department will contact
you or a member of your family while you are here regarding information
needed in order to process your claims.
If You Have Health Insurance
We will need a copy of your identification card.
We also may need the insurance forms which are supplied by your
employer or the insurance company. You will be asked to assign
benefits from the insurance company directly to the hospital.
If You Are a Member of an HMO or PPO
Your plan may have special requirements, such
as a second surgical opinion or pre-certification for certain
tests or procedures. It is your responsibility to make sure the
requirements of your plan have been met. If your plan's requirements
are not followed, you may be financially responsible for all or
part of the services rendered in the hospital. Some physician
specialists may not participate in your healthcare plan and their
services may not be covered.
If You Are Covered by Medicare
We will need a copy of your Medicare card to
verify eligibility and process your Medicare claim. You should
be aware that the Medicare program specifically excludes payment
for certain items and services, such as cosmetic surgery, some
oral surgery procedures, personal comfort items, hearing evaluations
and others. Deductibles and co-payments also are the responsibility
of the patient.
If You Are Covered by Medicaid
We will need a copy of your Medicaid card. Medicaid
also has payment limitations on a number of services an items.
Medicaid does not pay for the cost of a private room unless medically
necessary.
If You Have No Insurance
A representative form the Business Services
Department will discuss financial arrangements with you. A hospital
representative is available to assist you in applying for Medicaid
or other government assistance programs. Call 553-6181 for assistance.
Your Hospital Bill
The hospital will submit bills to your insurance
company and will do everything possible to expedite your claim.
But you should remember that your policy is a contract between
you and your insurance company and you have the final responsibility
for payment of your hospital bill. We have several payment options
available to assist you in paying your bill.
Your bill reflects all of the services you receive
during your stay. Charges fall into two categories: a basic daily
rate, which includes your room, meals, nursing care, housekeeping,
telephone and television; and charges for special services which
include items your physician orders for you, such as x-rays or
laboratory tests.
If you have certain test or treatments in the
hospital, you may receive bills from physicians you did not see
in person. These bills are for professional services rendered
by these doctors in diagnosing and interpreting test results while
you were a patient. Radiologists, cardiologists, anesthesiologists
and other specialists perform these services and are required
to submit separate bills. If you have questions about these bills,
please call the number printed on the statement you receive form
them.