Patient Financial Services

Patient Financial ServicesAs a courtesy to patients, Weiss Memorial Hospital submits bills to your insurance company and will do everything possible to expedite your claim. However, it may become necessary for you to contact your insurance company or supply additional information to them for claims processing requirements or to expedite payment. 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.

You will receive a statement within 30 days after your insurance has paid their portion for services rendered. The statement will indicate the patient balance. The patient portion is due within 30 days from your billing date. This also applies to any portion of your charges remaining unpaid by your insurance carrier after 60 days. Payment can be made by cash, check or credit card (MasterCard, Visa, Discover or American Express).

Your bill will reflect all of the services you have received during your hospital stay or for any outpatient services provided. Charges will fall into two categories: a basic daily rate, which includes your room, meals, nursing care, housekeeping, telephone and charges for special services which include items your physician orders for you, such as X-rays or laboratory tests.

If you have certain tests or treatments, 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.

Pathologists, radiologists, cardiologists, anesthesiologists and other specialists perform these services and are legally required to submit separate bills. If you have questions about these bills, please call the number printed on the statement you receive from them.

When you receive your bill, review it carefully. If you need further explanation about any charges or coverage, please feel free to call our Customer Service number: (800) 290-5090.

If You Have Health Insurance
Weiss Memorial Hospital accepts most major insurance carriers. When you are admitted, we will need a copy of your identification card to verify your insurance coverage. If this is not available at the time of your registration, please see that a copy is sent to our registration office during your stay. If there is a problem with your coverage, we will notify you. If you have questions about your coverage while in the hospital, please call a patient financial counselor at (800) 290-5090, or contact your insurance company or employer.

If You are a Member of an HMO or PPO
Patients with HMO and PPO coverage are responsible for paying any copayments, deductibles and noncovered services at the time services are rendered. 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 you plan’s requirements are not followed, you may be financially responsible for all or part of your bill. Also, some physician specialists may not participate in your health care plan and their services may not be covered. In case of an emergency, it is important you call the appropriate review service or your insurance company within 24 hours of admission or your claim may not be honored.

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 copayments are also the responsibility of the patient. Weiss Memorial Hospital files with Medicare for inpatient services, outpatient services and some physician charges. As an additional service, we will assist you in filing your supplemental insurance.

If You are Covered by Medicaid
We will need a copy of your Medicaid card. Medicaid also has payment limitations on the number of services and items. Medicaid does not pay for the cost of a private room unless medically necessary.

Self Pay or Self Funding
Patients who do not carry insurance coverage or wish to file their own insurance claims will be responsible for total payment of charges at the time services are rendered. This policy also applies to patients who do not provide adequate insurance information in order to file an appropriate claim.

Financial Assistance
As part of our commitment to serve the community, Weiss Memorial Hospital elects to provide financial assistance to individuals who are in need. To determine if a person qualifies for financial assistance, we need to obtain certain financial information. Please view the Financial Assistance Application, which is in both English and Spanish. For assistance in completing this application, please contact Customer Service at (708) 783-3125 or toll free at (800) 290-5090.

Workers' Compensation
Weiss Memorial Hospital will file all authorized claims to a patient's employer for work-related injuries. After 60 days all denied claims become the patient's responsibility and must be paid in the next 30 days. Note: To be eligible for Workers' Compensation coverage, the patient must have the employer accept liability for the Workers' Compensation Claim. Patients must provide the exact date of injury, the employer's name, address, telephone number and a business contact that can be reached for approval of services.

Payment of Services
For your convenience, Weiss accepts cash, personal or travelers’ checks, money orders, VISA, MasterCard, American Express and the Discover Card.

Financial Counseling
If you do not have insurance or you have limited coverage, our financial counselors will be pleased to assist you in making other arrangements for payment prior to discharge.

Although it is the policy of Weiss Memorial Hospital to have all accounts settled within 30 days after a first statement is received, we realize that unforeseen medical expenses can have a financial impact on your budget. As a result, we have instituted a six month payment program for your convenience. Under this plan, payment arrangements may be made to pay the balance of your account in six equal monthly payments without any additional cost to you. Minimum monthly payments are $50.

For more information, call a patient financial counselor at (800) 290-5090.

If you are visiting one of our satellite locations and would like to inquire about this payment program, please call (800) 290-5090 between the hours of 8:00 a.m. and 6:00 p.m. We will be happy to assist you.

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