St. Elizabeth Hospital accepts most commercial insurance including numerous managed care plans. In addition, St. Elizabeth Hospital also participates with the Medicaid and Medicare programs.
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St. Elizabeth Hospital and the services it provides may be covered by your health insurance, however, there may be physicians providing services to you here that are not covered by your health insurance. That is, some of the physicians who provide service to you here may be out-of-network. You may be responsible for payment of all or part of the fees for those out-of-network physicians, in addition to applicable amounts due for co-payments, coinsurance, deductibles, and non-covered services. Specific information about in-network and out-of-network physicians can be found at your health plan's website address or by calling your health plan's customer service telephone number.
St. Elizabeth Hospital participates in numerous managed care plans and accepts assignment of benefits from these plans. Patients may be expected to pay their co-payment at the time of registration. Patients are billed for any balance identified as due by their plan. Patients are not billed for disallowed amounts as defined by the terms of the hospital's agreement with the managed care plan. If a patient has verified secondary insurance coverage, St. Elizabeth Hospital can file for the balance remaining after payment by his/her primary managed care plan. Patients should present their plan I.D. card prior to or at the time they are registered and contact their insurance plan to pre-certify their stay. If a patient is covered by a managed care plan, he/she is expected to obtain authorization prior to receiving any services.
There are some managed care plans in which St. Elizabeth Hospital does not participate; therefore, a patient's level of coverage is dependent on his/her individual plan. Some plans require patients to use specific hospitals for their care or pay at a reduced rate if they use a nonparticipating hospital.
Patients who do not have third-party coverage are requested to pay in full at the time of service for inpatient and outpatient services.
A pre-admission deposit is required prior to the delivery of services. If a patient is not able to pay in full at the time of service, he/she will be referred to a St. Elizabeth Hospital financial counselor.