Insurance Information

Medicaid

St. Elizabeth Hospital is a participating provider with the Louisiana Medicaid program and Healthy Louisiana Plans including:

• Aetna Better Health
• Amerihealth Caritas
• Healthy Blue
• Louisiana Healthcare Connections
• UnitedHealth Community Plan

Therefore, St. Elizabeth Hospital accepts assignment of Louisiana Medicaid benefits and Healthy Louisiana Plans benefits. Louisiana Medicaid recipients / Healthy Louisiana Plan recipients are billed for charges that are ineligible for reimbursement according to Louisiana Medicaid and Healthy Louisiana Plan regulations. Louisiana Medicaid patients / Healthy Louisiana Plan patients are expected to pay such charges for medical services. Please contact us for financial evaluation and assistance on Louisiana Medicaid /Healthy Louisiana Plan issues. 

 Louisiana Medicaid and Healthy Louisiana Plan patients should present their Louisiana Medicaid / Healthy Louisiana Plan eligibility documentation for the current month prior to or at the time they are registered

Medicare

St. Elizabeth Hospital is a participating provider with the Medicare program and accepts assignment of Medicare benefits. Unless a Medicare supplemental policy is in effect, Medicare recipients are billed for applicable co-insurance and deductibles, as well as charges ineligible for reimbursement (telephone, guest's trays, etc.) according to Medicare regulations. Please contact us for financial evaluation and assistance on Medicare issues. 

Patients should present their Medicare card and provide information about secondary coverage prior to or at the time of registration. The Medicare program requires asking patients a series of questions to determine

Medicare or another payor should be billed first or instead of Medicare. 

If patients have enrolled in a Medicare +Choice plan (Medicare HMO), they should not present their Medicare card. Instead, they should present the Medicare +Choice plan I.D. card.

Commercial Insurance

St. Elizabeth Hospital accepts verified commercial insurance coverage. Patients may be requested to pay a known deductible and co-insurance amount at the time of service. This applies for all insurances with a deductible and co-insurance amount on non-emergency room visits. St. Elizabeth Hospital can also file a claim for verified secondary insurance coverage on a patient's behalf, after payment is received and the hospital has an explanation of benefits from his/her primary payor.
 
Patients should present their commercial insurance I.D. card and provide information about secondary coverage prior to or at the time they are registered.
 
The following is a list of health plans accepted by St. Elizabeth Hospital. Talk to your employer or call us at (225) 647-5008 to make sure St. Elizabeth Hospital is part of your health plan.

• Aetna
• Aetna Medicare
• Bestcare / Beechstreet
• Blue Choice 65
• Blue Advantage (Medicare)
• Blue Choice 65 Select
• Blue Cross Blue Shield of Louisiana
• Choice Care
• CIGNA HealthCare of Louisiana, Inc.
• Coventry Health Care of Louisiana, Inc.
• Coventry Medicare
• First Health
• Gilsbar 360
• Humana Gold (Medicare)
• Humana Health Plan of Louisiana
• Multiplan
• PPO Plus
• People’s Health Network
• Private Healthcare Systems
• Three Rivers Provider Network
• TriWest
• United Healthcare of Louisiana
• USA MCO Senior Care
• Vantage
• Vantage Medicare
• Wellcare of Louisiana
   

Important Message About Insurance Coverage for Physicians Providing Services at St. Elizabeth Hospital

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, co-insurance, 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.

In order to assist you, the following list provides the customer service telephone numbers and billing addresses for all hospital-based physicians who practice at St. Elizabeth Hospital. 

Anesthesiologists

Pinnacle Anesthesia
11408 Lake Sherwood Avenue North, Suite A
Baton Rouge, LA 70816
(225) 754-9478

Intensivists

Critical Care Medicine Services
7777 Hennessy Boulevard, Suite 701
Baton Rouge, LA 70808
(225) 765-5864

Pathologists

Pathology Group of Louisiana
5339 O'Donovan Drive
Baton Rouge, LA 70808
(225) 766-4999

Radiologists

Baton Rouge Radiology Group
7887 Picardy Avenue
Baton Rouge, LA 70809
(225) 769-6700

Stat Radiology
13280 Evening Creek Drive South, Suite 110
San Diego, CA 92128
(858) 546-3800

NOTICE AS REQUIRED BY THE LOUISIANA DEPARTMENT OF INSURANCE HEALTH CARE SERVICES MAY BE PROVIDED TO YOU AT A NETWORK HEALTH CARE FACILITY BY FACILITY-BASED PHYSICIANS WHO ARE NOT IN YOUR HEALTH PLAN. YOU MAY BE RESPONSIBLE FOR PAYMENT OF ALL OR PART OF THE FEES FOR THOSE OUT-OF-NETWORK SERVICES, IN ADDITION TO APPLICABLE AMOUNTS DUE FOR CO-PAYMENTS, COINSURANCE, DEDUCTIBLES, AND NON-COVERED SERVICES. SPECIFIC INFORMATION ABOUT IN-NETWORK AND OUT-OF-NETWORK FACILITY BASED PHYSICIANS CAN BE FOUND AT THE WEBSITE ADDRESS OF YOUR HEALTH PLAN OR BY CALLING THE CUTOMER SERVICE TELEPHONE NUMBER OF YOUR HEALTH PLAN.

01/07/19