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No Surprise Billing

Our patient-centered approach reaches every part of your health-system experience, including your medical billing. We are here to help you understand your expected medical bill.

Concerns about your bill? Contact us: 1-877-287-6268

CMS and your billing rights

Gain a better understanding of no surprise billing when you read Your Rights and Protections Against Surprise Medical Bills.

The Centers for Medicare and Medicaid Services (CMS) requires all hospitals to share this document. We want you to be empowered with as much information as possible when making healthcare choices and budgeting care. You may use this document to become more informed.

Good Faith Estimate

Don’t have insurance or are not using insurance? You have the right to a Good Faith Estimate explaining how much your medical care will cost.

Speaker 1:
It's common to feel anxiety about healthcare cost. To ease those concerns, let's break down how health insurance works so you can focus on your care, and so there are fewer surprises when the bill comes. In general, health insurance pays for some of your care and you pay for a portion as well. For instance, if you have an office visit for, let's say, foot pain, you may be responsible for a copay. This is a fee set by your insurance company that helps cover the visit. The copay may not cover additional tests, such as blood work or x-rays. Usually, whether you pay for these additional services yourself out-of-pocket depends on whether you've met your annual deductible. That's the total amount you must pay for healthcare in a given year before your insurance begins to pay. If you've met your deductible, you'll pay a portion or a percentage of the additional cost.

This is a predetermined rate called coinsurance. The ratio may be, for example, 80/20 or 70/30, with you paying the lower percentage and the insurance paying the higher amount. If your doctor suggests surgery, you'll want to know the cost up front. First, make sure the surgery provider and the location are in your network. Consult your insurance company's website or your care team to confirm. If they're not in-network, you may pay more to see this provider at this location or be required to choose options within your network. As a general rule, all healthcare services are more affordable for the patient when performed in-network. On the MyChart app, use our cost-estimate features. This tool is key to providing no-surprise billing, which is your right and the right thing to do. The estimator asks for the location where you'll have the surgery and your insurance plan.

It then gives you a good faith estimate of the cost. You can also call our patient financial services counselors who can answer your questions. After receiving your care, you may get a bill by mail or in your MyChart patient portal. It will break down the charges from your doctor in the hospital and will specify what you pay and what the insurance company pays. You can pay your bill online, by phone, by mail, or in person. We're committed to making the financial and payment process as simple as possible so you can focus on the most important thing, getting well and staying well.

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