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As a courtesy to patients, Physicians 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 the 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 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 Business Office at (915) 849-5459.
If You Have Health Insurance
Physicians 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 (915) 849-5136, 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 co-payments, deductibles,
and non-covered 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 your 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 healthcare 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 co-payments are also the
responsibility of the patient. Physicians
Hospital files with Medicare for inpatient
services and outpatient services. 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.
Self-Pay or Self Funding
Patient’s 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.
Workers' Compensation
Physicians 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 you convenience we accept 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 counselor
will be pleased to assist you in making
other arrangements for payment prior to
discharge.
Although it is the policy of Physicians
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 the following
payment programs for your convenience:
- Six Month Payment Program
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 (915) 849-5136.
Office Address:
Physicians Hospital, 1400 George Dieter
Suite 200, El Paso, Texas 79936
Phone:
(915) 849-5459
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About Us