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Insurance & Billing

Insurance & Billing
Catholic Medical Center accepts Medicare, Medicare Private Fee for Service Plans, Medicaid, AARP, and most private health insurance plans. Insurance coverage can vary depending on the carrier so we recommend patients familiarize themselves with their coverage and ask questions before treatment. If you are under-or-uninsured, please click here for information on financial assistance.

Our Patient Accounting Department is available to answer billing questions and can be reached at:
Mon—Fri: 8:00 AM–4:30 PM                                     603.663.6922


Health Insurance

At the time of registration we will need a copy of your insurance identification card. As part of our standard process, you will be asked to assign benefits from the insurance company directly to the hospital.


If You Are a Member of an HMO or PPO

Insurance plans may have special requirements, such as a second surgical opinion or pre-certification for certain tests or procedures. It is a patient's responsibility to make sure the plan's requirements have been met. If a plan’s requirements are not followed, patients may be financially responsible for all or part of the services rendered in the hospital. Some physician specialists may not participate in certain healthcare plans and their services may not be covered.
 

If You Are Covered by Medicare or Medicaid

For Medicare patients, please provide your Medicare card to verify eligibility so we may assist in processing your 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 the responsibility of the patient.

For Medicaid patients, please provide your Medicaid card. Medicaid has payment limitations on a number of services and items, so please be aware prior to treatment.
 

If You Have No Insurance

If you do not have medical insurance, a member of our Patient Financial Services Team will discuss financial arrangements with you.
  • The Patient Protection and Affordable Care Act (ACA) has many new options for people who either pay too much for health insurance or do not have health insurance coverage. Information on the Health Insurance Marketplace is available by:
         - Calling the Marketplace Enrollment Call Center at
           1.800.318.2586
         - Visiting healthcare.gov
 

Your Hospital Bill

Catholic Medical Center is responsible for submitting hospital bills to your insurance company and will do everything possible to expedite your claim. Please remember that your policy is a contract between you and your insurance company and you have the final responsibility for payment of your bills. We have several payment options to assist in paying your bill and a member of the Patient Financial Services Team can work with you.

Your bill reflects all of the services you receive during your stay. Charges fall into two categories: (1) a basic daily rate, which includes your room, meals, nursing care, housekeeping, telephone and television; and (2) 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 in the hospital, 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, emergency room physicians, cardiologists, anesthesiologists and other specialists perform these services and are required to submit separate bills. If you have questions about these bills, please call the number printed on the statement you receive from them.