This should go without saying, but you need to be civil. When submitting a question to the mods, please link to the post in the message so we can easily find it and fix it. Sometimes the auto-moderator marks stuff as spam, when it isn't. If you post and are unable to see it, please contact the mods. Please include your location, state/country, as insurance differs across borders. Reviews, feedback, comments and questions relevant to insurance. We are here to share relevant topics to promote insurance knowledge among professionals. Need help with a policy? Confused about your coverages? Want help shopping for insurance? We are here to help you!Ģ. To help our fellow redditors with any insurance related questions. This is a community of insurance professionals and geeks who love the field of insurance.ġ. This includes requesting a poster to contact you privately. Doing so will result in an immediate ban. Morristown Medical Center also accepts patients covered by traditional Medicare-Part A/Part B.There is absolutely no solicitation. Hackettstown Medical Center also accepts patients covered by traditional Medicare-Part A/Part B. US Family Health Plan-a Tricare NetworkĬhilton Medical Center also accepts patients covered by traditional Medicare-Part A/Part B.United Medicare Advantage Private Fee for Service Plans (PFFS).QualCare (including GHI and Oscar products that specifically have the Qualcare logo on your insurance card).New Jersey Manufacturers through Horizon Casualty.National Preferred Provider Network (NPPN)/Planned Care America.Horizon Blue Cross Blue Shield Medicare Advantage (All product types).Horizon Blue Cross Blue Shield State Health Benefit Plan.Horizon Blue Cross Blue Shield PPO (All product types).Horizon Blue Cross Blue Shield POS (All product types).Horizon Blue Cross Blue Shield OMNIA (All product types).Horizon Blue Cross Blue Shield HMO (All product types).Horizon Blue Cross Blue Shield EPO (All product types).Horizon Blue Cross Blue Shield Direct Access (All product types).Horizon Blue Cross Blue Shield Indemnity.All Blue Cross Plans through Blue Card Program.Brighton Health (formerly known as Magnacare).Amerigroup Medicare Advantage (All Plans).For example, a cardiologist, pathologist, radiologist or anesthesiologist will each send a separate bill for his or her professional services. You may receive a separate bill from your personal physician and any other physician(s) involved in interpreting tests or performing other services. The hospital bill does not include fees of any treating physicians. You are responsible for any charges not covered or approved by your medical insurance company or managed care organization. Usually, one bill is sent for the use of hospital equipment, supplies, your room and board, and the time the nurses and other staff spent meeting your health care needs. You will probably receive more than one bill for services rendered by the hospital. If you have any questions, please contact your insurance company or speak to your Atlantic Health System care manager. If you were admitted to the hospital through the emergency department, be sure that your insurance company is immediately notified of your admission. Be certain to check this pre-certification requirement before your admission. Your insurance or managed care plan may require you to obtain pre-certification or pre-authorization for hospitalization, a procedure, surgery or service before they can be provided by the hospital and health care provider. Your prompt payment of any deductible, coinsurance and/or co-pay is also appreciated. You can also assist the hospital by promptly responding to Coordination of Benefits (COB) requests that you may receive from your insurance carrier. Please assist the hospital in appealing to the insurance carrier for any services that are not paid. Insurance carriers frequently deny claim submissions after 60 days, and payment for late submissions may be considered a patient responsibility. You should follow up with the insurance carrier or hospital if you have not received a bill or notice of payment within 45 days of service. You should verify the accuracy of any bill when you receive one, and compare statements from the hospital and insurance carrier to ensure that they are in agreement. If a claim is not paid within 75 days, the hospital will consider the bill a patient responsibility. Most insurance carriers take 30 to 45 days to process a claim, after which the hospital will seek your assistance in getting paid. Atlantic Health System facilities are considered network participants with many insurance companies, including those that are part of the Health Care Exchange (Affordable Care Act).
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