Southcoast Health Care Gastos
Comprender los cargos por procedimientos y servicios médicos prestados en Southcoast Health.
Southcoast Health se compromete a aumentar la transparencia en torno a los gastos sanitarios para nuestros pacientes.
Cuando tome las riendas de su atención sanitaria, es importante que conozca los gastos asociados a su plan de tratamiento, así como sus planes de cuidados para antes y después de cualquier intervención quirúrgica.
¿Qué es un sistema de facturación hospitalaria?
La lista de cargos de un hospital es una lista exhaustiva de todos los servicios y artículos facturables prestados por un hospital. La lista de cargos incluye los cargos de cada procedimiento, servicio, suministro, medicamento con receta y prueba diagnóstica realizada en el hospital. Nuestros hospitales funcionan 24 horas al día, siete días a la semana, por lo que una lista de cargos puede contener miles de servicios y cargos relacionados.
Los importes de las facturas casi nunca se facturan al paciente ni el hospital los recibe como pago. Estos importes se facturan a una compañía de seguros, Medicare o MassHealth. Estos pagadores aplican entonces sus condiciones de reembolso o tarifas contratadas a los servicios facturados. Si el paciente debe abonar un copago, un coseguro o una franquicia, la mayoría de las veces éstos no se basan en los importes facturados, sino en las condiciones de pago determinadas por la aseguradora o el programa gubernamental.
Con las listas de Cargos por Atención* que aparecen a continuación, podrá encontrar el cargo de Southcoast Health por un servicio específico. También puede ponerse en contacto con nuestro equipo de atención al cliente llamando al 508-973-1212 o al 844-500-1212 (llamada gratuita) para preguntar sobre cuestiones de facturación.
- Tarifas estándar del Charlton Memorial Hospital
- Hospital St. Luke's Tarifas estándar
- Tarifas estándar del Hospital de Tobey
*En la facturación hospitalaria, la palabra "cargo" se utiliza para identificar el precio global que cobra un hospital por sus servicios. La "tabla de tarifas" de un hospital proporciona una lista completa de todos los servicios y artículos facturables prestados por el hospital, y detalla los cargos por cada procedimiento, servicio, suministro, medicamento recetado y prueba diagnóstica prestados en un centro hospitalario autorizado.
Su plan de salud también puede ayudarle a comprender la cobertura de su seguro, qué gastos se cubrirán, cuánto se le facturará, información sobre las franquicias y los gastos de su bolsillo previstos. Consulte nuestro Preguntas frecuentes sobre Chargemaster (FAQ).
Hospital Outpatient Department (HOPD) Facility Fee – Frequently Asked Questions
The specialty care location where you received services from Southcoast Health is designated by the Department of Public Health as a licensed location of Southcoast Hospitals Group, also referred to as an off-campus hospital outpatient department. This means that even though the location is not located on a main hospital campus, it is considered part of the hospital because it is integrated with our other hospital locations and staffed by hospital providers and staff, and it meets specific government regulations to be a licensed hospital department. It also means that our patients and their insurance companies may receive two separate bills for the same visit: one for the use of the facility, and one for the professional services you receive there from a licensed health care professional.
Designation as a hospital satellite location, or HOPD, means that the location where you receive care has direct access to the hospital’s full range of services, and is licensed as part of the hospital. This approach allows the different hospital specialties involved in your patient care to be integrated and communicate seamlessly.
Sí, you can continue to receive the same high-quality care from your specialty Southcoast Health team. You will see the same providers, nurses and staff and there is no need to do anything different when coming to your appointments.
Maybe – it will depend on your coverage. It is possible that you may be responsible or partly responsible for an additional facility fee that would not apply if you were seen in a physician office (non-hospital location). We encourage you to review your health benefits or contact your insurance provider to determine what your policy covers and what out-of-pocket expenses you may incur, and what your cost-sharing obligations may be. You can always request an estimate of your fees in advance, and financial assistance if you have any concerns about your ability to pay.
Private insurance coverage varies by plan. Some privately insured patients may have cost-sharing for a Facility Fee depending on their benefits, network terms, and the services provided. We encourage you to review your health benefits or contact your insurance provider for confirmation.
While certain organizations may assess facility fees for telehealth services, depending upon where you receive care and your insurance, as a policy Southcoast Health does not charge facility fees for telehealth services. If this ever changes, we will notify patients in advance and give them the option to be seen in-person instead. We encourage you to contact us or your insurance provider for more information.
Financial assistance is available from Southcoast Health for eligible patients. Financial Counselors are available at 508-973-5070 to assist any patients who need financial assistance or have questions about their bills.
