Your Hospital Bill
This is how our billing process usually works:
- Our billing office will send a claim to your insurance company shortly
after your services are complete.
- After receiving the claim, your insurance company may contact you for additional
information. Please respond to your insurance company’s questions
as quickly as possible so their payment is not delayed.
- Your insurance company usually takes 30 - 45 days to pay your claim.
- After your insurance company pays us, we will provide you with information
about any amount you may still owe. Keep in mind that your policy is an
agreement between you and your insurance company. If you did not follow
your insurance plan’s terms, they might not pay for all or part
of your care.
What is Not Included in Your Hospital Bill
Note that each physician providing services related to your hospital stay/visit
will bill you separately. This could include fees related not only to physicians who directly cared
for you during your stay, but also specialists such as anesthesiologists,
pathologists and radiologists and other physicians consulted by your doctor,
who “work behind the scenes” to ensure your safety and care.
The enacted California State AB72 provides that if you have insurance and
your carrier is contracted with Methodist Hospital of Southern California,
AND the provider (Physician) is NOT contracted with your carrier, you
(as a plan member) are only required to pay the non-contracted physician
only the amount you would be required to pay as if he/she were contracted
(unless you have been advised 24 hours in advance and have consented to
pay him/her the non-contracted rates). Should you have any questions,
we advise you to call your physician’s billing office. Methodist
Hospital of Southern California does not have nor, do we provide physician
Payment at Time of Service
Similar to when you visit your physician’s office, we expect payment
at time of service. If you are ineligible for Medicaid or financial assistance
and cannot pay your entire bill, we will work with you to set up monthly
payment arrangements. If, after your services are received, any additional
payment is due, we will send you information about any amount you may
still owe. We accept major credit cards, checks, money orders and cash.
You may also pay your bill online.
Financial Assistance for Uninsured Patients
Methodist Hospital offers many forms of financial relief for patients without
healthcare insurance (“uninsured”) who need emergency or non-elective
services. We have financial counselors available to evaluate your eligibility
for various local and state programs, including county assistance and Medi-Cal
Financial Assistance for Uninsured Patients
To provide helpful information based on each patient’s personal healthcare
coverage, we must first determine your private insurance or government
coverage (such as Medicare or Medicaid). If you have any questions about
determining such call 626-821-2354. Your estimate will be a “good
faith estimate” and not a final price as additional procedures may
be performed or complications may arise. Additionally, your insurer has
the final say on coverage, contract pricing and your financial responsibility.
First, you need to contact your insurance company to ensure that the services
you require are “covered services.” If some or all of the
services are not covered under your plan, please refer to our uninsured
information. You also will need to contact your physician’s office
to get the specific diagnosis or procedure description.
Our procedure pricing tool provides cost estimates for insured and uninsured
patients. When using this tool, you will need to have the information
listed in No. 1 and No. 2 below. Be sure to have the following information
available, so that we can provide the best estimate possible:
- Description of services needed: we will need as much information possible
about the specific services described by your physician.
- Type of services needed: we need to know if you will be admitted to the
hospital as an inpatient overnight or if you will be treated as an outpatient.
- Physician/specialist name: if you are having surgery, we will need the
- Your insurance card: please have your card available so that we can get
the following information: insurance company, type of policy (HMO, PPO,
POS, Indemnity, etc.), policy holder’s name, group name and number,
policy number, insurance company phone number.
- Policyholder’s personal information: the insurance company might
want us to verify the Social Security Number and date of birth of the
primary insurance policy holder.
Understanding Your Bill
Numbered areas point out where important information can be found on your
statement. For answers to questions about your Methodist Hospital statement,
please call a patient account representative at 626-574-3594. Please keep
a copy of itemized statements, as future statements may not include the
details of the original.
- Date statement was printed
- Total guarantor portion due payable with this statement
- Responsible person’s account number
- Area to write amount you will be paying at this time
- Total guarantor portion due payable with this statement. Your co-payment,
deductible or coinsurance is based on the contracted amount to be paid
by your insurer, Medicare or Medi-Cal and not the charges listed and described
in 7 below.
- Date of services provided
- Summary of services provided with charges. Please note, that in general
charges do not reflect what you or your insurance company will actually
pay. See No. 8 below
- Total adjustment reflects the difference between the total charges and
the hospitals expected reimbursement from your insurance company, Medicare
or Medi-Cal. If you have no insurance please contact a patient account
representative at 626-574-3594, who will connect you with a financial
counselor to determine the discount appropriate to your circumstances.
- Name and address of person recorded as responsible party for account (guarantor)