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Financial Arrangements: Patient Handbook

All patients should familiarize themselves with the terms of their insurance coverage. This will help you understand the hospital’s billing procedures and charges. If there is a question about your insurance coverage, a member of the Admitting Inpatient Registration Office will contact you or a member of your family while you are here. We will gather information, if needed, in order to process your claims for you.

If You Have Health Insurance

We will need a copy of your identification card. We will ask your permission to directly bill and receive payment from your insurance provider.

If You Are a Member of an HMO or PPO

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 the requirements of your plan are not followed, you may be financially responsible for all or part of the services rendered in the hospital. In addition, some physician specialists may not participate in your health care plan and their services may not be covered.

If You Are Covered by Medicare/Medicaid

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 other costs. Deductibles and co-payments also are the responsibility of the patient. Medicaid also has payment limitations on a number of services and items.

If You Have No Insurance

A representative from the Admitting Inpatient Registration Office will discuss financial arrangements with you. This representative is also available to assist you in applying for Medicaid or other government assistance programs.

Your Hospital Bill

The hospital is responsible for submitting 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 hospital bill. We have several payment options available to assist you in paying your bill.

Your bill reflects all of the services you receive during your stay. Charges fall into two categories: a basic daily rate, which includes your room, meals, nursing care, housekeeping, telephone and television; and charges for special services which include items your physician orders for you, such as X-rays or laboratory tests. If you have a question about your hospital bill, contact Hospital Patient Financial Services at (409) 747-1099 or toll-free: (800) 435-1871.

Physicians are required to submit separate bills, so their charges will not be included on your hospital bill. 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, cardiologists, anesthesiologists and other specialists perform these services. If you have questions about these bills, please call the number printed on the statement you receive from them.

Courtesy Discharge

You may send a family member or financial representative to the Admitting Business Office at any time prior to your discharge to take care of financial obligations; this may save you some time when you are ready to leave the hospital and return home. The Admitting Business Office is located adjacent to the information desk in room 1.5A of the John Sealy Hospital first-floor lobby.

Admitting Business Office Hours of Operations

Monday – Friday: 8:00 a.m. – 5:00 p.m.
Saturday & Sunday:  8:00 a.m. – 2:00 p.m.
Phone Number (409) 747-4785


 

 
 

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