Understanding Your Bill
The hospital billing process may seem complicated, but you can feel more
in control by knowing exactly what your bill covers. For example, if you
stay overnight, you can expect to see charges for your room, meals, 24-hour
nursing care and medicines. The bill also will show charges for any special
services, such as X-rays and lab tests. You’ll receive bills for
doctors, surgeons and specialists separately from the hospital.
If you have Medicare, you’ll have to fill out an MSP (Medicare Secondary
Payer) form. This ensures that Medicare only pays for services not covered
by other insurance you may have. If you have secondary insurance, this
usually covers Medicare deductibles. If you don’t have secondary
insurance, you need to pay these amounts yourself. Also be sure to read
your quarterly MSNs (Medicare Summary Notices) to review:
- the amount your doctor(s) charged
- the amount Medicare approved and paid
- the amount you owe
- your current deductible status
Commercial Insurance Providers
If you use a commercial insurance provider, then the hospital forwards
your claim based on the information you provide at registration. About
a month after you leave the hospital, you’ll get an explanation
of benefits (EOB) statement from your insurance provider. This isn’t
a bill. EOBs show:
- the amount billed by your doctor or hospital
- how much of that cost is covered by your insurance
- how much you owe
Review this and all other bill-related documents carefully. If you have
questions, contact your doctor or the customer service number listed on
Self-Pay Patients and Payment Arrangements
If you’re planning to pay your bills without help from Medicare or
a commercial insurance provider, then you’ll get bills directly
from the hospital. When the first bill arrives, call the hospital’s
financial services department to set up a payment plan.
Communicate with the financial services department as soon as possible.
If you don’t set up a payment plan, or if you stop making payments, then
your account may be placed with a collection agency. The hospital wants
to work with you, so reach out with any questions or concerns you have.
If you don’t understand something on your bill, or if you’re
having trouble paying your bills, call Hospital Financial Counseling at
973-365-4367, 4352 or 4213.
Understanding Coordination of Benefits (COB)
COBs happen when you’re covered under two or more insurance companies.
This may occur when spouses or partners are listed on each other’s
insurance policies, or when both parents carry their children on their
individual policies. To prevent duplicate payments, COBs determine the
primary payer. You choose who this is when you’re admitted. Insurance
companies usually request completed COBs from you before paying a claim,
so make sure you address these requests quickly.
If you have further questions, please call Patient Accounts at 973-983-1610.