What You Need To Know About Paying For Your Health Services
Lo que usted necesita saber sobre el pago de los servicios de salud
וואָס איר דאַרפט וויסן וועגן באַצאָלן פאַר אייערע מעדיצינישע דינסטן
Important Information About Paying For Your Care At Catskill Regional Medical Center
Catskill Regional Medical Center is a participating provider in many health plan networks. Some health plans use smaller networks for certain products they offer so it is important to check whether we participate in the specific plan you are covered by. Our list will tell you if we do not participate in all of a health plan’s products.
It is also important for you to know that the physician services you receive in the hospital are not included in the hospital’s charges. Physicians who provide services at the hospital may be independent voluntary physicians or they may be employed by the hospital. Physicians bill for their services separately and may or may not participate in the same health plans as the hospital. You should check with the physician arranging your hospital services to determine which plans that physician participates in.
- See insurance plan participation information for physicians employed by the hospital (Catskill Regional Medical Group)
- Find a Catskill Regional Medical Group Physician
Catskill Regional Medical Center contracts with a number of physician groups, such as anesthesiologists, radiologists and pathologists, to provide services at the hospital. You should contact these groups directly to find out which health plans they participate in.
You should also check with the physician arranging for your hospital services to determine whether the services of any other physicians will be required for your care. Your physician can provide you with the name, practice name, mailing address and telephone number of any physicians whose services may be needed. Your physician will also be able to tell you whether the services of any physicians employed or contracted by Catskill Regional Medical Center are likely to be needed, such as anesthesiologists, radiologists and pathologists. You should contact these groups directly to find out which health plans they participate in.
Hospitals are required by law to make available information about their standard charges for the items and services they provide. This information is available for Inpatient – based on MS DRG, for Outpatient – Charge Level by CPT4. and for Outpatient Ambulatory Procedures. This information is also available by calling Preregistration at 845-794-3300.
If you do not have health insurance, you may be eligible for assistance in paying your hospital bills. Information about financial assistance income eligibility is available or you may contact our Financial Assistance Office at 845-794-3300 ext. 2430.
For patient billing inquiries, please contact Patient Financial Services at 845-794-3300, ext. 2430.
A hospital stay for many patients and their families can be overwhelming simply because of the amount of paperwork — forms to be filled out, information presented and financial or insurance applications. We hope the information provided here will help you feel more comfortable with what Catskill Regional Medical Center offers in assistance and insurances we accept.
In emergency situations, Catskill Regional Medical Center provides care regardless of ability to pay. In non-emergency situations, we work with patients so that they can get needed health care without finances being an issue. We help obtain certain financial assistance or provide information about where to go for assistance. Our comprehensive registration process verifies personal information and insurance eligibility. This reduces the chance that information might be incorrect. Though this may make registration take a bit longer, remember that the purpose of a thorough review is to assure that you and your family get the best health care with the lowest possible expense.
Catskill Regional Medical Center does not know the details of every insurance provider or managed care organization. It is your responsibility to confirm where you may go and what is included in your insurance coverage. You are responsible for providing current and accurate information. If you don’t, your insurance company may reduce your benefits or impose penalties.
Financial Assistance Program
Patient Access, 845-794-3300, ext. 2430
The purpose of this program is to provide a lower cost for people who have no other insurance. An application can be downloaded below or obtained at our Patient Access Department and at all hospital providers. Also, please refer to the current charity care levels from the State of New York below.
- Financial Assistance Summary
- Financial Assistance Summary – Spanish
- Financial Assistance Application
- Financial Assistance Application – Spanish
- Financial Assistance Policy
- Financial Assistance Policy – Spanish
- Financial Assistance Application Cover Letter
- Financial Assistance Application Cover Letter – Spanish
- Financial Assistance Determination Notice
- Financial Assistance Determination Notice – Spanish
- Financial Assistance Appeal Form
- Financial Assistance Appeal Form – Spanish
- 2019 Sliding Scale
- Financial Assistance – Participating Providers
- Billing and Collection Policy
- Billing and Collection Policy – Spanish
- Collection Agency Referral Policy
- Collection Agency Referral Policy – Spanish
Medicaid is a program that is run by the State of New York and funded by both the State and the federal Government. Medicaid is for patients who do not have other health insurance. Eligibility is determined by your local Department of Social Services office and is dependent upon family size, earnings and other criteria. Medicaid is very comprehensive and covers nearly all aspects of healthcare. Some services do require a co-payment. We do have assistance for inpatient services provided by a representative in our Patient Access Department. It is best to obtain and coordinate all the benefits you are entitled to from your local office of Department of Social Services.
Maternal Infant Services does work with Catskill Regional Medical Center to help coordinate benefits and services. Forms are available at our Patient Access Department and are regularly collected to assure all patients who qualify to attain services. The WIC (Women’s, Infants and Children) Program is also coordinated with CRMC.
Medicare is available for adults who are 65 or older, permanently disabled and receiving Social Security and certain other debilitating conditions. Medicare is a federally administered program and must be obtained through Social Security. Medicare Part A provides inpatient hospital benefits. Medicare Part B allows recipients to obtain other hospital services including but not limited to: emergency services, outpatient surgery, diagnostic testing in an outpatient setting and physician services. Please refer to your Medicare card for your provided benefits and co-payment requirements.
Every insurance company and managed care organization has different rules for their policyholders. Coverage differs for each company and even different policies levels within the same company. It is very important that each policy holder understands their plan and benefits. Plans vary in many different ways, including inpatient hospital benefits, allowable surgical procedures, required co-payments and deductibles, physician participation, pharmacy benefits, etc. Typically, contact information can be found to secure this kind of information on the back of your insurance card or the company’s website. If you obtain your insurance through your employer, your human resources department can most likely assist and direct you.