Aetna Charging for Drawing Blood Maternity

We're here to help you navigate through any questions you have about your bill from NYU Langone, which includes Tisch Hospital, NYU Langone Hospital—Brooklyn, NYU Langone Hospital—Long Island, NYU Langone Orthopedic Hospital, Rusk Rehabilitation, the Family Health Centers at NYU Langone, as well as associated outpatient locations.

You may receive separate bills for:

• your hospital stay
• emergency services
• the hospital portion of an outpatient visit
• doctor's services

Please contact us by phone or in person using the methods listed below if you have any questions about insurance or billing.

Learn more about your hospital bill, your emergency care bill, or your physician services bill.

Important Information About Your Hospital Bill

It is important for you to know that the hospital only bills you for hospital services. You will get separate bills from doctors. The doctors who care for you at the hospital may work in a private practice or they may be employed by the medical center. Some of these doctors may not be in the same health plan networks as the hospital.

Ask the doctor admitting you to the hospital or scheduling your outpatient care if they participate in your insurance plan's network. If a doctor or hospital is not in your plan's network, your insurance provider will require you to pay more.

In-Network Insurance Coverage: Hospital Benefits

NYU Langone participates in many health plan networks. Each health plan creates a network of doctors and hospitals who have agreed to be in that network. It's called "participating" in the plan. View the list of insurance plans in which we participate.

Some health plans use smaller networks for certain services, so it is important to check whether we participate in the specific plan that covers you. Our list will tell you if we are in a health plan's network.

In-Network Insurance Coverage: Physician Benefits

You can look online to see if your doctors work for NYU Langone and if your doctors are part of the same networks as the hospital. Find information for all of these doctors, including employed anesthesiologists, pathologists, and radiologists.

You should check with the doctor admitting you to the hospital or scheduling your outpatient treatment to find out whether other doctors will be involved in your care. Your doctor can give you their name, practice name, mailing address, and telephone number. Your doctor will also be able to tell you if you are likely to need the services of any doctors employed by NYU Langone, in which case you can obtain information at the above link.

To help you understand the full impact of your financial responsibility as a patient, you can coordinate with your insurance company after your provider has identified the procedures likely to be performed, or call us at 212-263-1481.

Out-of-Pocket Costs

Out-of-pocket costs for healthcare services may vary significantly across health systems, even for common procedures. At NYU Langone, we are committed to providing you with this information up front so that you can make the best choice for yourself and your family. We provide the following tools to help you estimate your out-of-pocket costs.

In compliance with Centers for Medicare and Medicaid Services regulations, hospitals are required to maintain a list of standard charges for the items and services they provide. This includes payer-specific negotiated charges for the range of items and services delivered. You may view the list of NYU Langone's standard charges in machine-readable files.

It is important to remember that standard charges do not reflect or represent the actual out-of-pocket cost a patient pays for these services. Rather, it is a comprehensive listing of billable services. Each patient and episode of care is unique, and the actual out-of-pocket cost a patient pays may vary depending on the clinical services provided; your specific insurance plan, if you have one; the location where you received services; and other factors. The list of standard charges also does not explain how patient safety and quality are factored into the cost of services provided at NYU Langone. For this reason, the listing may not be a useful tool for accurately understanding what patients and insurers pay for care.

At NYU Langone, better care leads to better outcomes. Our commitment to delivering the highest quality of care lowers costs by reducing unnecessary hospital readmissions and complications.

Another way for you to get information on potential out-of-pocket costs is NYU Langone's Out-of-Pocket Cost Estimator. This tool takes into consideration your insurance plan, if applicable, and any deductible, co-pay, or co-insurance you may have. Similar to the list of standard charges, this estimator serves as a starting point.

To obtain the most reliable out-of-pocket fee for a service at NYU Langone, it is important to speak with your insurance company. They will be able to assist you with information regarding deductibles, copayment, and coinsurance related to the services received and in accordance with your insurance policy.

When you need emergency care or are unexpectedly treated by an out-of-network provider at an in-network hospital or ambulatory surgical center, you are protected from being charged more than your insurance plan's copayments, coinsurance, or deductible. Learn more about your rights and protections against surprise medical bills.

If you do not have health insurance, please call us at 212-263-1481 to get information about an out-of-pocket cost estimate, or to learn more about our Financial Assistance Policy and your eligibility for subsidized health insurance through programs such as Medicaid.

Paying Your Hospital Bill

Tisch Hospital,  NYU Langone Hospital—Brooklyn, NYU Langone Hospital—Long Island, NYU Langone Orthopedic Hospital, and the Family Health Centers at NYU Langone will send you a bill for inpatient and outpatient services, listing the charges for the care you received.

A "daily care charge" on the inpatient bill covers the basic everyday work of the hospital. It includes 24-hour nursing care, food, housekeeping, and other support services. Following the terms of your insurance plan, insurance covers most of these costs and you pay the remainder.

"Optional personal charges" on an inpatient bill are for any extra services received. You may have requested a meal for a family member or a private room. Health insurance does not usually cover these extra items.

To make payment as simple and straightforward as possible, we ask every insured patient to pay the deductible, coinsurance, or copayment at the time of any non-emergency service. You may pay by cash, check, or major credit card.

This time-of-service payment is based on our estimate of your bill, but it is only an estimate. After discharge, we will send a final bill to your insurance company. They will send you an explanation of benefits (EOB) showing what we charged and what they paid. We will send you a final bill showing the balance you owe and how to pay it. This should match the information on the EOB.

If you are in active labor or require emergency services, our first priority is to take care of you. We won't ask about payment until the doctors have told us your condition is stable.

You will be asked to pay for any charges not covered by your insurance after you are discharged.

Prenatal Care Assistance Program

The Prenatal Care Assistance Program, also known as PCAP, is insurance for pregnant women available through the Family Health Centers at NYU Langone. PCAP provides coverage for prenatal care, childbirth, and postpartum care up to two months after your baby is born.

PCAP coverage is available to any pregnant woman regardless of age or immigration status. An application is required. Our patient service advocate can help determine if you are eligible. To learn more, please call 718-630-7136.

Financial Counselors and Financial Assistance for Hospital Bills

If you do not have health insurance or your insurance only covers a portion of your hospital bill, you may be eligible for financial assistance. Please see the hospital's policy and frequently asked questions. To apply, please follow the instructions on the financial assistance application. You can also talk to a financial counselor by visiting or calling one of the locations below weekdays between 8:00AM and 5:00PM.

• Tisch Hospital and NYU Langone Orthopedic Hospital financial assistance application: 560 First Avenue, Room SK, Manhattan, 866-486-9847
• NYU Langone Hospital—Brooklyn financial assistance application: 150 55th Street, Suite LB 2940, Brooklyn, 718-630-6252
• NYU Langone Hospital—Long Island financial assistance application: 200 Old Country Road, Suite W440, Mineola, 516-663-8373

If you are receiving services at the Family Health Centers at NYU Langone, and you do not have health insurance or your insurance only covers a portion of your hospital bill, you may be eligible for financial assistance. Please contact the site where your appointment has been scheduled to discuss financial assistance options.

Financial Assistance Summaries

• Arabic
• Bengali
• Chinese
• English
• Farsi
• Greek
• Haitian–Creole
• Italian
• Korean
• Polish
• Portuguese
• Russian
• Spanish

Financial Assistance Applications

• Arabic
• Bengali
• Chinese
• Farsi
• English
• Greek
• Haitian–Creole
• Italian
• Korean
• Polish
• Portuguese
• Russian
• Spanish

Questions About Payment

If you have questions about payment, please call 800-237-6977.

Your Emergency Care Bill

A bill from the Ronald O. Perelman Center for Emergency Services, Samuels Orthopaedic Immediate Care Center, NYU Langone Cobble Hill, or the Emergency Department at NYU Langone Hospital—Brooklyn includes charges for the nursing services and supplies provided during your emergency care. Imaging tests, laboratory tests, and pharmacy services are individually listed on this bill. Some portion of these charges may be covered by your insurance company.

The bill for the doctors who participated in your care will be sent separately. These services may or may not be covered by your insurance company. Please see below for more information on physician billing.

For questions about your emergency care bill, please call 877-648-2964.

Your Physician Services Bill

Patients at NYU Langone receive separate bills for services provided by doctors, whether as part of your hospital stay, emergency care, or doctor's office visit. You can check individual physician participation by searching for a doctor.

You may also receive a bill for ancillary doctor's services, such as anesthesia, radiology testing, pathology, or other services. Though you may not meet these doctors face-to-face, they provide vital care.

In addition, you may receive a separate bill from a doctor who is affiliated with NYU Langone, but has a private practice.

View this sample doctor bill to learn more about the information on your bill.

To speak with a customer service representative about your doctor's office bill, please call the number on your statement or call 877-648-2964.

Aetna Charging for Drawing Blood Maternity

Source: https://nyulangone.org/insurance-billing-financial-assistance

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